MOUNTAIN STATES HEALTH ALLIANCE
NPI 1093580466
Internal Medicine - Hematology & Oncology in Johnson City, TN

Q: What is the provider's specialty?

The provider's specialty is Internal Medicine with taxonomy code 207RH0003X and a focus in Hematology & Oncology.

Active since November 16, 2023

1 PROFESSIONAL PARK DR STE 21, JOHNSON CITY, TN 37604(423) 232-6900(423) 232-6903 Get Directions Write a Review

NPPES record last updated: November 16, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mountain States Health Alliance NPPES

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

MOUNTAIN STATES HEALTH ALLIANCE (NPI 1093580466) is a healthcare organization registered as a hematology & oncology in Johnson City, Tennessee and active in the NPI registry since November 2023. The organization lists Patricia Tarte, Enrollment Supervisor, as its authorized official.

NPPES Registry Identity

NPI1093580466

Entity TypeOrganization

Primary Taxonomy207RH0003X

Legal Business NameMOUNTAIN STATES HEALTH ALLIANCE

Location Address1 PROFESSIONAL PARK DR STE 21Johnson City, TN 37604-6909

Mailing Address1021 W Oakland Ave Ste 310Johnson City, TN 37604-2192 · (423) 302-6565

Phone(423) 232-6900

Fax(423) 232-6903

Organization SubpartNo

Authorized OfficialPatricia TarteEnrollment Supervisor · (423) 302-6565

Enumeration DateNovember 16, 2023

NPPES CertifiedNovember 16, 2023

✔ NPI 1093580466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

1 PROFESSIONAL PARK DR STE 21, Johnson City, TN 37604

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›