CHS TENNESSEE MEDICAL P C (NPI# 1073901344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073901344 |
| Entity Type | Organization |
| Organization Name | CHS TENNESSEE MEDICAL P C |
| Other Organization Name | DENSO FAMILY HEALTH CENTER MARYVILLE |
| Practice Address |
1810 Robert C Jackson Dr Maryville TN 37801-3788 |
| Mailing Address |
5500 Maryland Way Ste 120 Brentwood TN 37027-4993 |
| Practice Telephone | 8657242334 |
| Practice Fax Number | 8657242344 |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2020-07-30 |
| Authorized Official Name | DR. PETER J VASQUEZ (PRESIDENT) |
| Authorized Official Telephone | 8444077557 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Denso Family Health Center | Doing Business As Name - Organization |
| DENSO Family Health Center Maryville | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669010112 | Chs Tennessee Medical P C | Clinic/Center | 1070 Smith Grove Rd, Scottsville, KY 42164-9444 | 2019-12-16 |
| 1518515733 | Chs Tennessee Medical P C | Clinic/Center | 800 Howard Baker Ave # Jr, Knoxville, TN 37915-2509 | 2019-08-30 |
| 1457833378 | Chs Tennessee Medical P C | Clinic/Center | 2200 Nw Brickyard Rd, Topeka, KS 66618-2814 | 2018-09-06 |
| 1316427602 | Chs Tennessee Medical P C | Clinic/Center | 2680 Pershing Ave, Memphis, TN 38112 | 2018-08-16 |
| 1861981797 | Chs Tennessee Medical P C | Clinic/Center | 2782 York Rd, Pleasant View, TN 37146-9070 | 2018-05-07 |
| 1548757933 | Chs Tennessee Medical P C | Clinic/Center | 1 Nissan Way, Franklin, TN 37067-6367 | 2018-04-20 |
| 1689161077 | Chs Tennessee Medical P C | Clinic/Center | 701 Brooks Ave S, Thief River Falls, MN 56701-2757 | 2018-04-20 |
| 1346426947 | Chs Tennessee Medical P C | Clinic/Center | 1200 Fleetguard Rd, Cookeville, TN 38506-6258 | 2008-01-14 |
| 1336740414 | Chs Tennessee Medical P C | Clinic/Center | 2400 Denso Dr, Athens, TN 37303-7835 | 2020-11-04 |
| 1144851858 | Chs Tennessee Medical P C | Clinic/Center | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2020-01-31 |
| Street Address |
1810 ROBERT C JACKSON DR |
| City | MARYVILLE |
| State | TN |
| Zip Code | 37801-3788 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265043913 | Scott Leslie | Pharmacist | 1810 Robert C Jackson Dr, Maryville, TN 37801-3788 | 2020-08-14 |
| 1174134225 | Sonya Chairez | Pharmacist | 1810 Robert C Jackson Dr, Maryville, TN 37801-3788 | 2020-08-12 |
| 1356730725 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1810 Robert C Jackson Dr, Maryville, TN 37801-3788 | 2015-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912536582 | Andrea Waldrop | Pharmacist | 103 Foothills Mall Drive, Maryville, TN 37801 | 2020-04-06 |
| 1134664147 | Complete Vision Care Pllc | Optometrist | 2410 Us Hwy 411 S, Maryville, TN 37801 | 2016-12-29 |
| 1144634114 | James Muscari | Dentist | 824 W. Lamar Alexander Pkwy, Maryville, TN 37801 | 2014-06-17 |
| 1245465483 | Respiratory Home Care of Bristol, LLC | Durable Medical Equipment & Medical Supplies | 637 Morganton Square Dr, Maryville, TN 37801 | 2009-05-18 |
| 1063682383 | William R Pedersen | Optometrist | 730 West Lamar Alexander Pkwy, Maryville, TN 37801 | 2008-03-03 |
| 1124218573 | Liberty Assisted Living LLC | Assisted Living Facility | 312 Mcmaster Pl, Liberty Assisted Living LLC, Maryville, TN 37801 | 2007-07-31 |
| 1447467493 | Amanda G Clement | Nurse Practitioner | 1427 William Blount Drive, Maryville, TN 37801 | 2007-05-17 |
| 1396873758 | David T Cope | Audiologist | 821 Ross Drive, Maryville, TN 37801 | 2007-02-28 |
| 1649345406 | Adult & Family Dentistry, Inc. | Dentist | 1740 Big Springs Rd, Maryville, TN 37801 | 2006-11-21 |
| 1225109523 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 330 Southdowne Dr, Maryville, TN 37801 | 2006-11-10 |
| Find all providers in zip 37801 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073853867 | Independent Physical Therapy | Clinic/Center | 2324 Market Place Dr, Maryville, TN 37801-8704 | 2013-02-15 |
| 1700807716 | Anderson Medical Group, LLC | Clinic/Center | 6810 State Route 162, Suite 215, Maryville, IL 62062-8501 | 2006-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124635594 | Bryn Medical Pllc | Clinic/Center | 4295 Cromwell Rd Ste 301, Chattanooga, TN 37421-2163 | 2020-09-29 |
| 1952914285 | Methodist Physician Practice LLC | Clinic/Center | 1211 Union Ave Ste 330, Memphis, TN 38104-6655 | 2020-08-26 |
| 1831721208 | Patientchoicemd, LLC | Clinic/Center | 3274 Wind Shadow Cv, Memphis, TN 38125-0773 | 2020-02-04 |
| 1518515733 | Chs Tennessee Medical P C | Clinic/Center | 800 Howard Baker Ave # Jr, Knoxville, TN 37915-2509 | 2019-08-30 |
| 1245898303 | Summit Medical Group, Pllc | Clinic/Center | 7545 Barnett Way Ste A, Powell, TN 37849-3565 | 2019-06-04 |
| 1992362412 | The Restore Clinic | Clinic/Center | 268 Veterans Pkwy Ste F, Murfreesboro, TN 37128-6432 | 2019-05-20 |
| 1316427602 | Chs Tennessee Medical P C | Clinic/Center | 2680 Pershing Ave, Memphis, TN 38112 | 2018-08-16 |
| 1720565906 | Woodland Medical Pllc | Clinic/Center | 6221 Shallowford Rd Ste 100, Chattanooga, TN 37421-1972 | 2018-07-20 |
| 1861981797 | Chs Tennessee Medical P C | Clinic/Center | 2782 York Rd, Pleasant View, TN 37146-9070 | 2018-05-07 |
| 1316436611 | Lourdes Physician Services LLC | Clinic/Center | 103 Continental Pl Ste 200, Brentwood, TN 37027-1042 | 2018-05-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CHS TENNESSEE MEDICAL P C.
| 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.