SURGICAL SPECIALISTS OF TENNESSEE, PLC (NPI# 1043425481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043425481 |
| Entity Type | Organization |
| Organization Name | SURGICAL SPECIALISTS OF TENNESSEE, PLC |
| Practice Address |
1111 E Lamar Alexander Pkwy Maryville TN 37804-5130 |
| Practice Telephone | 8659846474 |
| Practice Fax Number | 8659811716 |
| Mailing Telephone | 8659846474 |
| Mailing Fax Number | 8659811716 |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2013-11-06 |
| Authorized Official Name | DR. MELISSA E TREKELL (PRESIDENT) |
| Authorized Official Telephone | 8659846474 |
| Authorized Official Credential | M.D., FACS, M.B. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 0335591 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3712032 | 05 |
| Street Address |
1111 E LAMAR ALEXANDER PKWY |
| City | MARYVILLE |
| State | TN |
| Zip Code | 37804-5130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376759852 | Tennessee Breast Center, Inc | Radiology | 1111 E Lamar Alexander Pkwy, Maryville, TN 37804-5130 | 2007-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659835825 | Matthew David Mallory | Physical Therapist | Morning View Village 2320 E. Lamar Alexander Parway, Maryville, TN 37804 | 2019-01-22 |
| 1063937290 | Rachel Ryan Mcmillan | Counselor | 362 High Street, Maryville, TN 37804 | 2017-08-09 |
| 1316461460 | Steven Casey Boring | Nurse Practitioner | 907 E. Lamar Alexander Pkwy., Maryville, TN 37804 | 2017-07-31 |
| 1851738751 | Robert Kane Mccall | Pathology | 250 E. Broadway, Maryville, TN 37804 | 2013-05-31 |
| 1619242849 | Jennifer Mcclements | Physical Therapy Assistant | 4004 Samuel Circle, Maryville, TN 37804 | 2012-03-21 |
| 1316223886 | Sabrina Nicole Powers | Social Worker | 1704 East Broadway, Maryville, TN 37804 | 2011-10-28 |
| 1407138381 | Russmann, Inc. | Ambulance | 4163 Benny Delozier Drive, Maryville, TN 37804 | 2011-09-15 |
| 1184932485 | Complete Family Care of Maryville, Pllc | Internal Medicine | 2004 E. Broadway, Maryville, TN 37804 | 2010-09-21 |
| 1093975096 | Kristi Clark Correll | Speech-Language Pathologist | 2030 East Lamar Alexander Parkway, Maryville, TN 37804 | 2008-06-12 |
| 1134388267 | Barbara Frantz Poulsen | Speech-Language Pathologist | 2030 E Lamar Alexander Parkway, Maryville, TN 37804 | 2008-06-04 |
| Find all providers in zip 37804 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538283007 | Randal L Croshaw | Surgery | 200 Bmh Cancer Ctr, Maryville, TN 37804-5922 | 2007-03-19 |
| 1053452425 | Melissa Emlyn Trekell | Surgery | 1111 E. Lamar Alexander Parkway, Maryville, TN 37804-5130 | 2007-02-09 |
| 1740364173 | Sps Surgical Services, Sc | Surgery | 6810 State Route 162 Ste 10, Maryville, IL 62062-8501 | 2006-10-24 |
| 1053349084 | Budayr & Associates | Surgery | 405 Bmh Cancer Center, Maryville, TN 37804-5134 | 2006-06-29 |
| 1720055148 | Daniel Steven Johnson | Surgery | 6810 State Route 162 Ste 100, Maryville, IL 62062-8560 | 2006-03-03 |
| 1912908146 | Mahdi M Budayr | Surgery | 405 Bmh Physicians Office Bldg, Maryville, TN 37804-5807 | 2005-08-10 |
| 1043713886 | Mercy Clinic Surgical Specialists-illinois LLC | Surgery | 2227 Vadalabene Dr Ste 200, Maryville, IL 62062-5824 | 2018-03-16 |
| 1356762447 | Serenity Surgery | Surgery | 2227 Vadalabene Dr, Maryville, IL 62062-5823 | 2013-12-17 |
| 1790117596 | Hania B Bednarski Do Sc | Surgery | 2227 Vadalabene Dr, Suite 300, Maryville, IL 62062-5823 | 2013-08-02 |
| 1093026627 | Stephen E Pacifico | Surgery | 250 Bmh Physicians Office Bldg, Maryville, TN 37804-5904 | 2010-06-29 |
| Find all providers in MARYVILLE | ||||
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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.