Christopher Jordan Dela Houssaye, DO | |
400 N State Of Franklin Rd, Johnson City, TN 37604 | |
(423) 431-6111 | |
Not Available |
Full Name | Christopher Jordan Dela Houssaye |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 13 Years |
Location | 400 N State Of Franklin Rd, Johnson City, Tennessee |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851688063 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085N0700X | Radiology - Neuroradiology | DO3525 (Tennessee) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | DO3525 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Johnson City Medical Center | Johnson city, TN | Hospital |
Sycamore Shoals Hospital | Elizabethton, TN | Hospital |
Franklin Woods Community Hospital | Johnson city, TN | Hospital |
Unicoi County Hospital | Erwin, TN | Hospital |
Indian Path Community Hospital | Kingsport, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mountain Empire Radiology Inc Pc | 4688655392 | 25 |
Mountain Empire Radiology Inc Pc | 4688655392 | 25 |
Entity Name | Mountain Empire Radiology Inc Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093762759 PECOS PAC ID: 4688655392 Enrollment ID: O20160712002167 |
Mailing Address | Practice Location Address |
---|---|
Christopher Jordan Dela Houssaye, DO 1200 Harger Rd Ste 408, Oak Brook, IL 60523-1818 Ph: (435) 633-5536 | Christopher Jordan Dela Houssaye, DO 400 N State Of Franklin Rd, Johnson City, TN 37604 Ph: (423) 431-6111 |
Dr. Samuel Winston Huddleston V, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 408 N State Of Franklin Rd, Suite 31, Johnson City, TN 37604 Phone: 423-431-2478 | |
Dr. Vinay Jain, M.D. Radiology Medicare: Medicare Enrolled Practice Location: James H Quillen Vamc, Mountain Home, Johnson City, TN 37684 Phone: 423-926-1171 | |
Glynda Ramsey, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1301 Sunset Dr, Ste 3, Johnson City, TN 37604 Phone: 423-926-4966 Fax: 423-926-1823 | |
Jose E Picaza, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1301 Sunset Dr, Ste 3, Johnson City, TN 37604 Phone: 423-926-4966 Fax: 423-926-1823 | |
Perry Jernigan, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1301 Sunset Dr, Ste 3, Johnson City, TN 37604 Phone: 423-926-4966 Fax: 423-926-1823 | |
Dr. Vincent Gerard Becker, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1301 Sunset Dr, Ste 3, Johnson City, TN 37604 Phone: 423-926-4966 Fax: 423-926-1823 | |
Dr. Ethel L Longmire O'neal, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 Med Tech Pkwy Ste 10, Johnson City, TN 37604 Phone: 234-979-5620 Fax: 423-926-1823 |