NPIMap

Organization Active NPI

New Horizons Continence Management LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Elizabethton, TN
National Provider Identifier
1851523641
Registry record updated Aug 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
15696 Issued in TN
Legal business name
NEW HORIZONS CONTINENCE MANAGEMENT LLC
Practice address
2521 Beechwood Dr
Elizabethton, TN 37643-5062
Phone
(423) 612-0654
Fax
(423) 543-5323
NPI assigned
Aug 13, 2009
Last updated
Aug 13, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Brent David Laing, M.D.NPI 1700991049
Title
Medical Driector
Phone
(423) 542-3802

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 15696 TN Primary

Addresses

Primary practice location

2521 Beechwood Dr
Elizabethton, TN 37643-5062

Mailing address

2521 Beechwood Dr
Elizabethton, TN 37643-5062
Phone (423) 612-0654

National Provider Directory

National Provider Directory

Locations

105 W Myrtle Ave
Johnson City, TN 37604
Phone (423) 975-2000

3209 Bristol Hwy
Johnson City, TN 37601
Phone (423) 282-3311

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250121600000",
    "number": "1851523641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 BEECHWOOD DR",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376435062",
            "telephone_number": "423-612-0654",
            "fax_number": "423-543-5323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 BEECHWOOD DR",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376435062",
            "telephone_number": "423-612-0654",
            "fax_number": "423-543-5323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HORIZONS CONTINENCE MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-13",
        "last_updated": "2009-08-13",
        "status": "A",
        "authorized_official_last_name": "LAING",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "MEDICAL DRIECTOR",
        "authorized_official_telephone_number": "423-542-3802",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "TN",
            "license": "15696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethton, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.