John Frank Testerman III, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

36 Issued in TN

Practice address

James H. Quillen/Vamc
Corner of Sidney and Lamont (Johnson City)
Mountain Home, TN 37686

Phone

(423) 926-1171

NPI assigned

Oct 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982791927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SATANTA RD",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376644259",
            "telephone_number": "423-323-5074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JAMES H. QUILLEN/VAMC",
            "address_2": "CORNER OF SIDNEY AND LAMONT (JOHNSON CITY)",
            "city": "MOUNTAIN HOME",
            "state": "TN",
            "postal_code": "37686",
            "telephone_number": "423-926-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESTERMAN",
        "first_name": "JOHN",
        "middle_name": "FRANK",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "36",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Swerdan, MD
• Geeta Santoshi Tadepalli, M.D.
• Joanna Webster Tampas, MA
• Megan Hope Taylor, DO
• Tamarro Lynn Taylor, M.D.
• Dennis Harley Thacker, LCSW
• Penny R Thayer, FNP
• Alexandria Blair Thomas
• Kendra Lee Thorne, PH.D.
• Peter Gregory Torok, M.D.

• Medical Physician Assistant in Mountain Home, TN
• Providers in Mountain Home, TN by specialty
• Medical Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.