Active NPI
Carol J Iddins, MD
- Occupational Medicine Physician
- Oak Ridge, TN
National Provider Identifier
1932221827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- 26217
- Practice address
- 1299 Bethel Valley Rd
Box 117 Reacts
Oak Ridge, TN 37830-8007 - Phone
- (865) 576-3131
- Fax
- (865) 576-9522
- NPI assigned
- Apr 4, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | 26217 | TN | Primary |
Addresses
Primary practice location
1299 Bethel Valley Rd
Box 117 Reacts
Oak Ridge, TN 37830-8007
Mailing address
PO Box 117
Ms 39 Reacts
Oak Ridge, TN 37831-0117
Phone (865) 576-3131
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26217 | TN | MD | Occupational Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346284800000",
"number": "1932221827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 117",
"address_2": "MS 39 REACTS",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378310117",
"telephone_number": "865-576-3131",
"fax_number": "865-576-9522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1299 BETHEL VALLEY RD",
"address_2": "BOX 117 REACTS",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378308007",
"telephone_number": "865-576-3131",
"fax_number": "865-576-9522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IDDINS",
"first_name": "CAROL",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-04",
"last_updated": "2012-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "TN",
"license": "26217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Ridge, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.