Active NPI
CMC Hospitalist Group, LLC
- Hospitalist Physician
- Crossville, TN
National Provider Identifier
1851609325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- Legal business name
- CMC HOSPITALIST GROUP, LLC
- Practice address
- 421 S Main St
Crossville, TN 38555-5048 - Phone
- (931) 456-9434
- Fax
- (931) 456-5061
- NPI assigned
- Sep 18, 2010
- Last updated
- Sep 18, 2010
- Organization subpart
- Yes
- Parent organization
- CUMBERLAND MEDICAL CENTER, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Barry S Wagner, D.O.
- Title
- Ceo
- Phone
- (931) 456-9434
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | NU | Primary |
Addresses
Primary practice location
421 S Main St
Crossville, TN 38555-5048
Mailing address
421 S Main St
Crossville, TN 38555-5048
Phone (931) 456-9434
National Provider Directory
National Provider Directory- Part of
- Cumberland Med Ctr-Crna
Locations
133 Hayes St
Crossville, TN 38555
Phone (931) 456-9434
421 S Main St
Crossville, TN 38555
Phone (931) 260-1465
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Family Medicine Physician
- Crossville, TN
- NPI 1619976941
-
- Hospitalist Physician
- Oak Ridge, TN
- NPI 1801874557
-
- Family Medicine Physician
- Crossville, TN
- NPI 1316958747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284768000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1284768000000",
"number": "1851609325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 S MAIN ST",
"city": "CROSSVILLE",
"state": "TN",
"postal_code": "385555048",
"telephone_number": "931-456-9434",
"fax_number": "931-456-5061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 S MAIN ST",
"city": "CROSSVILLE",
"state": "TN",
"postal_code": "385555048",
"telephone_number": "931-456-9434",
"fax_number": "931-456-5061"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CMC HOSPITALIST GROUP, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CUMBERLAND MEDICAL CENTER, INC",
"enumeration_date": "2010-09-18",
"last_updated": "2010-09-18",
"status": "A",
"authorized_official_last_name": "WAGNER",
"authorized_official_first_name": "BARRY",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "931-456-9434",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crossville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.