HOSPITAL BASED MEDICAL SERVICES OF TENNESSEE-I PC — NPI 1992133235 (Board-Certified Emergency Medicine Physician (ER / Trauma Doctor) in PORTLAND, TN)

Plain-English Taxonomy Translation (207P00000X)

What Does Taxonomy Code 207P00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207P00000X translates in plain language to:
"Board-Certified Emergency Medicine Physician (ER / Trauma Doctor)"

Primary Certifying / Accrediting Authority: American Board of Emergency Medicine (ABEM)
When Patients Should Consult: Immediate life-or-limb emergencies, severe chest pain, stroke symptoms, deep contaminated wounds needing tetanus prophylaxis, or severe dehydration.

CMS Medicare Utilization & Part D Prescribing Benchmarks

Common Procedures & Clinical Prescribing Profile

Typical clinical procedures (Medicare Part B Utilization) and therapeutic classes (Medicare Part D Prescribing) associated with HOSPITAL BASED MEDICAL SERVICES OF TENNESSEE-I PC:

High-Volume Clinical Procedures & Diagnostics:

Level 4 & Level 5 Emergency Department Resuscitation (CPT 99284–99285)
Point-of-Care Emergency Ultrasound (eFAST), Intubation & Central Line Placement
Acute Laceration Repair, Tetanus Prophylaxis & Fracture Splinting

Common Therapeutic & Prescribing Classes:

Epinephrine Auto-Injectors / IV Infusions, Atropine & Amiodarone
Tetanus Toxoid / Tdap & Tetanus Immunoglobulin (TIG)
Empiric Sepsis Antibiotics, Parenteral Ketorolac & Ondansetron

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	1992133235 (NPI-2 Organization / Facility)
Provider / Legal Name	HOSPITAL BASED MEDICAL SERVICES OF TENNESSEE-I PC
Plain-English Specialty	Board-Certified Emergency Medicine Physician (ER / Trauma Doctor) NUCC Code: `207P00000X` (Emergency Medicine)
Certifying / Licensing Body	American Board of Emergency Medicine (ABEM)
Practice Location Address	105 REDBUD DR, PORTLAND, TN, 371481673
Practice Telephone / Fax	Tel: 469-401-2386
Administrative Mailing Address	13737 NOEL RD, DALLAS, TX, 752401331
Enumeration & Last Sync	Enumerated: 2013-10-23 \| Updated: 2021-03-08
Authorized Official	KATHY KONDAS (Officer)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

105 REDBUD DR, PORTLAND, TN, 371481673

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ADA & HIPAA Verification Note: Practice locations registered as primary LOCATION addresses under CMS NPPES are clinical service delivery sites (distinct from billing/mailing addresses).

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All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`363A00000X` — Physician Assistant Plain English: Licensed & Credentialed Physician Assistant	State: N/A \| License: Verified \| Primary Taxonomy: Secondary
`363L00000X` — Nurse Practitioner Plain English: Licensed & Credentialed Nurse Practitioner	State: N/A \| License: Verified \| Primary Taxonomy: Secondary
`207P00000X` — Emergency Medicine Plain English: Board-Certified Emergency Medicine Physician (ER / Trauma Doctor)	State: N/A \| License: Verified \| Primary Taxonomy: Yes

HOSPITAL BASED MEDICAL SERVICES OF TENNESSEE-I PC (NPI #1992133235)