Nicole M Masian, MD

Primary specialty

Forensic Pathology PhysicianTaxonomy code 207ZF0201X

License

0101248381 Issued in VA

Practice address

Magnolia and Fifth Street
Building 6
Mountain Home, TN 37684

Phone

(423) 439-8038

Fax

(423) 439-8070

NPI assigned

Jul 9, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371772800000",
    "number": "1902069933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 70431",
            "address_2": "WILLIAM L. JENKINS FORENSIC CENTER, ETSU/QUILLEN COM",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "37614",
            "telephone_number": "423-439-8038",
            "fax_number": "423-439-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MAGNOLIA AND FIFTH STREET",
            "address_2": "BUILDING 6",
            "city": "MOUNTAIN HOME",
            "state": "TN",
            "postal_code": "37684",
            "telephone_number": "423-439-8038",
            "fax_number": "423-439-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASIAN",
        "first_name": "NICOLE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2013-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZF0201X",
            "taxonomy_group": "",
            "desc": "Pathology, Forensic Pathology",
            "state": "VA",
            "license": "0101248381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tabitha Elswick Lynch, PT
• Tara Maden
• Laurie A Malyar, RD
• Kristie Markland
• Michael Joseph Marshall, O.T.R,.
• Katherine Kuhlken Mason, PH.D.
• Thomas Payne Massello, M.D.
• Angela Earlene May, M.D.
• Joe Harold May, M.D.
• McKenna McCall, PT, DPT

• Forensic Pathology Physician in Mountain Home, TN
• Providers in Mountain Home, TN by specialty
• Forensic Pathology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2013; 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.