Thomas Sturdavant MD PA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

THOMAS STURDAVANT MD PA

Practice address

113 Cassell Dr
Kingsport, TN 37660-3775

Phone

(423) 246-7240

NPI assigned

Jun 26, 2018

Last updated

Jun 26, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas Sturdavant, MDNPI 1437240603

Title

Owner

Phone

(228) 860-4448

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.

• Thomas E Sturdavant, MD

  • Physical Medicine & Rehabilitation Physician
  • Kingsport, TN
  • NPI 1437240603
  Authorized official Same address or phone

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529971200000",
    "number": "1952896508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376620416",
            "telephone_number": "423-246-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 CASSELL DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376603775",
            "telephone_number": "423-246-7240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS STURDAVANT MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-26",
        "last_updated": "2018-06-26",
        "status": "A",
        "authorized_official_last_name": "STURDAVANT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-860-4448",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Practical Clinician PLLC
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• Lenita Thibault, MD
• Julia Thie, L.AC
• Chadwick J Thomas, M.D.
• Erin Elizabeth Thomas, MSN-FNP
• Miranda Deshawna Thomas, FNP
• Sierra Ray Thomas, PA-C
• Thomas Thomas, MD

• Physical Medicine & Rehabilitation Physician in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Physical Medicine & Rehabilitation Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; 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.