John D. Sanabria, MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

28120 Issued in TN

Legal business name

JOHN D. SANABRIA, MD PC

Practice address

460 Medical Park Dr
Suite 103
Lenoir City, TN 37772-5782

Phone

(865) 271-0038

Fax

(865) 271-0040

NPI assigned

Feb 19, 2014

Organization subpart

No

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

Authorized official

Name

Dr. John D. Sanabria, M.D.NPI 1477594521

Title

Owner/President

Phone

(865) 271-0038

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lakeway Urgent Care Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Darryl Sanabria, MD

  • Family Medicine Physician
  • Loudon, TN
  • NPI 1477594521
  Medicare reassignment NPD Authorized official
• Meghan Reed, PA-C

  • Physician Assistant
  • Knoxville, TN
  • NPI 1861149148
  NPD (past)

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

{
    "created_epoch": "1392768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392768000000",
    "number": "1891110433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 MEDICAL PARK DR",
            "address_2": "SUITE 103",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377725782",
            "telephone_number": "865-271-0038",
            "fax_number": "865-271-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 MEDICAL PARK DR",
            "address_2": "SUITE 103",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377725782",
            "telephone_number": "865-271-0038",
            "fax_number": "865-271-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN D. SANABRIA, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-19",
        "last_updated": "2014-02-19",
        "status": "A",
        "authorized_official_last_name": "SANABRIA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "865-271-0038",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "28120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3814709",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeway Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aliyah Jenkins
• Janice Teague Jenkins, FNP
• Mary Jenkins, FNP-BC
• Cindy Jobe-Yago
• John D Jones M.D. Medcorp PLLC
• Dora Johnson, OTR/L
• Kimberly Dianne Johnston, PT
• Susan C Johnston, APN
• David Allen Jones, DDS
• Korey Lamar Jones, PHARMD

• Family Medicine Physician in Lenoir City, TN
• Providers in Lenoir City, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.