Organization Active NPI

Appalachian Orthopaedic Associates, PC

  • Orthopaedic Surgery Physician
  • Rogersville, TN
National Provider Identifier
1982888491
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3710616MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.