COMPLETE FAMILY CARE OF MARYVILLE, PLLC


Address: 2004 E. Broadway, Maryville, TN 37804
Phone: 8659824301

COMPLETE FAMILY CARE OF MARYVILLE, PLLC (NPI# 1184932485) 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) 1184932485
Entity Type Organization
Organization Name COMPLETE FAMILY CARE OF MARYVILLE, PLLC
Practice Address 2004 E. Broadway
Maryville
TN 37804
Practice Telephone 8659824301
Mailing Telephone 8659824301
Mailing Fax Number 8653578869
Enumeration Date 2010-09-21
Last Update Date 2010-09-21
Authorized Official Name ANDREW O. SUGANTHARAIS (MEDICAL DIRECTOR)
Authorized Official Telephone 8659824301
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 25789 TN Allopathic & Osteopathic Physicians

Office Location

Street Address 2004 E. BROADWAY
City MARYVILLE
State TN
Zip Code 37804

Providers in the same zip code

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
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
1982883807 Melissa Dawn Lewis-beeler Nurse Practitioner 270 Blount Memorial Hospital-pob, Maryville, TN 37804 2007-10-27
Find all providers in zip 37804

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669737706 Vamsi Nukala Internal Medicine 2090 Vadalabene Dr Ste 1, Maryville, IL 62062-5841 2012-07-04
1811258148 Debra Ann Hoelscher Internal Medicine 2102 Vadalabene, Maryville, IL 62062 2012-06-04
1609912054 Carole Louise Long Internal Medicine 2036 Chilhowee Professional Park, Maryville, TN 37804-5285 2007-01-30
1790862803 Ibrahim F Shalaby Internal Medicine 463 Bmh Physician Office Bldg, Maryville, TN 37804-5807 2006-11-01
1912084096 Komal H Kirpekar Internal Medicine 365 Bmh Physicians Office Bldg, Maryville, TN 37804-5820 2006-11-01
1952332918 Tibor Charles Kopjas Internal Medicine 2118 Vadalabene Dr, Maryville, IL 62062-5632 2006-07-06
1891721379 Kim H Cline Internal Medicine 111 Station Dr, Maryville, TN 37804-4190 2006-06-25
1558307181 David Allan Cox Internal Medicine 1131 E Lamar Alexander Pkwy, Maryville, TN 37804-5130 2006-06-21
1225078454 Joseph Duane Payne Internal Medicine 1103 E. Lamar Alexander Pkwy, Maryville, TN 37804 2006-06-07
1871542233 James David Proffitt Jr. Internal Medicine 701 Morganton Square Dr, Maryville, TN 37801-4796 2006-05-10
Find all providers in MARYVILLE

Competitor

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City MARYVILLE
Zip Code 37804

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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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