Active NPI
Appalachian Orthopaedic Associates, PC
- Orthopaedic Surgery Physician
- Rogersville, TN
National Provider Identifier
1982888491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- APPALACHIAN ORTHOPAEDIC ASSOCIATES, PC
- Practice address
- 851 Locust St
Hawkins County Hospital
Rogersville, TN 37857 - Phone
- (423) 921-7201
- Fax
- (423) 921-7204
- NPI assigned
- Dec 19, 2007
- Last updated
- Mar 3, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ken Kisiel
- Title
- Administrator
- Phone
- (423) 239-1550
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | TN | Primary |
Addresses
Primary practice location
851 Locust St
Hawkins County Hospital
Rogersville, TN 37857
Mailing address
4105 Ft Henry Dr
Suite 300
Kingsport, TN 37663
Phone (423) 239-1550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3710616 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031126000433 | TN | Part B Supplier - Clinic/Group Practice | 1052225471 |
Receives reassigned benefits from 49 practitioners 9 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bristol, TN; Elizabethton, TN; Johnson City, TN; Kingsport, TN |
Other NPIs on the same Medicare enrollment 9
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Appalachian Orthopedics Associates, PC
- Orthopaedic Surgery Physician
- Rogersville, TN
- NPI 1063875649
O20031126000433
-
- Orthopaedic Surgery Physician
- Bristol, TN
- NPI 1326067315
O20031126000433
-
- Orthopaedic Surgery Physician
- Johnson City, TN
- NPI 1336175462
O20031126000433
-
dba Appalachian Rehabilitation and Sports Medicine
- Physical Therapy Clinic/Center
- Johnson City, TN
- NPI 1528128063
O20031126000433
-
- Orthopaedic Surgery Physician
- Bristol, TN
- NPI 1639108822
O20031126000433
-
- Orthopaedic Surgery Physician
- Kingsport, TN
- NPI 1669940078
O20031126000433
-
dba Appalachian Rehabilitation and Sports Medicine
- Physical Therapy Clinic/Center
- Bristol, TN
- NPI 1821196148
O20031126000433
-
- Orthopaedic Surgery Physician
- Kingsport, TN
- NPI 1366981805
O20031126000433
-
- Orthopaedic Surgery Physician
- Kingsport, TN
- NPI 1598703043
O20031126000433
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198022400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204502400000",
"number": "1982888491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4105 FT HENRY DR",
"address_2": "SUITE 300",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "37663",
"telephone_number": "423-239-1550",
"fax_number": "423-239-1544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "851 LOCUST ST",
"address_2": "HAWKINS COUNTY HOSPITAL",
"city": "ROGERSVILLE",
"state": "TN",
"postal_code": "37857",
"telephone_number": "423-921-7201",
"fax_number": "423-921-7204"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "APPALACHIAN ORTHOPAEDIC ASSOCIATES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-19",
"last_updated": "2008-03-03",
"status": "A",
"authorized_official_last_name": "KISIEL",
"authorized_official_first_name": "KEN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "423-239-1550",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TN",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3710616",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rogersville, TN
- Eddie H Abernathy Jr., OD
- Lance Abernathy
- Teresa Nicole Adkins, BA
- Apex Medical Technologies Inc
- Appalachian Orthopaedic Associates P C (Appalachian Orthopedics Associates, PC)
- Rosalinda Arenas
- Melanie M Arpaio, MA
- Chelsea L Ashley, FNP-BC
- Association of University Radiologists, PC
- Chelsey Leeann Babb, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.