REELFOOT LAKE INPATIENT SERVICES, PLLC (NPI# 1164858171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164858171 |
Entity Type | Organization |
Organization Name | REELFOOT LAKE INPATIENT SERVICES, PLLC |
Practice Address |
161 Mount Pelia Rd Martin TN 38237-3811 |
Mailing Address |
815 S Palafox St Ste 300 Pensacola FL 32502-5960 |
Practice Telephone | 7315874261 |
Mailing Telephone | 9548382371 |
Enumeration Date | 2013-09-23 |
Last Update Date | 2019-09-12 |
Authorized Official Name | DR. GREGORY BYRNE (PRESIDENT) |
Authorized Official Telephone | 9548382371 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
Street Address |
161 MOUNT PELIA RD |
City | MARTIN |
State | TN |
Zip Code | 38237-3811 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821060930 | Martin Health | Medicare Defined Swing Bed Unit | 161 Mount Pelia Rd, Martin, TN 38237-3811 | 2006-02-02 |
1578070207 | Amelia R Hughes | Nurse Anesthetist, Certified Registered | 161 Mount Pelia Rd, Martin, TN 38237-3811 | 2018-01-03 |
1407229115 | Botanical Emergency Physicians, LLC | Physician Assistant | 161 Mount Pelia Rd, Martin, TN 38237-3811 | 2015-11-03 |
1912310202 | Timothy Glenn Rigsbee | Nurse Anesthetist, Certified Registered | 161 Mount Pelia Rd, Martin, TN 38237-3811 | 2014-06-04 |
1487073060 | Michael Chua | Physical Therapist | 161 Mount Pelia Rd, Martin, TN 38237-3811 | 2014-04-10 |
1396166427 | Brenn Johnson | Nurse Anesthetist, Certified Registered | 161 Mount Pelia Rd, Martin, TN 38237-3811 | 2013-12-16 |
1932535507 | Western Grand Emergency Physicians, LLC | Emergency Medicine | 161 Mount Pelia Rd, Martin, TN 38237-3811 | 2013-09-16 |
1972707263 | Martin Hospital Corporation | Pathology | 161 Mount Pelia Rd, Martin, TN 38237-3811 | 2007-06-12 |
1801923727 | Angela S Lane | Nurse Anesthetist, Certified Registered | 161 Mount Pelia Rd, Martin, TN 38237-3811 | 2007-02-27 |
1780649160 | Joseph Michael Morel | Nurse Anesthetist, Certified Registered | 161 Mount Pelia Rd, Martin, TN 38237-3811 | 2006-04-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578034385 | Megan Ables | Pharmacist | 2253 Mount Pelia Road, Martin, TN 38237 | 2018-12-06 |
1336669159 | Alex Reamy | Specialist/Technologist | 15 Mt. Pelia Road, Martin, TN 38237 | 2017-06-22 |
1134655731 | West Tennessee Rehabilitation Hospital, LLC | Medicare Defined Swing Bed Unit | 180 Mount Pelia Road, Martin, TN 38237 | 2017-05-03 |
1275901381 | William Zimmerman | Chiropractor | 633 Haygood Rd, Martin, TN 38237 | 2015-09-04 |
1588080683 | Cory S Davis | Chiropractor | 116 Masonic Dr, Martin, TN 38237 | 2014-03-13 |
1063837946 | Tolliver-scott & Associates | Private Vehicle | 113 Kenny Road, Martin, TN 38237 | 2014-02-28 |
1982932711 | Anne M Fritcher | Physician Assistant | 189 Mount Pelia Rd, Martin, TN 38237 | 2009-12-07 |
1295062669 | Laura C Plunk | Behavioral Analyst | University Commons, Martin, TN 38237 | 2009-11-05 |
1710210497 | Stacie M. Callins | Specialist | 180 Mt. Pelia Rd., Healthsouth Cane Creek Rehab. Hospital, Martin, TN 38237 | 2009-09-11 |
1275739930 | Diagnostic Imaging Consultants,ltd | Radiology | 215 Hawks Rd Ste 4, Martin, TN 38237 | 2007-06-21 |
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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 |
---|---|---|---|---|
1144209925 | William H. Smith-mensah | Emergency Medicine | 11203 Main Street, Martin, KY 41649-0910 | 2006-01-11 |
1720086176 | Saint Joseph Health System Inc | Emergency Medicine | 11203 Main St, Martin, KY 41649-7999 | 2005-07-11 |
1932535507 | Western Grand Emergency Physicians, LLC | Emergency Medicine | 161 Mount Pelia Rd, Martin, TN 38237-3811 | 2013-09-16 |
1588717185 | Our Lady of The Way | Emergency Medicine | 11203 Main St, Martin, KY 41649-0910 | 2007-01-19 |
1194767095 | Howard Newmark | Emergency Medicine | 11203 Main Street, Martin, KY 41649-0910 | 2006-06-12 |
1972554699 | Harry L Wingate IIi | Emergency Medicine | 180 Mount Pelia Rd, Martin, TN 38237-3812 | 2006-05-15 |
1275583908 | Egbert Rebeiro | Emergency Medicine | 143 Kennedy Dr, Suite B, Martin, TN 38237-3309 | 2006-05-11 |
1770532632 | Mt. Pelia Emergency Physicians | Emergency Medicine | 180 Mount Pelia Rd, Martin, TN 38237-3812 | 2006-05-09 |
1962480368 | Suresh Thota | Emergency Medicine | 143 Kennedy Dr, Martin, TN 38237-3309 | 2006-01-05 |
1043200280 | Walter Frizzell Fletcher | Emergency Medicine | 117 Kennedy Dr, Martin, TN 38237-3309 | 2005-10-27 |
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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.