MRS. DINA H MISHU (NPI# 1174519284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174519284 |
| Entity Type | Individual |
| Full Name | MRS. DINA H MISHU |
| Credential | MD |
| Practice Address |
200 Gleaves St Suite A Madison TN 37115-2154 |
| Practice Telephone | 6158517865 |
| Practice Fax Number | 6158517853 |
| Mailing Telephone | 6158517865 |
| Mailing Fax Number | 6158517853 |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2011-02-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD19095 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CIGNA COMM | 2950507013 | 01 | |
| TN | 3038469 | 05 | |
| UNITED HEALTHCARE HMO | 1240296 | 01 | |
| CIGNA HMO | 2950507011 | 01 | |
| TN | BLUE CROSS | 3127862 | 01 |
| AETNA | 677740 | 01 |
| Street Address |
200 GLEAVES ST SUITE A |
| City | MADISON |
| State | TN |
| Zip Code | 37115-2154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942295662 | Sara J Patterson | Pediatrics | 200 Gleaves St, Ste A, Madison, TN 37115-2154 | 2005-09-19 |
| 1487952917 | Mary Kathryn Oliver | Nurse Practitioner | 200 Gleaves St, Suite A, Madison, TN 37115-2176 | 2011-03-08 |
| 1407903362 | Sarah Marshall Mantle | Pediatrics | 200 Gleaves St, Suite A, Madison, TN 37115-2154 | 2007-01-04 |
| 1871652172 | Elbert E Jackson, Dds, PC | Dentist | 200 Gleaves St, Suite C, Madison, TN 37115-2154 | 2006-12-06 |
| 1356419055 | Elbert E Jackson | Dentist | 200 Gleaves St, Suite C, Madison, TN 37115-2154 | 2006-12-01 |
| 1619989894 | Karen S Meredith | Pediatrics | 200 Gleaves St, Suite 200, Madison, TN 37115-2154 | 2006-08-13 |
| 1194700187 | Patricia F Robinson | Pediatrics | 200 Gleaves St, Suite A, Madison, TN 37115-2154 | 2005-12-13 |
| 1386631729 | Mary Heather Johnson | Pediatrics | 200 Gleaves St, Ste A, Madison, TN 37115-2154 | 2005-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023675212 | Kennedy Wayne Germany Jr. | Specialist/Technologist | 813 Seashell Cove, Madison, TN 37115 | 2019-05-22 |
| 1497211387 | Latasha Monique Williams | Social Worker | Patriot Place (va), 314 Williams Avenue, Ste. 100, Madison, TN 37115 | 2019-02-15 |
| 1659866481 | Amanda Elliott | Pharmacist | 109 Gallatin Rd, Madison, TN 37115 | 2018-06-25 |
| 1760938492 | Larry Cox | Case Manager/Care Coordinator | 620 S. Gallatin Pike, Madison, TN 37115 | 2016-09-01 |
| 1407202799 | National Vision, Inc. | Technician/Technologist | 1785 Gallatin Pike N, Madison, TN 37115 | 2016-05-05 |
| 1992190193 | Emily Tibbs | Case Manager/Care Coordinator | 620 Gallatin Pike, Madison, TN 37115 | 2015-04-03 |
| 1164829982 | Laura Boswell | Case Manager/Care Coordinator | 620 Gallatin Pike South, Madison, TN 37115 | 2014-11-21 |
| 1720498058 | Edward Andrew Roberts | Chiropractor | 1710 Gallatin Pike N, Madison, TN 37115 | 2014-05-08 |
| 1700296217 | Lamonia Merritt | Student in an Organized Health Care Education/Training Program | 645 Cheyenne Blvd, Madison, TN 37115 | 2014-05-06 |
| 1629497656 | Corey Joseph Cloud | Dentist | 500 Lentz Dr Ste 40, Madison, TN 37115 | 2014-04-07 |
| Find all providers in zip 37115 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255947297 | Gluckstadt Tc Kids, LLC | Pediatrics | 101 Lexington Dr Ste A, Madison, MS 39110-6986 | 2020-09-16 |
| 1417488180 | Erin Olsen Pierce | Pediatrics | 8490 Highway 72 W Ste 100, Madison, AL 35758-9575 | 2017-03-24 |
| 1396193454 | Helen Gerseny Waterman | Pediatrics | 123 E Mifflin St Apt 200, Madison, WI 53703-2810 | 2016-05-31 |
| 1093193690 | Ashley Przybilla | Pediatrics | Group Health Cooperative of South Central Wisconsin, 675 West Washington Avenue, Madison, WI 53703 | 2015-05-14 |
| 1780070086 | Christina Amend | Pediatrics | American Family Childrens Hospital 600 Highland Ave, Madison, WI 53792 | 2015-04-13 |
| 1093109316 | Justin M. Lay | Pediatrics | 7726 Old Canton Road, Madison, MS 39110 | 2015-03-25 |
| 1740617414 | Claudette Onyelobi Adegboro | Pediatrics | 1010 Mound St, Room 414, Madison, WI 53715-1532 | 2013-09-26 |
| 1659660330 | Christina Hanowsky Bryndzia | Pediatrics | Uw Hospitals and Clinics, 600 Highland Avenue, Madison, WI 53792-0001 | 2011-04-01 |
| 1225357122 | Andrea R Carberry | Pediatrics | American Family Childrens, 600 Highland Ave, H4/4 Mc: 4108, Madison, WI 53792-0001 | 2010-05-18 |
| 1649413550 | Maud Hillevi Regne-karlsson | Pediatrics | 3503 Gregory St, Madison, WI 53711-1727 | 2009-04-08 |
| Find all providers in MADISON | ||||
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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.