Active NPI
Karen J McRae, MD
- Orthopaedic Foot and Ankle Surgery Physician
- Johnson City, TN
National Provider Identifier
1962467498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Foot and Ankle Surgery Physician
- License
- 29358
- Practice address
- 2410 Susannah St
Johnson City, TN 37601-1748 - Phone
- (423) 282-9011
- Fax
- (423) 282-0035
- NPI assigned
- Apr 18, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | 29358 | TN | Primary |
Addresses
Primary practice location
2410 Susannah St
Johnson City, TN 37601-1748
Mailing address
2410 Susannah St
Johnson City, TN 37601-1748
Phone (423) 282-9011
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3813627 | Medicaid | TN |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29358 | TN | MD | Orthopaedic Foot and Ankle Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576454400000",
"number": "1962467498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2410 SUSANNAH ST",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376011748",
"telephone_number": "423-282-9011",
"fax_number": "423-282-0035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2410 SUSANNAH ST",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376011748",
"telephone_number": "423-282-9011",
"fax_number": "423-282-0035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCRAE",
"first_name": "KAREN",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-18",
"last_updated": "2019-12-16",
"certification_date": "2019-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "TN",
"license": "29358",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3813627",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.