MR. ALTON W PICKETT (NPI# 1194835207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194835207 |
| Entity Type | Individual |
| Full Name | MR. ALTON W PICKETT |
| Credential | MD |
| Practice Address |
437 Park Ave Suite A Lebanon TN 37087 |
| Practice Telephone | 6154445102 |
| Practice Fax Number | 6154437390 |
| Mailing Telephone | 6154445102 |
| Mailing Fax Number | 6154437390 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 8162 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCS T | 2003231 | 01 | |
| BCBST | 2000703 | 01 |
| Street Address |
437 PARK AVE SUITE A |
| City | LEBANON |
| State | TN |
| Zip Code | 37087 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051698 | Results-ast Jv, LLC | Physical Therapist | 1420 West Baddour Parkway, Suite 102, Lebanon, TN 37087 | 2020-10-19 |
| 1306405725 | Angela Kurtz | Hearing Instrument Specialist | 1430 West Baddour Parkwayste D, Lebanon, TN 37087 | 2019-06-10 |
| 1164926937 | Andrea Christine Morrisett | Physical Therapist | 404 N Castle Heights Ave Ste G, Lebanon, TN 37087 | 2018-03-19 |
| 1942731492 | Rocky Mountain Holdings, LLC | Ambulance | 760d Franklin Rd, Lebanon, TN 37087 | 2017-03-27 |
| 1326409285 | Karina Lawrence | Speech-Language Pathologist | 1006 Keaton Street, Lebanon, TN 37087 | 2016-03-18 |
| 1174910491 | Yehualashet Bekele Hailemariam | Internal Medicine | 1411 W Baddour Pkwy,lebanon Tn 37087, Lebanon, TN 37087 | 2015-04-24 |
| 1043614829 | Jean Thompson | Behavioral Analyst | 1004 Hickory Hill Lane, Suite 2, Hermitage, TN 37087 | 2014-10-22 |
| 1588072771 | La Keisha Fair | Community Health Worker | 1 Cumberland Square, Lebanon, TN 37087 | 2014-07-31 |
| 1023440609 | James Martin Meadows | Specialist/Technologist | One Cumberland Square, Lebanon, TN 37087 | 2013-08-06 |
| 1336571231 | Lori Ann De Leo | Social Worker | 109 Autumn Creek, Lebanon, TN 37087 | 2013-08-01 |
| Find all providers in zip 37087 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447644935 | Joshua Jones | Obstetrics & Gynecology | 120 Hospital Dr Ste 225, Lebanon, MO 65536-9254 | 2015-03-24 |
| 1801231139 | Matthew Adam Keller | Obstetrics & Gynecology | 845 Helen Dr, Lebanon, PA 17042-7493 | 2013-04-30 |
| 1588858567 | Edmundo Humberto Yibirin | Obstetrics & Gynecology | 1421 W Baddour Pkwy Ste B, Lebanon, TN 37087 | 2007-08-31 |
| 1922010396 | Lynval T Reynolds | Obstetrics & Gynecology | 330 Loretto Rd Ste 500a, Lebanon, KY 40033-1308 | 2006-08-13 |
| 1881644763 | Clarinda Burton-shannon | Obstetrics & Gynecology | 1405 W Baddour Pkwy Ste 105, Lebanon, TN 37087-2568 | 2006-05-11 |
| 1902865124 | Karen Elise Gaspardi | Obstetrics & Gynecology | 675 N 5th St, Lebanon, OR 97355-2875 | 2006-03-17 |
| 1740276757 | Susan E Mooney | Obstetrics & Gynecology | 141 Mascoma St, Lebanon, NH 03766-2647 | 2005-09-26 |
| 1639163322 | Robert W Mccarty | Obstetrics & Gynecology | 2505 N Lebanon St Ste 208, Lebanon, IN 46052-8611 | 2005-09-08 |
| 1750375689 | Ted R Winkler | Obstetrics & Gynecology | 2505 N Lebanon St, Suite 208, Lebanon, IN 46052-8612 | 2005-09-07 |
| 1336149103 | Chang Wha Oh | Obstetrics & Gynecology | 300 Willow St, Lebanon, PA 17046-4871 | 2005-07-22 |
| Find all providers in LEBANON | ||||
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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.