WEST TENNESSEE PHYSICAL MEDICINE, PLLC (NPI# 1083963946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083963946 |
Entity Type | Organization |
Organization Name | WEST TENNESSEE PHYSICAL MEDICINE, PLLC |
Practice Address |
1024 Mineral Wells Avenue Paris TN 38242 |
Practice Telephone | 7316449000 |
Practice Fax Number | 7316449006 |
Mailing Telephone | 7316449000 |
Mailing Fax Number | 7316449006 |
Enumeration Date | 2012-09-06 |
Last Update Date | 2012-09-06 |
Authorized Official Name | STEPHEN DUSTIN FORRESTER (OWNER) |
Authorized Official Telephone | 7316449000 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 0000027058 | TN | Allopathic & Osteopathic Physicians |
Street Address |
1024 MINERAL WELLS AVENUE |
City | PARIS |
State | TN |
Zip Code | 38242 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396374732 | Renee Michelle Girouard | Physician Assistant | 209 B Tyson Ave, Paris, TN 38242 | 2020-04-07 |
1255960134 | Alexander P Patrone | Student in an Organized Health Care Education/Training Program | 302b Tyson Ave, Paris, TN 38242 | 2020-04-03 |
1457980302 | Aswathy Krishnakumar | Student in an Organized Health Care Education/Training Program | 302b Tyson Avenue, Paris, TN 38242 | 2020-04-03 |
1053824052 | Rocky Mountain Holdings, LLC | Ambulance | 1949 Driggs Road, Paris, TN 38242 | 2017-11-13 |
1588199152 | Taylor Wilson | Dentist | 3485 Highway 79 N, Paris, TN 38242 | 2017-04-20 |
1215472592 | Elizabeth Lane Mcintosh | Behavioral Analyst | 28 Fieldstone Dr, Paris, TN 38242 | 2016-12-22 |
1124574959 | Patty Wilson | Counselor | 2555 E. Wood Street, Paris, TN 38242 | 2016-08-31 |
1942601539 | Trustworthy Anesthesia Care | Nurse Anesthetist, Certified Registered | 1010 Green Hill Dr, Paris, TN 38242 | 2014-09-15 |
1316242514 | Henry Co. Health Dept. | Skilled Nursing Facility | 803 Joy St., Paris, TN 38242 | 2011-01-19 |
1356597983 | Joe Dick Mobley IIi | Specialist | 1002 Cornerstone Dr., Suite A, Paris, TN 38242 | 2008-08-14 |
Find all providers in zip 38242 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497813216 | James Ciulla | General Practice | 509 S Main St, Paris, IL 61944-2325 | 2006-12-05 |
1336492495 | Lakeside Health Clinic, P.C. | General Practice | 706 E Wood St, Paris, TN 38242-4220 | 2012-10-25 |
1497898084 | Gaylen G. Hayes | General Practice | 520 N Collegiate Dr, Paris, TX 75460-4885 | 2007-02-14 |
1356421473 | Michael Bert Akerman | General Practice | 727 E Court St, Paris, IL 61944-2460 | 2006-10-16 |
1063494193 | Terry Olean Harrison | General Practice | 305 Tyson Ave, Paris, TN 38242-4579 | 2005-11-15 |
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1992342307 | Tennessee Spine Wellness & Medical Group LLC | General Practice | 470 Collier Dr, Sevierville, TN 37862-6931 | 2019-12-04 |
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1326511676 | All About Health Medical, Pllc | General Practice | 2759 Highway 31 W Ste 2, White House, TN 37188-5246 | 2019-01-09 |
1912481870 | Kendall Elizabeth Bush | General Practice | 2416 21st Ave S Ste 101, Nashville, TN 37212-5310 | 2018-09-18 |
1891202941 | One To One Health | General Practice | 1413 Mccallie Ave, Chattanooga, TN 37404-2936 | 2018-01-10 |
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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.