COFFEE MEDICAL GROUP LLC (NPI# 1114209400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114209400 |
| Entity Type | Organization |
| Organization Name | COFFEE MEDICAL GROUP LLC |
| Other Organization Name | UNITED REGIONAL MULTI-SPECIALTY GROUP |
| Practice Address |
1001 Mcarthur St Manchester TN 37355-2419 |
| Practice Telephone | 9317283586 |
| Practice Fax Number | 9314612587 |
| Mailing Telephone | 9317283586 |
| Mailing Fax Number | 9314612587 |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2011-09-13 |
| Authorized Official Name | MS. PAMELA A JERNIGAN (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 9314613415 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| United Regional Multi-Specialty Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063509271 | Coffee Medical Group LLC | Nursing Facility/Intermediate Care Facility | 1001 Mcarthur Drive, Manchester, TN 37355 | 2006-10-07 |
| 1013969179 | Coffee Medical Group LLC | General Acute Care Hospital | 481 Interstate Dr, Manchester, TN 37355-3108 | 2006-05-17 |
| 1700192028 | Coffee Medical Group LLC | Clinic/Center | 1615 Mcminnville Hwy, Manchester, TN 37355-3179 | 2010-08-24 |
| 1043537046 | Coffee Medical Group LLC | Clinic/Center | 482 Interstate Dr, Suite A, Manchester, TN 37355-3109 | 2010-04-29 |
| 1104995281 | Coffee Medical Group LLC | General Acute Care Hospital | 1001 Mcarthur St, Manchester, TN 37355-2419 | 2006-11-06 |
| Street Address |
1001 MCARTHUR ST |
| City | MANCHESTER |
| State | TN |
| Zip Code | 37355-2419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790792141 | Neil Edward Christopher Jr. | Emergency Medicine | 1001 Mcarthur St, Manchester, TN 37355-2419 | 2006-08-01 |
| 1225659956 | Extended Family Care LLC | Community/Behavioral Health | 1001 Mcarthur St, Manchester, TN 37355-2419 | 2020-05-05 |
| 1427306521 | Regina Maria Poston | Registered Nurse | 1001 Mcarthur St, Manchester, TN 37355-2419 | 2012-08-21 |
| 1376794495 | Exa Freuler Ogden | Dietitian, Registered | 1001 Mcarthur St, Manchester, TN 37355-2419 | 2008-10-07 |
| 1124227707 | United Regional Medical Center Nursing Home | Skilled Nursing Facility | 1001 Mcarthur St, Manchester, TN 37355-2419 | 2007-07-13 |
| 1104995281 | Coffee Medical Group LLC | General Acute Care Hospital | 1001 Mcarthur St, Manchester, TN 37355-2419 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659857126 | Ashley Harmon Layne | Speech-Language Pathologist | 205 S Woodland St, Manchester, TN 37355 | 2018-07-17 |
| 1760996771 | Quad/med, LLC | Clinic/Center | 227 Monogard Rd, Manchester, TN 37355 | 2017-11-29 |
| 1881108157 | Sarabeth Seagreaves | Specialist/Technologist | 1700 Summer St Apt A36, Manchester, TN 37355 | 2017-11-25 |
| 1639618663 | Heather N Fesmire | Surgery | 1030 Mcarthur St., Manchester, TN 37355 | 2017-02-23 |
| 1316361561 | Charlotte Gibbs | Counselor | 482 Interstate Dr Ste D, Manchester, TN 37355 | 2014-02-08 |
| 1205258191 | Aleene Marie Falk | Social Worker | 218 Forrestwood Drive, Manchester, TN 37355 | 2014-01-10 |
| 1790067429 | Reda Lynn Lawson | Registered Nurse | 800 Parks Street, Manchester, TN 37355 | 2011-09-20 |
| 1912294117 | Patricia Beth Elliott | Nurse Practitioner | 804 Keylon Street, Manchester, TN 37355 | 2011-07-08 |
| 1427241421 | Kimberly D. Mathis | Nurse Practitioner | 1600 Mcarthur Street, Manchester, TN 37355 | 2007-08-22 |
| 1982761441 | Richard Eugene Fishbein | Orthopaedic Surgery | 102 East High Street, Manchester, TN 37355 | 2007-01-03 |
| Find all providers in zip 37355 | ||||
| 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 |
|---|---|---|---|---|
| 1558719476 | Plan Ahead Medical Services, LLC | Internal Medicine | 493 Walnut St, Manchester, NH 03104-2312 | 2016-06-01 |
| 1750737474 | Zachary Stevens | Internal Medicine | 100 Mcgregor St Rm 1980, Manchester, NH 03102-3730 | 2016-05-12 |
| 1962780940 | Imelda Angelica Perez Cirilo | Internal Medicine | 629 Middle Tpke E, Manchester, CT 06040-3731 | 2011-07-25 |
| 1366670754 | Johny Hanna Simon Kuttab | Internal Medicine | 1 Elliot Way # 100, Manchester, NH 03103 | 2009-06-24 |
| 1811142409 | Gregory E. White | Internal Medicine | 75 Steinmetz Dr, Manchester, NH 03104-1830 | 2008-11-24 |
| 1861646952 | Mediclinik | Internal Medicine | 14173 Manchester Rd Ste C, Manchester, MO 63011-4524 | 2008-11-16 |
| 1912153487 | Nilsa Marie Jimenez | Internal Medicine | 775 S Main Street, Queen City Medical Associates, Manchester, NH 03102 | 2008-08-14 |
| 1669635694 | Patrick Scanlon | Internal Medicine | 87 Mcgregor St Ste 1300, Manchester, NH 03102-3765 | 2008-07-09 |
| 1659538239 | Dr. Biesek Pllc | Internal Medicine | 1650 Elm St Ste 302, Manchester, NH 03101-1217 | 2008-05-21 |
| 1023283009 | Peter Wilson Shaw | Internal Medicine | 100 Mcgregor St # Stb, Manchester, NH 03102 | 2008-04-29 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 37355 |
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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.