ID MICRO PLLC
NPI 1477598076
Internal Medicine - Infectious Disease in Kingsport, TN

Q: What is Id Micro PLLC's NPI number?

The NPI number for Id Micro PLLC is 1477598076. It was assigned to this organization in the NPPES registry on June 18, 2006.

Q: What is Id Micro PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Q: When was this NPI record last updated?

The NPPES record for Id Micro PLLC was last updated on January 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since June 18, 2006

130 W RAVINE RD, KINGSPORT, TN 37660(423) 915-1126 Get Directions Write a Review

NPPES record last updated: January 24, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Id Micro Pllc NPPES

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

ID MICRO PLLC (NPI 1477598076) is a healthcare organization registered as an infectious disease in Kingsport, Tennessee and active in the NPI registry since June 2006. The organization lists Anton Maki, Owner, as its authorized official.

NPPES Registry Identity

NPI1477598076

Entity TypeOrganization

Primary Taxonomy207RI0200X

Legal Business NameID MICRO PLLC

Location Address130 W RAVINE RDKingsport, TN 37660-3837

Mailing Address130 W Ravine RdKingsport, TN 37660-3837 · (423) 915-1126 · Fax (423) 915-0635

Phone(423) 915-1126

Organization SubpartNo

Authorized OfficialAnton MakiOwner · (423) 915-1126

Enumeration DateJune 18, 2006

Last NPPES UpdateJanuary 24, 2012

✔ NPI 1477598076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RI0200X

License✔ Licensed in TN · MD38189

Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

130 W RAVINE RD, Kingsport, TN 37660

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Other Identifiers 1

Medicare UPINF52974

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CLAIRE ELLIOTT PHARMD

Pharmacist

130 W RAVINE RD
KINGSPORT, TN 37660

Sullivan County (423) 224-4000

WPS PROVIDERS INC

General Practice

130 W RAVINE RD
KINGSPORT, TN 37660

Sullivan County (423) 224-4000

JAMES ROBERT BECK PHARMACIST

Pharmacist

130 W RAVINE RD, WELLMONT OUTPATIENT PHARMACY
KINGSPORT, TN 37660

Sullivan County (423) 224-6860

MRS. REKHA S GUPTA OTR

Occupational Therapist

130 W RAVINE RD
KINGSPORT, TN 37660

Sullivan County (423) 224-5535

MRS. STACEY ANN RYDER CRNA

Nurse Anesthetist, Certified Registered

130 W RAVINE RD
KINGSPORT, TN 37660

Sullivan County (423) 224-4000

DR. HETVI KIRITKUMAR JOSHI M.D.

Hospitalist

130 W RAVINE RD
KINGSPORT, TN 37660

Sullivan County (423) 224-3628

SHERRY LYNN GOODE NP

Nurse Practitioner (Family)

130 W RAVINE RD
KINGSPORT, TN 37660

Sullivan County (423) 224-3628

PATRINA NICOLYN CRADIC FNP-C

Nurse Practitioner (Family)

130 W RAVINE RD
KINGSPORT, TN 37660

Sullivan County (423) 224-4000

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 Id Micro PLLC's NPI number?

The NPI number for Id Micro PLLC is 1477598076. It was assigned to this organization in the NPPES registry on June 18, 2006.

Where is Id Micro PLLC located?

Id Micro PLLC is located at 130 W Ravine Rd, Kingsport, TN 37660. The listed phone number is (423) 915-1126.

What is Id Micro PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

When was this NPI record last updated?

The NPPES record for Id Micro PLLC was last updated on January 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.