DR. PHILIP LOW SALSTROM III (NPI# 1174052864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174052864 |
| Entity Type | Individual |
| Full Name | DR. PHILIP LOW SALSTROM III |
| Credential | MD |
| Practice Address |
325 N State of Franklin Rd Fl 1 Johnson City TN 37604-6056 |
| Mailing Address |
Po Box 70569 Johnson City TN 37614-1707 |
| Practice Telephone | 4234397272 |
| Mailing Telephone | 4234398097 |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2017-06-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
325 N STATE OF FRANKLIN RD FL 1 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604-6056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619960713 | Ann Maria Gebka Rouse | Obstetrics & Gynecology | 325 N State of Franklin Rd Fl 1, Johnson City, TN 37604-6056 | 2005-08-24 |
| 1225591837 | Kara Beth Weishaar | Student in an Organized Health Care Education/Training Program | 325 N State of Franklin Rd Fl 1, Johnson City, TN 37604-6056 | 2019-04-10 |
| 1437611852 | Natalie Nicole Broadway-robertson | Student in an Organized Health Care Education/Training Program | 325 N State of Franklin Rd Fl 1, Johnson City, TN 37604-6056 | 2019-04-03 |
| 1871080028 | Emily Paulus | Student in an Organized Health Care Education/Training Program | 325 N State of Franklin Rd Fl 1, Johnson City, TN 37604-6056 | 2018-04-13 |
| 1316479678 | Andrea N Hensley | Nurse Practitioner | 325 N State of Franklin Rd Fl 1, Johnson City, TN 37604-6056 | 2017-03-28 |
| 1194119404 | Anna K. Justice | Nurse Practitioner | 325 N State of Franklin Rd Fl 1, Johnson City, TN 37604-6056 | 2015-03-25 |
| 1356780480 | Elizabeth A Lane | Dietitian, Registered | 325 N State of Franklin Rd Fl 1, Johnson City, TN 37604 | 2013-06-21 |
| 1326486366 | Bethany Loven Reynolds | Obstetrics & Gynecology | 325 N State of Franklin Rd Fl 1, Johnson City, TN 37604-6056 | 2013-06-12 |
| 1871849240 | Gloria M Dudney | Registered Nurse | 325 N State of Franklin Rd Fl 1, Johnson City, TN 37604-6056 | 2012-08-03 |
| 1801158282 | Jessica Elizabeth Murphy | Obstetrics & Gynecology | 325 N State of Franklin Rd Fl 1, Johnson City, TN 37604-6056 | 2012-06-12 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 37604 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619585668 | Mohammad Darweesh | Student in an Organized Health Care Education/Training Program | 325 N State of Franklin Rd # 439-7280, Johnson City, TN 37604-6056 | 2020-07-16 |
| 1407484157 | Kayla Page | Student in an Organized Health Care Education/Training Program | 23 Riale Ave, Johnson City, NY 13790-2707 | 2020-03-30 |
| 1932736030 | Trishna Sharma | Student in an Organized Health Care Education/Training Program | Building 52/lake Drive Mountain Home, Johnson City, TN 37684 | 2020-03-26 |
| 1962063743 | Pooja Kumar | Student in an Organized Health Care Education/Training Program | 400 N St Franklin Rd, Johnson City, TN 37604-6035 | 2019-06-24 |
| 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 |
| 1396309324 | Praveen Shilpa Fernandopulle | Student in an Organized Health Care Education/Training Program | 1276 Gilbreath Dr # 70300, Johnson City, TN 37614-6503 | 2019-04-25 |
| 1609439686 | Alok Kumar Sinha | Student in an Organized Health Care Education/Training Program | Va Bldg 1, Johnson City, TN 37614-6503 | 2019-04-16 |
| 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 |
| 1689171951 | Matthew David Carpenter | Student in an Organized Health Care Education/Training Program | Va Bldg 1, Dogwood Avenue, Johnson City, TN 37614-0622 | 2018-04-12 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
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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.