Anderson Heart Physicians PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

MD33973 Issued in TN

Legal business name

ANDERSON HEART PHYSICIANS PC

Practice address

200 New York Ave
Suite 110
Oak Ridge, TN 37830-5212

Phone

(865) 483-1110

Fax

(865) 483-1170

NPI assigned

Jun 27, 2008

Organization subpart

No

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

Authorized official

Name

Stephen Michael Teague, M.D.

Title

Owner

Phone

(865) 483-1110

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277078400000",
    "number": "1992967244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NEW YORK AVE",
            "address_2": "SUITE 110",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378305212",
            "telephone_number": "865-483-1110",
            "fax_number": "865-483-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NEW YORK AVE",
            "address_2": "SUITE 110",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378305212",
            "telephone_number": "865-483-1110",
            "fax_number": "865-483-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON HEART PHYSICIANS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-27",
        "last_updated": "2010-06-21",
        "status": "A",
        "authorized_official_last_name": "TEAGUE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-483-1110",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "MD33973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD OF TENNESSEE",
            "identifier": "3139002",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3850220",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; 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.