College Park Walk-in Clinic

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

MD0000029767 Issued in TN

Legal business name

COLLEGE PARK WALK-IN CLINIC

Practice address

2104 E Andrew Johnson Hwy
Morristown, TN 37814-5412

Phone

(423) 307-1900

Fax

(423) 307-1902

NPI assigned

Sep 24, 2007

Organization subpart

No

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

Authorized official

Name

Frederick R YaridNPI 1508865205

Title

Owner

Phone

(423) 307-1900

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Frederick R. Yarid, M.D.

  • Family Medicine Physician
  • Morristown, TN
  • NPI 1508865205
  NPD (past) Authorized official

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1881880854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 E ANDREW JOHNSON HWY",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378145412",
            "telephone_number": "423-307-1900",
            "fax_number": "423-307-1902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 E ANDREW JOHNSON HWY",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378145412",
            "telephone_number": "423-307-1900",
            "fax_number": "423-307-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEGE PARK WALK-IN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "YARID",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-307-1900"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "TN",
            "license": "MD0000029767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly H. Cole, CCCSLP
• Coleman Chiropractic, PLLC (Coleman Family Chiropractic)
• Carrie Michelle Coleman, D.C.
• Phillip Norman Coleman, D.C.
• College Park Pharmacy
• College Park Walk-in Clinic, LLC
• Jenny Sue Collins-King, LCSW
• Amanda R. Collins, SLP
• Annie Collins
• Ashli Taylor Collins, OTR/L

• Health Maintenance Organization in Morristown, TN
• Providers in Morristown, TN by specialty
• Health Maintenance Organization in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; 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.