STEPHEN L AVERETT (NPI# 1063512390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063512390 |
| Entity Type | Individual |
| Full Name | STEPHEN L AVERETT |
| Credential | M.D. |
| Practice Address |
62 Medical Dr Linden TN 37096-3327 |
| Practice Telephone | 9315892222 |
| Practice Fax Number | 9315892400 |
| Mailing Telephone | 9315892222 |
| Mailing Fax Number | 9315892400 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 11696 | TN | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3189276 | 05 |
| Street Address |
62 MEDICAL DR |
| City | LINDEN |
| State | TN |
| Zip Code | 37096-3327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508350570 | Kerri Garrison | Nurse Practitioner | 62 Medical Dr, Linden, TN 37096-3327 | 2018-06-21 |
| 1033466453 | Elizabeth A Paschall | Nurse Practitioner | 62 Medical Dr, Linden, TN 37096-3327 | 2012-08-06 |
| 1225329139 | Faramarz Ghanbari | Nurse Practitioner | 62 Medical Dr, Linden, TN 37096-3327 | 2011-04-26 |
| 1851426415 | Stephen L. Averett | Legal Medicine | 62 Medical Dr, Linden, TN 37096-3327 | 2007-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306482203 | Emily Mccaig | Physical Therapist | 269 E Main Street, Linden, TN 37096 | 2019-11-26 |
| 1144643461 | Vivian Denise Stokes | Nurse Practitioner | 115 East Brooklyn Street, Linden, TN 37096 | 2014-01-22 |
| 1770715245 | Stan Vespie | Counselor | 66 Medical Dr, Linden, TN 37096 | 2009-08-18 |
| 1962642512 | At Home Medical Supply of Tn | Durable Medical Equipment & Medical Supplies | 105 Hadley Circle, Linden, TN 37096 | 2009-02-23 |
| 1528238227 | County of Perry | Ambulance | 300 Venture Dr, Linden, TN 37096 | 2008-03-10 |
| 1023150034 | Jason Johnston | Counselor | 2225 Deer Valley Rd, Linden, TN 37096 | 2007-02-13 |
| 1568504561 | Rachel Dawn Elrod | Counselor | 2225 Deer Valley Road, Linden, TN 37096 | 2007-02-13 |
| 1164568499 | Perry County Council On Aging | Non-emergency Medical Transport (VAN) | 112 South Mill St., Linden, TN 37096 | 2007-01-30 |
| 1861592255 | Connie Griffin | Clinic/Center | 847 Squirrel Hollow Drive, Linden, TN 37096 | 2006-09-25 |
| 1013933688 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 88 Lobelville Hwy, Linden, TN 37096 | 2006-07-15 |
| Find all providers in zip 37096 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891358230 | Pamela Coutain | Specialist | 815 Lindegar St, Linden, NJ 07036-4026 | 2019-04-22 |
| 1831592054 | Candice Henderson | Specialist | 1141 Hollywood Rd Apt B, Linden, NJ 07036-5629 | 2014-10-01 |
| 1548673643 | Millicent Brown | Specialist | 529 Monmouth Ave, Linden, NJ 07036-2809 | 2014-06-05 |
| 1174624308 | Perioperative Surgicare, LLC | Specialist | 210 West St Georges Avenue, Linden, NJ 07036 | 2006-09-26 |
| 1396750980 | Doctors Care, P.C. | Specialist | 901 N Wood Ave, Linden, NJ 07036-4039 | 2006-07-30 |
| 1194257048 | Nj Vein Center | Specialist | 520 N Wood Ave, Linden, NJ 07036-4147 | 2017-03-30 |
| 1558714246 | Steven M. Ferrer Md PC | Specialist | 901 N Wood Ave, Linden, NJ 07036-4039 | 2016-07-18 |
| 1710343207 | Central Jersey Medical Group LLC | Specialist | 2115 N Wood Ave, Linden, NJ 07036-3739 | 2016-01-13 |
| 1184052300 | Vincent Decataldo | Specialist | 1025 W Saint Georges Ave, Linden, NJ 07036-6134 | 2013-10-25 |
| 1962756304 | Endocrinology T&s | Specialist | 515 N Wood Ave, Suite 302, Linden, NJ 07036-4173 | 2012-11-07 |
| Find all providers in LINDEN | ||||
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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.