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Thursday, May 31, 2018 9:52:32 AM
CURRENT HIPAA DATABASE INFORMATON AS OF MAY 2018 - ONLY VALID, LEGIT, HEALTHY ORGANIZATIONS AND PROVIDERS (SUCH AS JAMESTOWN / RENNOVA) ARE ALLOWED IN THE DATABASE AND HAVE ASSIGNED NPI #'S. THIS ENTITY IS AS LEGITIMATE AND AS HEALTHY / IN GOOD STANDING AS ANY OTHER HOSPITAL SUCH AS CEDARS ETC.
The information below comes from the HIPAA application form entered, approved and recorded as of April 2018. It is NOT EASY or CHEAP to obtain / maintain HIPAA status and an NPI designation number.
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Reference NPI Information. Full replica of the CMS (NPPES) NPI record
NPI 1497242366
(10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.)
Entity Type: 2 Organization
Code describing the type of health care provider that is being assigned an NPI. Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Employer Identification Number (EIN) N/A
The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified. An Employer Identification Number (EIN) is assigned by the Internal Revenue Service (IRS) to identify a business entity. It may or may not be that business entity's Taxpayer Identification Number (TIN). An SSN should not be entered in the EIN field.
Is Organization Subpart: N
The "Is the organization a subpart?" question must be answered. If the organization is a subpart, the Parent Organization Legal Business Name (LBN) and Parent Organization Taxpayer Identification Number (TIN) fields must be completed. The Parent Organization LBN and TIN fields can only be completed if the answer to the subpart question is Yes. Many organization health care providers who apply for NPIs are not legal entities themselves but are parts of other organization health care providers that are legal entities (the "parents"). Here are three examples of organization health care providers that may be considered subparts and may apply for NPIs if so directed by their "parents": (1) The psychiatric unit in a hospital is not a legal entity but is part of the hospital (the "parent"), which is a legal entity. The legal entity must obtain an NPI. The psychiatric unit is an example of a subpart that could have its own NPI if the hospital determines that it should. (2) A group practice that is not a sole proprietorship has a main location and could have other offices in different locations, but each office is not a separate legal entity; instead, each office is part of the corporation (the "parent") which is a legal entity. The offices are examples of subparts that could have their own NPIs if the main location determines that they should. (3) A pharmacy fills prescriptions for patients whose physicians have prescribed medications for them and may also rent or sell durable medical equipment to patients whose physicians have ordered such equipment for them. Neither the pharmacy line of business nor the DME line of business represent legal entities; instead, both lines of business are part of an organization (the "parent") that is a legal entity. Each line of business represents a different Healthcare Provider Taxonomy or area of specialization that often submits its own electronic claims to health plans. The "parent"-we don't know who the parent is in this example-must ensure that each subpart that submits its own claims to health plans has its own NPI.
Provider Organization Name (Legal Business Name)
MOUNTAIN VIEW PHYSICIAN PRACTICE INC
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address 114 N DUNCAN ST
The first line mailing address of the provider being identified. This data element may contain the same information as ''Provider first line location address''.
Provider Business Mailing Address City Name JAMESTOWN
The City name in the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address City name''.
Provider Business Mailing Address State Name TN
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address State name''.
Provider Business Mailing Address Postal Code 38556-3100
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ''Provider location address postal code''.
Provider Business Mailing Address Country Code US
The country code in the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address country code''.
Provider Business Mailing Address Telephone Number 931-879-9017
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ''Provider location address telephone number''.
Provider First Line Business Practice Location Address 114 N DUNCAN ST
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name JAMESTOWN
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name TN
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code 38556-3100
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number 931-879-9017
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number 931-879-9007
The fax number associated with the location address of the provider being identified.
Provider Enumeration Date 04/17/2018
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date 04/17/2018
The date that a record was last updated or changed.
Authorized Official Last Name LAGAN
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First Name SEAMUS
The first name of the authorized official
Authorized Official Title or Position CEO
The title or position of the authorized official
Authorized Official Name Prefix Text MR.
Authorized Official Telephone Number 561-855-1620
The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code #1 208600000X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1 Surgery
Healthcare Provider Taxonomy #1
Healthcare Provider Primary Taxonomy Switch 1 Y
Primary Taxonomy:
X - The primary taxonomy switch is Not Answered;
Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
N - The taxonomy is not the primary taxonomy.
Healthcare Provider Taxonomy Group 1 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group Description 1 Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization.
Healthcare Provider Taxonomy Group Description 1
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****PHYSICIANS AT MOUNTAIN VIEW ANNEX TO JAMESTOWN*******
From HIPAA database, physicians related to the designated NPI number and currently practicing under Jamestown / Mountain View, note the listed address of each. 100% legit folks. IRREFUTABLE CURRENT 2018 DATA
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Healthcare Providers Related to 1497242366 NPI Number
Healthcare Providers Similar To : MOUNTAIN VIEW PHYSICIAN PRACTICE INC (1497242366)
1528016151 — DR. JAMES JOSEPH REUTER JR. M.D.
Practice Location Address:
114 N DUNCAN ST
JAMESTOWN, TN
38556-3100
1831142447 — JAMESTOWN HMA PHYSICIAN MANAGEMENT LLC
Practice Location Address:
114 N DUNCAN ST , SUITE 2
JAMESTOWN, TN
38556-3100
1376597740 — DR. WILLIAM LAURENCE HARDY MD
Practice Location Address:
114 N DUNCAN ST , SUITE 4
JAMESTOWN, TN
38556-3100
1518038660 — MERCY EMMANUEL ISANG M.D.
Practice Location Address:
114 N DUNCAN ST
JAMESTOWN, TN
38556-3100
1114092921 — DR. JEFFREY C LAWHON M.D.
Practice Location Address:
114 N DUNCAN ST
JAMESTOWN, TN
38556-3100
1104161660 — MS. ALESA FISHER ESH R.D,, L.D.N.
Practice Location Address:
114 N DUNCAN ST
JAMESTOWN, TN
38556-3100
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