CLARKSVILLE SURGICAL ASSOCIATES, PLC (NPI# 1003973355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003973355 |
Entity Type | Organization |
Organization Name | CLARKSVILLE SURGICAL ASSOCIATES, PLC |
Other Organization Name | VEINCARE CENTERS OF TENNESSEE |
Practice Address |
647 Dunlop Lane Suite 100 Clarksville TN 37040-5015 |
Practice Telephone | 9315518991 |
Practice Fax Number | 9315514053 |
Mailing Telephone | 9315518991 |
Mailing Fax Number | 9315514053 |
Enumeration Date | 2007-01-03 |
Last Update Date | 2008-11-17 |
Authorized Official Name | DR. STEPHEN FRANKLIN DAUGHERTY (CHIEF OFFICER) |
Authorized Official Telephone | 9315518991 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | TN | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Veincare Centers of Tennessee | Other Name - Individual/Organization |
Street Address |
647 DUNLOP LANE SUITE 100 |
City | CLARKSVILLE |
State | TN |
Zip Code | 37040-5015 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851394191 | Christopher Columbus Mcclure IIi | Internal Medicine | 647 Dunlop Lane, Suite 116, Clarksville, TN 37040-5165 | 2005-05-31 |
1720014723 | Stephen Franklin Daugherty | Specialist | 647 Dunlop Lane, Suite 100, Clarksville, TN 37040-5015 | 2006-06-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770124380 | Clarksville Treatment Center, LLC | Clinic/Center | 495 Dunlop Lane, Clarksville, TN 37040 | 2019-10-04 |
1295384956 | Dena Marie Borchick | Technician | 3779 Cindy Jo Dr. N, Clarksville, TN 37040 | 2019-09-05 |
1477014488 | Emily Allen | Dentist | 930 Hwy 76, Clarksville, TN 37040 | 2019-03-31 |
1730640566 | Latoya Ewert | Counselor | Centerstone Clarksville Harriet Cohn Center, 511 8th Street, Clarksville, TN 37040 | 2019-03-26 |
1356811988 | Jamie Coles | Behavior Technician | 851 Professional Park Drive 851 Profesiional Park Drive, Clarksville, TN 37040 | 2018-11-27 |
1518448554 | Bandel Counseling Service | Clinic/Center | 113 3rd St., Suite 25, Clarksville, TN 37040 | 2018-08-28 |
1477052520 | Bridget Stokes | Behavior Technician | 2277 Wilma Rudolph Blvd., Suite C #259, Clarksville, TN 37040 | 2018-02-05 |
1053824334 | Sandra Loren Coates | Nurse Practitioner | 980 Professional Park Dr Ste C, Clarksville, TN 37040 | 2017-11-09 |
1902328362 | Terri Brooke Roach | Registered Nurse | 651 Dunlop Lane, Clarksville, TN 37040 | 2017-07-07 |
1093244428 | Nikkia Deneil Bell | Behavior Technician | 139 E. Old Trenton Rd, Suite B, Clarksville, TN 37040 | 2017-06-08 |
Find all providers in zip 37040 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780207670 | Neelam Patel Md Inc | Clinic/Center | 276 Warfield Blvd, Clarksville, TN 37043-5952 | 2020-05-26 |
1225415565 | Hhy, LLC | Clinic/Center | 1805 Industrial Way, Clarksville, TX 75426 | 2015-05-06 |
1609076041 | Covenant Family Practice 2llc | Clinic/Center | 123b Center Pointe Dr, Clarksville, TN 37040-8424 | 2007-07-24 |
1659570018 | Clarksville Mri | Clinic/Center | 1601 Greentree Ct, Clarksville, IN 47129-2367 | 2007-07-16 |
1578033072 | Westwood Resources Inc. | Clinic/Center | 980 Professional Park Dr Ste C, Clarksville, TN 37040-5251 | 2018-11-28 |
1013255777 | Access Family Medicine, Inc. | Clinic/Center | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2013-01-30 |
1710251418 | Laurie Smith Fisher, M.d., Inc | Clinic/Center | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2012-02-28 |
1053509497 | Arkansas Health and Wellness Center | Clinic/Center | 2205 W Main St, Clarksville, AR 72830-3250 | 2007-10-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689287997 | Asclepius Ai Inc | Clinic/Center | 800 Market St Ste 200, Chattanooga, TN 37402-2677 | 2020-08-26 |
1306459045 | Surgco, Plc | Clinic/Center | 107 Glen Oak Blvd Ste 201a, Hendersonville, TN 37075-3000 | 2020-08-24 |
1306468152 | Advanced Spine and Wellness | Clinic/Center | 176 Thompson Ln Ste 102, Nashville, TN 37211-2468 | 2020-05-15 |
1821619560 | Takoma Regional Hospital, Inc. | Clinic/Center | 1021 Coolidge St Ste 5, Greeneville, TN 37743-4692 | 2020-05-05 |
1861013864 | Blue Ridge Medical Management C Orporation | Clinic/Center | 403 Princeton Rd Ste 10, Johnson City, TN 37601-2062 | 2020-04-30 |
1780205013 | Medworx | Clinic/Center | 4822 Old Hickory Blvd, Hermitage, TN 37076-2502 | 2020-04-28 |
1366078669 | Np Cares, LLC | Clinic/Center | 4515 Poplar Ave Ste 131, Memphis, TN 38117-7503 | 2020-03-18 |
1326670555 | East Memphis Urgent Medical Clinic PC | Clinic/Center | 6515 Poplar Ave Ste 106, Memphis, TN 38119-4878 | 2020-02-05 |
1225673395 | The Transformation Doctor, LLC Dba Wellnessmd | Clinic/Center | 3680 S Houston Levee Rd Ste 104, Collierville, TN 38017-9151 | 2019-11-13 |
1104469428 | Knox Headache and Wellness Center LLC | Clinic/Center | 4612 E Joyce Ln, Powell, TN 37849-5155 | 2019-10-18 |
Find all providers with the same taxonomy |
City | CLARKSVILLE |
Zip Code | 37040 |
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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.