Roger J Mcsharry
Pulmonary Disease
271 Medical Park Blvd
Bristol
, Tennessee 37620-7455
Roger J Mcsharry
Pulmonary Disease
271 Medical Park Blvd
Bristol
, Tennessee 37620-7455
(423) 408-7405
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About
Features
Specialties
- Pulmonary Disease
Languages spoken
- English
Location
First Address
- Roger J Mcsharry
- 105 W Stone Dr Suite 6a
- Kingsport, TN
- Zip : 37660-3365
- Fax : (423) 408-7405
- Phone : (423) 408-7220
Second Address
- Roger J Mcsharry
- 271 Medical Park Blvd
- Bristol, TN
- Zip : 37620-7455
- Fax : (423) 968-2311
- Phone : (423) 968-2311
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RP1001X | Pulmonary Disease | 0101054883 | VA |
| Y | 207RP1001X | Pulmonary Disease | MD0000028511 | TN |
National Provider Identifier
| NPI | 1063405736 |
|---|---|
| Provider Name | Roger J Mcsharry |
| First Address | Kingsport, TN 37660-3365 |
| Second Address | Bristol, TN 37620-7455 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/08/2005 |
| Last Update Date | 28/03/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 290000173 | TRAILBLAZERS MEDICARE (01) | VA |
| 290008725 | PALMETTO RR MEDICARE (01) | TN |
| 290008725 | PALMETTO RR MEDICARE (01) | VA |
| 3804276 | (05) | TN |
| G34743 | (02) | TN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.