ENDOSCOPY CENTER OF NORTHEAST TENNESSEE, PC


Address: 310 N State of Franklin Rd, Suite 202, Johnson City, TN 37604-6008
Phone: 4239297111

ENDOSCOPY CENTER OF NORTHEAST TENNESSEE, PC (NPI# 1164488219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164488219
Entity Type Organization
Organization Name ENDOSCOPY CENTER OF NORTHEAST TENNESSEE, PC
Practice Address 310 N State of Franklin Rd
Suite 202
Johnson City
TN 37604-6008
Practice Telephone 4239297111
Practice Fax Number 4239299448
Mailing Telephone 4239297111
Mailing Fax Number 4239299448
Enumeration Date 2006-04-25
Last Update Date 2020-08-22
Authorized Official Name MS. PENNY B RUTLEDGE (FACILITY ADMINISTRATOR)
Authorized Official Telephone 4239297111
Authorized Official Credential FACMPE, MPH
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
0000000056 TN Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
TN 3287479 05

Office Location

Street Address 310 N STATE OF FRANKLIN RD
SUITE 202
City JOHNSON CITY
State TN
Zip Code 37604-6008

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598769903 Pamela L. Greer Nurse Practitioner 310 N State of Franklin Rd, Ste 202, Johnson City, TN 37604-6063 2005-06-13
1659817377 Shandon Morrison Nurse Practitioner 310 N State of Franklin Rd, Suite 202, Johnson City, TN 37604-6008 2017-01-19
1366990442 Michelle L Jones Nurse Practitioner 310 N State of Franklin Rd, Suite 400, Johnson City, TN 37604-6008 2016-09-16
1881147692 Deretsa Perry Nurse Practitioner 310 N State of Franklin Rd, Suite 400, Johnson City, TN 37604-6008 2016-07-28
1053762112 Blue Ridge Medical Management Corporation Internal Medicine 310 N State of Franklin Rd, Ste 301a, Johnson City, TN 37604-6008 2016-06-29
1669864377 Emily Kathleen Price Nurse Practitioner 310 N State of Franklin Rd, Suite 400, Johnson City, TN 37604-6008 2015-03-04
1366862336 Miranda Kyker Nurse Practitioner 310 N State of Franklin Rd, Suite 400, Johnson City, TN 37604-6008 2014-04-17
1114340445 Blue Ridge Medical Management Surgery 310 N State of Franklin Rd, Suite 101b, Johnson City, TN 37604-6008 2014-01-22
1225389349 Trinity Cancer Care, P.C. Internal Medicine 310 N State of Franklin Rd, Suite 401, Johnson City, TN 37604-6073 2012-09-28
1285936930 Ryan Kara Judson Nurse Practitioner 310 N State of Franklin Rd, Suite 400, Johnson City, TN 37604-6008 2010-12-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417560707 Brant Logan Nickens Physical Therapist 809 Lamont St and Veterans Way, Johnson City, TN 37604 2020-08-26
1952911562 David Sandlin Hobbs Pharmacist Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 2020-08-07
1528688272 Whitney Marie Ward Physical Therapist Lamont Street and Veterans Way, Johnson City, TN 37604 2020-04-23
1861050015 Akesh Thomas Student in an Organized Health Care Education/Training Program Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 2019-06-03
1336629021 Medical Education Assistance Corporation Clinic/Center 820 W Market St, Johnson City, TN 37604 2018-08-21
1093208951 Lauren Tiffany Hayden Physician Assistant 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 2018-06-14
1174014450 Jerica Moore Specialist/Technologist 1041 Hamiltion Place Dr., Johnson City, TN 37604 2018-05-23
1053809442 Syed Ghazanfar Hasan Student in an Organized Health Care Education/Training Program Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 2018-05-01
1699262485 Sonia Kumari Oad Student in an Organized Health Care Education/Training Program 178 West Maple St, Johnson City, TN 37604 2018-04-17
1821519364 Mahmoud El Iskandarani Internal Medicine 1084 W Oakland Avenue, 748, Johnson City, TN 37604 2017-07-06
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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659360071 East Tennessee Ambulatory Surgery Center LLC Clinic/Center 701 Med Tech Pkwy, Johnson City, TN 37604-2259 2005-10-18
1760486369 Mountain Empire Surgery Center Lp Clinic/Center 601 Med Tech Pkwy, Johnson City, TN 37604 2005-06-10
1376886887 Reeves Eye Surgery Center LLC Clinic/Center 2328 Knob Creek Rd, Suite 500, Johnson City, TN 37604 2013-04-03
1942317672 Tri-cities Outpatient Surgery, Inc. Clinic/Center 1009 N State of Franklin Access Road, Suite B, Johnson City, TN 37604 2006-08-25
1720024284 Pma Surgery Center, LLC Clinic/Center 101 Med Tech Pkwy, Suite 205, Johnson City, TN 37604-4007 2006-06-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1255939559 Endoscopy Center of St Thomas Lp Clinic/Center 4230 Harding Pike Ste 309b, Nashville, TN 37205-2013 2020-10-09
1790344182 Bristol Ambulatory Surgery Center, LLC Clinic/Center 350 Blountville Hwy Ste 108, Bristol, TN 37620-1676 2019-06-10
1528622321 Premier-covenant Astc LLC Clinic/Center 6408 Papermill Dr Ste 220, Knoxville, TN 37919-4858 2019-04-26
1790348142 The Plastic Surgery Center Brentwood Clinic/Center 620 Church Street East, Brentwood, TN 37027 2019-04-20
1326508045 Eye Surgery Center of Lenoir City, LLC Clinic/Center 5491 Creekwood Park Blvd Ste B, Lenoir City, TN 37772-1204 2019-03-20
1629536826 Meadowview Asc, LLC Clinic/Center 2033 Meadowview Ln Ste 210, Kingsport, TN 37660-7569 2019-03-06
1780157990 Renaissance Surgery Center, LLC Clinic/Center 320 Bristol West Blvd Ste 1a, Bristol, TN 37620-8773 2019-01-10
1619487782 Uch Vascular Access Asc LLC Clinic/Center 6490 Mt Moriah Rd Ext Ste 202, Memphis, TN 38115-3841 2017-10-03
1841712452 Saint Thomas Surgery Center New Salem, LLC Clinic/Center 2755 New Salem Highway, Murfreesboro, TN 37128-3712 2017-07-14
1255860383 Eye Surgery Center of Knoxville, LLC Clinic/Center 7739 Dannaher Drive, Powell, TN 37849 2017-06-12
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Competitor

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City JOHNSON CITY
Zip Code 37604

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Dataset Information

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.

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