Select Care Surgical Associates P C

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SELECT CARE SURGICAL ASSOCIATES P C

Practice address

460 Medical Park Drive
Suite 106
Lenoir City, TN 37772-5782

Phone

(865) 988-4452

Fax

(865) 988-6293

NPI assigned

Jun 9, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John Henry Eason Jr., MDNPI 1285701987

Title

MD President

Phone

(865) 988-4452

Specialties & licenses 1

Addresses

Other identifiers 7

Other names 1

• John H Eason MD Other name

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 1

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

• John Henry Eason Jr., MD

  • Surgery Physician
  • Lenoir City, TN
  • NPI 1285701987
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236556800000",
    "number": "1962443069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 MEDICAL PARK DR STE 106",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377725782",
            "telephone_number": "865-988-4452",
            "fax_number": "865-988-6293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 MEDICAL PARK DRIVE",
            "address_2": "SUITE 106",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377725782",
            "telephone_number": "865-988-4452",
            "fax_number": "865-988-6293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT CARE SURGICAL ASSOCIATES P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2009-03-09",
        "status": "A",
        "authorized_official_last_name": "EASON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "MD PRESIDENT",
        "authorized_official_telephone_number": "865-988-4452",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCRE",
            "identifier": "020049205",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHPTC",
            "identifier": "100010807",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3061848",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH",
            "identifier": "1740052",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "3081453",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4359544002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ONE HEALTH",
            "identifier": "282829",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John H Eason MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• John M. Sasinouski Jr., D.O.
• Dinar Sayani, MD
• Matthew Sean Scanlon, PA-C
• Kayla Michelle Schlachter, RDA
• Michelle Nicole Scott, CPHT
• Margaret Mary Sellers, LPN
• Maria Semeco
• Ashton Bailey Sexton
• Jesse Shakarian, D.C.
• Jonathan C. Shaver, MD

• Surgery Physician in Lenoir City, TN
• Providers in Lenoir City, TN by specialty
• Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; 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.