UNIVERSITY HEALTH SYSTEM, INC (NPI# 1083923197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083923197 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY HEALTH SYSTEM, INC |
| Other Organization Name | UT INTERNAL MEDICINE JEFFERSON CITY |
| Practice Address |
1413 Russell Ave Jefferson City TN 37760-2562 |
| Mailing Address |
Po Box 440476 Nashville TN 37244-0476 |
| Practice Telephone | 8656706199 |
| Practice Fax Number | 8656706188 |
| Mailing Telephone | 8656706199 |
| Mailing Fax Number | 8656706188 |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2011-06-10 |
| Authorized Official Name | CYNTHIA B. MARQUART (VICE PRESIDENT) |
| Authorized Official Telephone | 8653059886 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1521415 | 05 |
| Other Name | Type Code |
|---|---|
| UT Internal Medicine Jefferson City | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942638838 | University Health System, Inc | Family Medicine | 958 Dolly Parton Pkwy, Ste 4, Sevierville, TN 37862-3707 | 2013-10-31 |
| 1578886610 | University Health System, Inc | Family Medicine | 2681 Andersonville Hwy, Ste 102, Clinton, TN 37716-6706 | 2010-03-03 |
| 1922292101 | University Health System, Inc | Family Medicine | 1130 Middlecreek Rd, Ste 260, Sevierville, TN 37862-5014 | 2007-08-30 |
| 1629099866 | University Health System, Inc | Internal Medicine | 109 Independence Ln, Ste 200, La Follette, TN 37766-3033 | 2006-07-22 |
| 1922039429 | University Health System, Inc | Internal Medicine | 5779 Creekwood Park Blvd, Suite 220, Lenoir, TN 37772 | 2006-07-05 |
| 1649744657 | University Health System, Inc | Obstetrics & Gynecology | 1928 Alcoa Hwy Ste 303, Knoxville, TN 37920-1505 | 2019-01-14 |
| 1417499328 | University Health System, Inc | Psychiatry & Neurology | 1932 Alcoa Hwy, Ste 150, Knoxville, TN 37920-1527 | 2016-11-09 |
| 1053779462 | University Health System, Inc | Psychiatry & Neurology | 2200 Sutherland Ave, Knoxville, TN 37919-2350 | 2016-02-01 |
| 1699133009 | University Health System, Inc | Oral & Maxillofacial Surgery | 1928 Alcoa Hwy, Ste 305, Knoxville, TN 37920-1502 | 2016-02-01 |
| 1740664986 | University Health System, Inc | Preventive Medicine | 1940 Alcoa Hwy, Ste E40, Knoxville, TN 37920-2244 | 2015-07-17 |
| Street Address |
1413 RUSSELL AVE |
| City | JEFFERSON CITY |
| State | TN |
| Zip Code | 37760-2562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114909538 | Betty Jo Ellington | Nurse Practitioner | 1413 Russell Ave, Jefferson City, TN 37760-2562 | 2005-11-20 |
| 1962637231 | Baptist Primary & Senior Healthcare Clinic Jefferson City | Clinic/Center | 1413 Russell Ave, Jefferson City, TN 37760-2562 | 2009-05-15 |
| 1851364186 | Jefferson City Senior Center | Clinic/Center | 1413 Russell Ave, Jefferson City, TN 37760-2562 | 2006-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699235929 | Emmley L Cole | Nurse Practitioner | 277 E W Broadway Blvd, Jefferson, TN 37760 | 2019-03-22 |
| 1275044877 | Cindy Anderson | Nurse Practitioner | 277 E Broadway Blvd, Jefferson City, TN 37760 | 2017-10-23 |
| 1801259940 | Mcfarland Group, Inc. | Durable Medical Equipment & Medical Supplies | 665 E Broadway Blvd, Jefferson City, TN 37760 | 2016-04-04 |
| 1124422266 | Penny Williams-cordeiro | Nurse Practitioner | 1901 Brookside Drive, Suite 105, Kingsport, TN 37760 | 2014-10-17 |
| 1215363841 | Lindsey Ann Clyde | Physician Assistant | 120 Hospital Dr Ste 130, Jefferson City, TN 37760 | 2013-09-14 |
| 1679849814 | Allison Renee Farris | Surgery | 120 Hospital Dr Ste G20, Jefferson City, TN 37760 | 2012-03-31 |
| 1245562891 | Steven Jarvis Monroe | Dentist | 156 W. Broadway Blvd., Jefferson City, TN 37760 | 2010-02-08 |
| 1952560625 | Summit Medical Group,pllc | Internal Medicine | 380 W Broadway Blvd, Jefferson City, TN 37760 | 2008-06-06 |
| 1780756189 | Steven J Monroe Dds PC | Dentist | 156 W Broadway Blvd, Jefferson City, TN 37760 | 2006-11-14 |
| 1720188600 | Dennis U Spjut | Psychologist | 732 E Jefferson St, Dennis Spjut Phd, Jefferson City, TN 37760 | 2006-09-22 |
| Find all providers in zip 37760 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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 |
|---|---|---|---|---|
| 1851871214 | Integrative Medicine, LLC | Internal Medicine | 999 Diamond Rdg Ste 201, Jefferson City, MO 65109 | 2018-08-15 |
| 1821228388 | Capital Region Medical Center | Internal Medicine | 999 Diamond Rdg, Suite 201, Jefferson City, MO 65109-6920 | 2009-07-19 |
| 1952560625 | Summit Medical Group,pllc | Internal Medicine | 380 W Broadway Blvd, Jefferson City, TN 37760 | 2008-06-06 |
| 1316122245 | Walter Christopher Coats | Internal Medicine | 3501 W Truman Blvd # A, Jefferson City, MO 65109-0514 | 2008-01-09 |
| 1851314215 | Felipe B. Manalo | Internal Medicine | 115 Business Loop 70 W., Jefferson City, MO 65203 | 2006-07-26 |
| 1508896952 | William J Williams | Internal Medicine | 1526 Meadow Spring Dr, Jefferson City, TN 37760-2041 | 2006-07-03 |
| 1447230131 | James F. Tritz | Internal Medicine | 3501a West Truman Boulevard, Jefferson City, MO 65109 | 2006-01-19 |
| 1235117698 | Sangeeta Jain-roberts | Internal Medicine | 1619 Paddlewheel Cir, Jefferson City, MO 65109-1293 | 2006-01-05 |
| 1538143219 | John F. Sanfelippo | Internal Medicine | 1241 West Stadium Boulevard, Jefferson City, MO 65109 | 2005-12-06 |
| 1184612889 | Tin Maung Oo | Internal Medicine | 100 St. Marys Medical Plaza, Jefferson City, MO 65101 | 2005-10-07 |
| Find all providers in JEFFERSON CITY | ||||
| City | JEFFERSON CITY |
| Zip Code | 37760 |
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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.