Pediatric Consultants of Lenoir City

Primary specialty

Legal MedicineTaxonomy code 173000000X

Legal business name

PEDIATRIC CONSULTANTS OF LENOIR CITY

Practice address

303 Medical Park Drive
Lenoir City, TN 37772-6473

Phone

(865) 271-9536

Fax

(865) 986-0212

NPI assigned

Dec 9, 2008

Last updated

Dec 12, 2016By 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

Dr. Suneetha Mooss, MD

Title

MD

Phone

(865) 271-9536

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jonah Duggins

  • Physician Assistant
  • Oak Ridge, TN
  • NPI 1578444154
  NPD (past)
• Kristi Michelle Rutherford, CPNP

  • Pediatric Nurse Practitioner
  • Seymour, TN
  • NPI 1003381484
  NPD (past)
• Ambria Faith Jump, DO

  • Pediatrics Physician
  • Lansing, MI
  • NPI 1407386329
  NPD (past)

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481500800000",
    "number": "1992940761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 MEDICAL PARK DRIVE",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377726473",
            "telephone_number": "865-271-9536",
            "fax_number": "865-986-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 MEDICAL PARK DRIVE",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377726473",
            "telephone_number": "865-271-9536",
            "fax_number": "865-986-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC CONSULTANTS OF LENOIR CITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-09",
        "last_updated": "2016-12-12",
        "status": "A",
        "authorized_official_last_name": "MOOSS",
        "authorized_official_first_name": "SUNEETHA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "865-271-9536",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Jeyakumari Payne, SLP
• Kimberly C. Payne
• Megan Lindsay Pearce
• Tonya Pearson
• Pediatric Choice LLC
• Tiffany T Pendergrass, FNP
• Laurel Baye Penley
• Performance Eyecare Clinic, Inc.
• Performance Eyecare PLLC
• Stephen D Pershing, M.D. LLC

• Legal Medicine in Lenoir City, TN
• Providers in Lenoir City, TN by specialty
• Legal Medicine in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; 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.