BLOUNT GASTROENTEROLOGY ASSOC PC (NPI# 1144286709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144286709 |
| Entity Type | Organization |
| Organization Name | BLOUNT GASTROENTEROLOGY ASSOC PC |
| Practice Address |
1706 E Lamar Alexander Pkwy Maryville TN 37804-6204 |
| Practice Telephone | 8659830073 |
| Practice Fax Number | 8659841731 |
| Mailing Telephone | 8659830073 |
| Mailing Fax Number | 8659841731 |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2010-01-06 |
| Authorized Official Name | STUART CRAIG JARVIS (PRESIDENT) |
| Authorized Official Telephone | 8659830073 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3381364 | 05 |
| Street Address |
1706 E LAMAR ALEXANDER PKWY |
| City | MARYVILLE |
| State | TN |
| Zip Code | 37804-6204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073593109 | Maryville Asc | Clinic/Center | 1706 E Lamar Alexander Pkwy, Maryville, TN 37804-6204 | 2006-01-17 |
| 1245592823 | Isaac W Cline | Internal Medicine | 1706 E Lamar Alexander Pkwy, Maryville, TN 37804-6204 | 2012-06-11 |
| 1285873380 | Foothills Anesthesia Associates PC | Nurse Anesthetist, Certified Registered | 1706 E Lamar Alexander Pkwy, Maryville, TN 37804-6204 | 2009-02-12 |
| 1912115460 | Jenny Owens Smith | Internal Medicine | 1706 E Lamar Alexander Pkwy, Maryville, TN 37804-6204 | 2007-05-18 |
| 1225091564 | Michael John Coffey | Internal Medicine | 1706 E Lamar Alexander Pkwy, Maryville, TN 37804-6204 | 2006-04-08 |
| 1942263280 | Richard Glen Cline | Internal Medicine | 1706 E Lamar Alexander Pkwy, Maryville, TN 37804-6204 | 2006-04-08 |
| 1851354195 | Edward Francis Brown | Internal Medicine | 1706 E Lamar Alexander Pkwy, Maryville, TN 37804-6204 | 2006-04-08 |
| 1588627822 | David Clair Marsh | Nurse Practitioner | 1706 E Lamar Alexander Pkwy, Maryville, TN 37804-6204 | 2006-04-08 |
| 1467415067 | Stuart Craig Jarvis | Internal Medicine | 1706 E Lamar Alexander Pkwy, Maryville, TN 37804-6204 | 2006-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659835825 | Matthew David Mallory | Physical Therapist | Morning View Village 2320 E. Lamar Alexander Parway, Maryville, TN 37804 | 2019-01-22 |
| 1063937290 | Rachel Ryan Mcmillan | Counselor | 362 High Street, Maryville, TN 37804 | 2017-08-09 |
| 1316461460 | Steven Casey Boring | Nurse Practitioner | 907 E. Lamar Alexander Pkwy., Maryville, TN 37804 | 2017-07-31 |
| 1851738751 | Robert Kane Mccall | Pathology | 250 E. Broadway, Maryville, TN 37804 | 2013-05-31 |
| 1619242849 | Jennifer Mcclements | Physical Therapy Assistant | 4004 Samuel Circle, Maryville, TN 37804 | 2012-03-21 |
| 1316223886 | Sabrina Nicole Powers | Social Worker | 1704 East Broadway, Maryville, TN 37804 | 2011-10-28 |
| 1407138381 | Russmann, Inc. | Ambulance | 4163 Benny Delozier Drive, Maryville, TN 37804 | 2011-09-15 |
| 1184932485 | Complete Family Care of Maryville, Pllc | Internal Medicine | 2004 E. Broadway, Maryville, TN 37804 | 2010-09-21 |
| 1093975096 | Kristi Clark Correll | Speech-Language Pathologist | 2030 East Lamar Alexander Parkway, Maryville, TN 37804 | 2008-06-12 |
| 1134388267 | Barbara Frantz Poulsen | Speech-Language Pathologist | 2030 E Lamar Alexander Parkway, Maryville, TN 37804 | 2008-06-04 |
| Find all providers in zip 37804 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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 |
|---|---|---|---|---|
| 1750364782 | William Elwyn Lyles | Internal Medicine | 355 Bmh Physicians Office Bldg, Maryville, TN 37804-5820 | 2005-11-23 |
| 1922009943 | Mark Stephen Fedder | Internal Medicine | 6810 State Route 162, Suite 211, Maryville, IL 62062-8501 | 2005-08-02 |
| 1245592823 | Isaac W Cline | Internal Medicine | 1706 E Lamar Alexander Pkwy, Maryville, TN 37804-6204 | 2012-06-11 |
| 1184806101 | Mark Fedder, Md, PC | Internal Medicine | 6810 State Route 162, Suite 211, Maryville, IL 62062-8501 | 2007-11-30 |
| 1912117912 | Edmundo Alejandro Rodriguez | Internal Medicine | 6812 State Route 162, Suite 204, Maryville, IL 62062 | 2007-05-22 |
| 1912115460 | Jenny Owens Smith | Internal Medicine | 1706 E Lamar Alexander Pkwy, Maryville, TN 37804-6204 | 2007-05-18 |
| 1306938048 | Ravindra Murthy | Internal Medicine | 355 Bmh Physicians Office Bldg, Maryville, TN 37804-5820 | 2006-09-29 |
| 1689638884 | Frank David Wright | Internal Medicine | 355 Bmh Physicians Office Bldg, Maryville, TN 37804-5820 | 2006-04-14 |
| 1225091564 | Michael John Coffey | Internal Medicine | 1706 E Lamar Alexander Pkwy, Maryville, TN 37804-6204 | 2006-04-08 |
| 1942263280 | Richard Glen Cline | Internal Medicine | 1706 E Lamar Alexander Pkwy, Maryville, TN 37804-6204 | 2006-04-08 |
| Find all providers in MARYVILLE | ||||
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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.