TRI-CITIES GASTROENTEROLOGY LLC (NPI# 1083639918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083639918 |
| Entity Type | Organization |
| Organization Name | TRI-CITIES GASTROENTEROLOGY LLC |
| Practice Address |
10461 Wallace Alley St Kingsport TN 37663-3936 |
| Practice Telephone | 4232791400 |
| Mailing Telephone | 4232791400 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2018-12-13 |
| Authorized Official Name | TRACY RAMSEY (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 4232791414 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | VA MEDICARE | C09672 | 01 |
| Street Address |
10461 WALLACE ALLEY ST |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37663-3936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700887106 | Jeffrey P Fenyves | Internal Medicine | 10461 Wallace Alley St, Kingsport, TN 37663-3936 | 2005-08-09 |
| 1811431406 | Genesia Dickson Irick | Nurse Practitioner | 10461 Wallace Alley St, Kingsport, TN 37663-3936 | 2016-12-15 |
| 1972777845 | Ahp of East Tennessee Pllc | Nurse Anesthetist, Certified Registered | 10461 Wallace Alley St, Kingsport, TN 37663-3936 | 2008-04-22 |
| 1487870077 | Ashley Laine Anderson | Nurse Practitioner | 10461 Wallace Alley St, Kingsport, TN 37663-3936 | 2007-04-18 |
| 1780796003 | Viktor P Sulkowski | Specialist | 10461 Wallace Alley St, Kingsport, TN 37663-3936 | 2006-08-31 |
| 1669584991 | East Tennessee Anesthesia Providers, PC | Specialist | 10461 Wallace Alley St, Kingsport, TN 37663-3936 | 2006-08-31 |
| 1063437994 | Tri-cities Endoscopy Center PC | Clinic/Center | 10461 Wallace Alley St, Kingsport, TN 37663-3936 | 2006-07-13 |
| 1750382982 | Stephen W Fry | Internal Medicine | 10461 Wallace Alley St, Kingsport, TN 37663-3936 | 2005-08-10 |
| 1497756787 | Susanne S Mckinney | Registered Nurse | 10461 Wallace Alley St, Kingsport, TN 37663-3936 | 2005-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649528126 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 1567 North Eastman Road, Kingsport, TN 37663 | 2012-08-15 |
| 1548546419 | Vickie R Harris | Counselor | 317 Pitt Road, Kingsport, TN 37663 | 2011-10-24 |
| 1467746446 | Eric A. Echard | Dentist | 1339 Moreland Drive, Suite 1, Kingsport, TN 37663 | 2011-06-07 |
| 1619003399 | Colonial Heights Pharmacy, Inc. | Pharmacy | 4221 Ft. Henry Drive, Kingsport, TN 37663 | 2007-02-26 |
| 1316005986 | Robert F Mcamis Jr. | Dentist | 4016 Fort Henry Drive, Kingsport, TN 37663 | 2006-12-05 |
| 1467567412 | Colonial Heights Dental Assocaites | Dentist | 150 Clinic Drive, Suite A, Kingsport, TN 37663 | 2006-08-20 |
| 1194777953 | Nicholas Brett Smith | Family Medicine | 4600 Fort Henry Dr, Kingsport, TN 37663 | 2006-05-17 |
| 1396720108 | Resp-i-care, Inc. | Durable Medical Equipment & Medical Supplies | 648 Eastern Star Rd, Kingsport, TN 37663 | 2005-12-14 |
| 1023000429 | Darryl Fontaine | Anesthesiology | 4105 Fort Henry Drive, Suite 207, Kingsport, TN 37663 | 2005-08-22 |
| 1659701696 | Jordan Burke | Physician Assistant | 4600 Fort Henry Dr, Kingsport, TN 37663 | 2013-11-12 |
| Find all providers in zip 37663 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700887106 | Jeffrey P Fenyves | Internal Medicine | 10461 Wallace Alley St, Kingsport, TN 37663-3936 | 2005-08-09 |
| 1023338456 | Adam Wesley Coe | Internal Medicine | 135 W Ravine Rd, Suite 3a, Kingsport, TN 37660-3847 | 2010-06-08 |
| 1003981093 | Sullivan and Ptrs | Internal Medicine | 2204 Pavilion Dr, Suite 108, Kingsport, TN 37660-4657 | 2006-11-22 |
| 1740366459 | Rathi Narayan | Internal Medicine | 135 W Ravine Rd, Ste 3a, Kingsport, TN 37660-3847 | 2006-10-27 |
| 1134166291 | Christopher Mark Mathews | Internal Medicine | 135 W Ravine Rd, Suite 3a, Kingsport, TN 37660-3847 | 2006-05-31 |
| 1326023078 | Michael Jude Sullivan | Internal Medicine | 2204 Pavilion Dr, Suite 108, Kingsport, TN 37660-4657 | 2005-12-14 |
| 1437134723 | Lawrence Delmore Bailey Jr. | Internal Medicine | 105 W Stone Dr, Ste 4c, Kingsport, TN 37660-3256 | 2005-12-09 |
| 1659366888 | Gerald F London | Internal Medicine | 135 W Ravine Rd, Suite 3a, Kingsport, TN 37660-3847 | 2005-09-14 |
| 1629063813 | R. Douglas Strickland | Internal Medicine | 135 W Ravine Rd, Suite 3a, Kingsport, TN 37660-3847 | 2005-09-14 |
| 1336134816 | Douglas J Springer | Internal Medicine | 135 W Ravine Rd, Suite 3a, Kingsport, TN 37660-3847 | 2005-09-12 |
| Find all providers in KINGSPORT | ||||
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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.