Active NPI
Plateau Pulmonology LLC
- Pulmonary Disease Physician
- Crossville, TN
National Provider Identifier
1942501762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- MD38221
- Legal business name
- PLATEAU PULMONOLOGY LLC
- Practice address
- 421 S Main St
Crossville, TN 38555-5048 - Phone
- (931) 210-0274
- Fax
- (931) 787-1503
- NPI assigned
- Nov 10, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gnanaraj Joseph, MD
- Title
- Sole Owner
- Phone
- (931) 210-0274
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | MD38221 | TN | Primary |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | MD38221 | TN |
Addresses
Primary practice location
421 S Main St
Crossville, TN 38555-5048
Mailing address
1263 E Deer Creek Dr
Crossville, TN 38571-3258
Phone (931) 210-0274
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Disease Physician
- Winston Salem, NC
- NPI 1700847738
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289347200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1289347200000",
"number": "1942501762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1263 E DEER CREEK DR",
"city": "CROSSVILLE",
"state": "TN",
"postal_code": "385713258",
"telephone_number": "931-210-0274",
"fax_number": "931-787-1503"
},
{
"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": "931-210-0274",
"fax_number": "931-787-1503"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLATEAU PULMONOLOGY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-10",
"last_updated": "2010-11-10",
"status": "A",
"authorized_official_last_name": "JOSEPH",
"authorized_official_first_name": "GNANARAJ",
"authorized_official_title_or_position": "SOLE OWNER",
"authorized_official_telephone_number": "931-210-0274",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "TN",
"license": "MD38221",
"primary": true
},
{
"code": "207RS0012X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Sleep Medicine",
"state": "TN",
"license": "MD38221",
"primary": false
}
],
"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 Nov 10, 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.