SURGICAL GROUP OF NORTHEAST TENNESSEE
NPI 1043322415
Surgery in Erwin, TN

Q: What is Surgical Group Of Northeast Tennessee's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since August 31, 2006

361 OKOLONA DR, ERWIN, TN 37650(423) 743-4151(423) 743-7580 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Surgical Group Of Northeast Tennessee NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SURGICAL GROUP OF NORTHEAST TENNESSEE (NPI 1043322415) is a healthcare organization registered as a surgery in Erwin, Tennessee and active in the NPI registry since August 2006. The organization lists Edward Johnson Fore, Medical Doctor, as its authorized official.

NPPES Registry Identity

NPI1043322415

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameSURGICAL GROUP OF NORTHEAST TENNESSEE

Location Address361 OKOLONA DRErwin, TN 37650-2183

Mailing Address361 Okolona DrErwin, TN 37650-2183 · (423) 743-4151 · Fax (423) 743-7580

Phone(423) 743-4151

Fax(423) 743-7580

Organization SubpartNo

Authorized OfficialEdward Johnson ForeMedical Doctor · (423) 743-4151

Enumeration DateAugust 31, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1043322415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in TN · MD0000026800

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

361 OKOLONA DR, Erwin, TN 37650

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Other Identifiers 1

Medicaid3700364TN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Surgical Group Of Northeast Tennessee's NPI number?

The NPI number for Surgical Group Of Northeast Tennessee is 1043322415. It was assigned to this organization in the NPPES registry on August 31, 2006.

Where is Surgical Group Of Northeast Tennessee located?

Surgical Group Of Northeast Tennessee is located at 361 Okolona Dr, Erwin, TN 37650. The listed phone number is (423) 743-4151.

What is Surgical Group Of Northeast Tennessee's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Surgical Group Of Northeast Tennessee was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.