HOSPITAL BASED MEDICAL SERVICES OF TENNESSEE-I PC (NPI# 1104246040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104246040 |
| Entity Type | Organization |
| Organization Name | HOSPITAL BASED MEDICAL SERVICES OF TENNESSEE-I PC |
| Practice Address |
1000 Highway 28 Jasper TN 37347-3638 |
| Mailing Address |
13737 Noel Rd Ste 1600 Dallas TX 75240-1331 |
| Practice Telephone | 4238379500 |
| Mailing Telephone | 4694012386 |
| Mailing Fax Number | 2147122444 |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2014-07-09 |
| Authorized Official Name | TERRY MEADOWS (PRESIDENT) |
| Authorized Official Telephone | 4694012386 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225518285 | Hospital Based Medical Services of Tennessee-i PC | Physician Assistant | 5052 Beckwith Rd, Mt Juliet, TN 37122-4804 | 2018-08-20 |
| 1215365440 | Hospital Based Medical Services of Tennessee-i PC | Physician Assistant | 5655 First Blvd, Hermitage, TN 37076 | 2013-10-25 |
| 1457760837 | Hospital Based Medical Services of Tennessee-i PC | Physician Assistant | 391 Wallace Rd, Nashville, TN 37211-4851 | 2014-08-11 |
| 1366851743 | Hospital Based Medical Services of Tennessee-i PC | Physician Assistant | 3001 Reserve Blvd, Spring Hill, TN 37174-3088 | 2014-08-11 |
| 1093124471 | Hospital Based Medical Services of Tennessee-i PC | Physician Assistant | 200 Stonecrest Blvd, Ste 1600, Smyrna, TN 37167-6810 | 2014-08-11 |
| 1902215387 | Hospital Based Medical Services of Tennessee-i PC | Physician Assistant | 313 N Main St, Ashland City, TN 37015-1347 | 2014-08-11 |
| 1639588015 | Hospital Based Medical Services of Tennessee-i PC | Physician Assistant | 2300 Patterson St, Nashville, TN 37203-1538 | 2014-08-11 |
| 1285062331 | Hospital Based Medical Services of Tennessee-i PC | Physician Assistant | 941 Spring Creek Rd, Chattanooga, TN 37412-3909 | 2013-10-29 |
| 1366870412 | Hospital Based Medical Services of Tennessee-i PC | Physician Assistant | 2333 Mccallie Ave, Chattanooga, TN 37404-3258 | 2013-10-29 |
| 1447688775 | Hospital Based Medical Services of Tennessee-i PC | Physician Assistant | 111 Highway 70 E, Dickson, TN 37055-2080 | 2013-10-23 |
| Street Address |
1000 HIGHWAY 28 |
| City | JASPER |
| State | TN |
| Zip Code | 37347-3638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528054293 | Marshall Ray Willis | Radiology | 1000 Highway 28, Grandview Medical Center, Jasper, TN 37347-3638 | 2005-09-27 |
| 1396222154 | Frances Elizabeth Jones | Counselor | 1000 Highway 28, Jasper, TN 37347-3638 | 2018-07-25 |
| 1013380500 | Red Spruce Emergency Physicians, Pplc | Physician Assistant | 1000 Highway 28, Jasper, TN 37347-3638 | 2015-11-05 |
| 1255704037 | Salient Emergency Physicians, Pllc | Physician Assistant | 1000 Highway 28, Jasper, TN 37347-3638 | 2015-11-03 |
| 1710399332 | Pelican Inpatient Services Pllc | Internal Medicine | 1000 Highway 28, Jasper, TN 37347-3638 | 2014-06-02 |
| 1841610755 | Heron Emergency Physicians Pllc | Emergency Medicine | 1000 Highway 28, Jasper, TN 37347-3638 | 2014-04-17 |
| 1174951271 | Valley Medical Imaging | Radiology | 1000 Highway 28, Jasper, TN 37347-3638 | 2013-10-29 |
| 1679836613 | Eric Lee Hitch | Pharmacist | 1000 Highway 28, Jasper, TN 37347-3638 | 2012-06-22 |
| 1639472855 | S P Acquisition Center | Ambulance | 1000 Highway 28, Jasper, TN 37347-3638 | 2010-12-09 |
| 1407090004 | Hal Jamison Parker | Emergency Medicine | 1000 Highway 28, Jasper, TN 37347 | 2009-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629518626 | Mary Elisabeth Jordan | Clinical Nurse Specialist | 4665 Main St Suite 2, Jasper, TN 37347 | 2017-02-24 |
| 1336569359 | Kevin Stevens | Emergency Medicine | 1000 Tn-28, Jasper, TN 37347 | 2014-04-17 |
| 1487801924 | Valley Imaging Partners, P.C. | Radiology | 1000 Hwy 28, Jasper, TN 37347 | 2008-08-27 |
| 1053494708 | Elizabeth Rodgers | Nurse Practitioner | 215 Hickman Road, Jasper, TN 37347 | 2006-10-23 |
| 1386726875 | Wal-mart Stores East, Lp | Technician/Technologist | 525 Kimball Crossing, Kimball, TN 37347 | 2006-10-20 |
| 1427033307 | Karim D Hasnani | Dentist | 507 Betsy Pack Dr Suite B, Jasper, TN 37347 | 2005-12-13 |
| 1932184017 | Craig John Cott | Psychiatry & Neurology | 215 Hickman Rd, Jasper, TN 37347 | 2005-12-12 |
| 1104817774 | Karin B Boeck | Family Medicine | 24 Mountain View Drive, Suite A, Kimball, TN 37347 | 2005-11-02 |
| 1508344227 | Faith Hannah Williams | Registered Nurse | 1000 Tn-28, Jasper, TN 37347 | 2018-08-03 |
| 1861752578 | Jana Marlow | Social Worker | 215 Hickman Rd, Jasper, TN 37347 | 2012-05-29 |
| Find all providers in zip 37347 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336569359 | Kevin Stevens | Emergency Medicine | 1000 Tn-28, Jasper, TN 37347 | 2014-04-17 |
| 1447411376 | Alina G. Barrett | Emergency Medicine | 1266 Ga Hwy 515, Jasper, GA 30143 | 2008-06-23 |
| 1205913761 | Yong Park | Emergency Medicine | 506 4th St Nw, Jasper, FL 32052-6603 | 2006-11-01 |
| 1538100417 | Dean Robert Naden | Emergency Medicine | 2708 Highway 78 East, Jasper, AL 35501 | 2006-06-09 |
| 1912358698 | Alisha Shake | Emergency Medicine | 800 W 9th St, Jasper, IN 47546 | 2016-06-24 |
| 1720466378 | Erynn Thinnes | Emergency Medicine | 800 W 9th St, Jasper, IN 47546-2514 | 2015-05-15 |
| 1811392129 | Debra Sue White | Emergency Medicine | 800 W 9th St, Jasper, IN 47546-2514 | 2014-10-29 |
| 1710392667 | Logan Dellinger | Emergency Medicine | 800 W 9th St, Jasper, IN 47546-2514 | 2014-06-29 |
| 1518377944 | Kyle Patrick Schroering | Emergency Medicine | 800 W 9th St, Jasper, IN 47546 | 2014-05-07 |
| 1841610755 | Heron Emergency Physicians Pllc | Emergency Medicine | 1000 Highway 28, Jasper, TN 37347-3638 | 2014-04-17 |
| Find all providers in JASPER | ||||
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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.