PRIORITY ONE MEDICAL CARE PLLC (NPI# 1104303924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104303924 |
Entity Type | Organization |
Organization Name | PRIORITY ONE MEDICAL CARE PLLC |
Other Organization Name | STEPHANIE R. WILDER PA-C |
Practice Address |
938 S Sanders Rd Troy TN 38260-3841 |
Mailing Address |
Po Box 218 Troy TN 38260-0218 |
Practice Telephone | 7315990261 |
Practice Fax Number | 8602000613 |
Mailing Telephone | 7315990261 |
Mailing Fax Number | 8602000613 |
Enumeration Date | 2018-07-24 |
Last Update Date | 2018-07-24 |
Authorized Official Name | MRS. STEPHANIE R WILDER (OWNER/CERTIFIED PHYSICIAN ASSISTANT) |
Authorized Official Telephone | 9015815359 |
Authorized Official Credential | PA-C |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Stephanie R. Wilder PA-C | Doing Business As Name - Organization |
Street Address |
938 S SANDERS RD |
City | TROY |
State | TN |
Zip Code | 38260-3841 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619593944 | Citizens of Lake County for Health Care Inc | Clinic/Center | 321 E Harper St, Troy, TN 38260 | 2020-06-23 |
1932681178 | Amanda Brooke Alexander | Nurse Practitioner | 3771 W Shawtown Rd, Troy, TN 38260-4047 | 2018-09-04 |
1518323161 | Cindy Edwards | Physical Therapy Assistant | 1386 Forgiveness Ln, Troy, TN 38260-4762 | 2016-01-12 |
1346305760 | Shirley Dobbins | Pharmacy | 404 E Harper St, Troy, TN 38260-5946 | 2006-12-26 |
1801087143 | Karen Taylor Tennant | Pharmacist | 404 E Harper St, Troy, TN 38260-5946 | 2007-08-01 |
1780802249 | Kristi Hamlin Totty | Pharmacist | 404 E Harper St, Troy, TN 38260-5946 | 2007-04-23 |
1891242301 | Air Evac Ems, Inc. | Ambulance | 701 Cc Gurien Dr, Troy, TN 38260-5949 | 2016-09-01 |
1336190081 | Allcare Medical Troy, Pllc | Clinic/Center | 316 E Harper St, Troy, TN 38260-5951 | 2006-05-15 |
1881051522 | Melissa Mcmackin | Nurse Practitioner | 316 E Harper St, Troy, TN 38260-5951 | 2016-01-26 |
1770926859 | Allcare Medical Troy, Pllc | Nurse Practitioner | 316 E Harper St, Troy, TN 38260-5951 | 2013-04-09 |
Find all providers in zip 38260 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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1972098895 | Somerset Walk In Clinic Pllc | Clinic/Center | 1500 W Big Beaver Rd Ste 104, Troy, MI 48084-3522 | 2018-06-22 |
1457669871 | Troy Regional Physicians Inc | Clinic/Center | 1320 Highway 231 South, Suite 1, Troy, AL 36081 | 2010-09-20 |
1356508907 | Agape Womens Health Plc | Clinic/Center | 575 E Maple Rd, Suite B, Troy, MI 48083-2827 | 2008-05-21 |
1932376993 | Jefrey Fishman, M.d. P.C. | Clinic/Center | 1777 Axtell Dr Ste 200, Troy, MI 48084-4435 | 2008-05-09 |
1588834279 | Medicine Tree Primary Care Inc | Clinic/Center | 318 E Kootenai Ave, Troy, MT 59935 | 2008-03-10 |
1841349511 | M Amin Zaman Md Sc | Clinic/Center | 500 Ohara Dr Ste 120, Troy, IL 62294-2316 | 2007-01-10 |
1346207131 | Charles Henderson Memorial Association | Clinic/Center | 1300 Highway 231 S, Troy, AL 36081-3058 | 2006-04-27 |
1598385551 | Vantage Point Group, LLC | Clinic/Center | 5578 Richmond Rd Ste 203, Troy, VA 22974-4421 | 2020-04-20 |
Find all providers in TROY |
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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.