PATHWAY HEALTHCARE TENNESSEE LLC (NPI# 1003355652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003355652 |
| Entity Type | Organization |
| Organization Name | PATHWAY HEALTHCARE TENNESSEE LLC |
| Practice Address |
37 Sandstone Cir Suite 92 Jackson TN 38305-2089 |
| Practice Telephone | 2059215556 |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2017-02-15 |
| Authorized Official Name | SCOTT OLSON (CEO) |
| Authorized Official Telephone | 2145228292 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LA0401X |
Anesthesiology Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
37 SANDSTONE CIR SUITE 92 |
| City | JACKSON |
| State | TN |
| Zip Code | 38305-2089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366436669 | Madison Clinic Corp Dba Jackson Pediatric Center | Pediatrics | 37 Sandstone Cir, Jackson, TN 38305-2073 | 2005-09-01 |
| 1063047652 | Taylor Ross O'connor | Social Worker | 37 Sandstone Cir, Jackson, TN 38305-2089 | 2020-03-04 |
| 1487185153 | Impact Healthcare Pllc | Family Medicine | 37 Sandstone Cir, Ste 92, Jackson, TN 38305-2089 | 2017-03-24 |
| 1871521237 | Stephen C. Goodwin | Specialist | 37 Sandstone Cir, Jackson, TN 38305-2073 | 2006-06-28 |
| 1477598134 | Jackson Home Care Services LLC | Home Health | 37 Sandstone Cir, Ste 201, Jackson, TN 38305-2073 | 2006-06-18 |
| 1104816990 | Bola Adamolekun | Psychiatry & Neurology | 37 Sandstone Cir, Jackson, TN 38305-2073 | 2005-10-24 |
| 1689662777 | Alice Roark Mckee | Family Medicine | 37 Sandstone Cir, Jackson, TN 38305-2073 | 2005-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656818 | Kimaya Jelks | Specialist | 1869 45 Hwy Bypass, Suite 2b, Jackson, TN 38305 | 2020-10-16 |
| 1821600578 | Maame Obeng | Pharmacist | 3144 North Highland Avenue, Jackson, TN 38305 | 2020-08-22 |
| 1700361904 | James Cowie | Psychologist | 156c West University Pkwy, Jackson, TN 38305 | 2018-10-03 |
| 1700372109 | Chad Zawacki | Physician Assistant | 147 North Star Drive, Jackson, TN 38305 | 2018-07-09 |
| 1104323070 | Golden Years Adult Day Care | Clinic/Center | 155 Carriage Dr Suite A, Jackson, TN 38305 | 2018-04-09 |
| 1245754563 | Tanika Annette Gillard | Massage Therapist | 4 Hampton Ln, Jackson, TN 38305 | 2017-07-28 |
| 1316488117 | Lakisha T Ingram | Counselor | 168 Greencastle Dr, Jackson, TN 38305 | 2017-03-13 |
| 1619421567 | D & L Wellness Inc | Community/Behavioral Health | 154 Carriage House Dr., Jackson, TN 38305 | 2016-08-09 |
| 1649637638 | Advance Choice Home Care LLC | In Home Supportive Care | 1028 Ashport Rd., Jackson, TN 38305 | 2016-01-21 |
| 1942666151 | Neurohealth Solutions Inc. | Clinic/Center | 174 Murray Guard Dr. Suite E, Jackson, TN 38305 | 2016-01-05 |
| Find all providers in zip 38305 | ||||
| Taxonomy Code | 207LA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Addiction Medicine |
| An anesthesiologist who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184047516 | Exodus Recovery Center, Pllc. | Anesthesiology | 4200 Martin Mill Pike, Knoxville, TN 37920-3033 | 2014-01-21 |
| 1154436590 | Tracy P Jackson | Anesthesiology | 719 Thompson Ln Ste 22209, Nashville, TN 37204-4692 | 2006-08-19 |
| 1548212137 | Timothy Scott Smyth | Anesthesiology | 926 W Oakland Ave Ste 222, Johnson City, TN 37604-1445 | 2006-05-16 |
| 1356699433 | Martin Phan Eason | Anesthesiology | 3114 Browns Mill Rd, Johnson City, TN 37604-1417 | 2012-08-21 |
| 1093935512 | Michael Douglas Hellman Sr. | Anesthesiology | 336 Poplar View Pkwy, Suite 2, Collierville, TN 38017-3436 | 2007-04-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.