Geriatric Health Care Services

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

APN13185 Issued in TN

Legal business name

GERIATRIC HEALTH CARE SERVICES

Doing business as

Sue Hirsch

Practice address

135 Generation Dr
Newport, TN 37821-8018

Phone

(865) 277-6310

Fax

(865) 366-0050

NPI assigned

Mar 2, 2011

Last updated

May 17, 2011By 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

Mr. Philip Hirsch

Title

Coordinator

Phone

(865) 277-6310

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Sue Hirsch Doing business as

Locations

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305590400000",
    "number": "1962700773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1979 CHELSEA JO LN",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378767022",
            "telephone_number": "865-277-6310",
            "fax_number": "865-366-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 GENERATION DR",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "378218018",
            "telephone_number": "865-277-6310",
            "fax_number": "865-366-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIATRIC HEALTH CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-02",
        "last_updated": "2011-05-17",
        "status": "A",
        "authorized_official_last_name": "HIRSCH",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "COORDINATOR",
        "authorized_official_telephone_number": "865-277-6310",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TN",
            "license": "APN13185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4270888",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1514863",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sue Hirsch",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Annette Goodman, D.O.

• Gerontology Nurse Practitioner in Newport, TN
• Providers in Newport, TN by specialty
• Gerontology Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; 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.