KIDZCARE PEDIATRICS, PLLC (NPI# 1215471198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215471198 |
| Entity Type | Organization |
| Organization Name | KIDZCARE PEDIATRICS, PLLC |
| Other Organization Name | KIDZCARE PEDIATRICS MADISONVILLE |
| Practice Address |
4233 Highway 411 Suite B Madisonville TN 37354-1571 |
| Mailing Address |
Po Box 925 Athens TN 37371-0925 |
| Practice Telephone | 4237457500 |
| Practice Fax Number | 4237457501 |
| Mailing Telephone | 4237457500 |
| Mailing Fax Number | 4237457501 |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2016-12-12 |
| Authorized Official Name | SAJI KOTTAPPURA GOPINATHAN (PRESIDENT) |
| Authorized Official Telephone | 4237457500 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Kidzcare Pediatrics Madisonville | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760080600 | Kidzcare Pediatrics, Pllc | Clinic/Center | 2317 S Roane St, Harriman, TN 37748-8653 | 2020-10-13 |
| 1679805493 | Kidzcare Pediatrics, Pllc | Clinic/Center | 119 Epperson St, Athens, TN 37303-3478 | 2010-02-03 |
| Street Address |
4233 HIGHWAY 411 SUITE B |
| City | MADISONVILLE |
| State | TN |
| Zip Code | 37354-1571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508803370 | Family Practice Associates, PC | Family Medicine | 4233 Highway 411, Madisonville, TN 37354-1571 | 2006-06-01 |
| 1194203786 | Jamie Nicole Daugherty | Nurse Practitioner | 4233 Highway 411, Madisonville, TN 37354-1571 | 2018-08-06 |
| 1861911109 | Mark A Britton Dds Pllc | Dentist | 4233 Highway 411, Madisonville, TN 37354-1571 | 2017-09-19 |
| 1255850400 | R Andrew Turner Dds Mds Pllc | Dentist | 4233 Highway 411, Madisonville, TN 37354-1571 | 2017-09-19 |
| 1326592809 | Brooke Torbett | Clinical Nurse Specialist | 4233 Highway 411, Madisonville, TN 37354-1571 | 2016-08-12 |
| 1962877712 | Access Medical Care of Monroe County PC | General Practice | 4233 Highway 411, Madisonville, TN 37354-1571 | 2015-12-04 |
| 1376983502 | Rachael Carringer | Nurse Practitioner | 4233 Highway 411, Madisonville, TN 37354-1571 | 2013-07-02 |
| 1205122587 | Linda W Boyatt | Nurse Practitioner | 4233 Highway 411, Madisonville, TN 37354 | 2011-06-24 |
| 1043532419 | Tracy Stratton | Nurse Practitioner | 4233 Highway 411, Madisonville, TN 37354-1571 | 2010-02-25 |
| 1336342617 | Melissa W Haun | Nurse Practitioner | 4233 Highway 411, Madisonville, TN 37354-1571 | 2007-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487043568 | Tracy Andel | Registered Nurse | 3469 North Highway 68, Madisonville, TN 37354 | 2015-01-13 |
| 1053454876 | Tennie Clarice Lewis | Registered Nurse | 3439 New Hwy 68, Madisonville, TN 37354 | 2007-02-14 |
| 1669527230 | State of Tennessee | Clinic/Center | 3469 New Highway 68, Madisonville, TN 37354 | 2007-01-24 |
| 1306801907 | East Tennessee Health Care Inc | Skilled Nursing Facility | 465 Isbill Rd, Madisonville, TN 37354 | 2006-04-18 |
| 1386609956 | Tamela K King | Social Worker | 520 Cook Street, Madisonville, TN 37354 | 2006-04-18 |
| 1710958129 | Gary Lee Fields | Chiropractor | 4900 New Hwy 68, Madisonville, TN 37354 | 2006-02-01 |
| 1720086929 | Mitzi Suzanne Mcbride | Social Worker | 119 Pedigo Road, Suite F, Madisonville, TN 37354 | 2005-07-12 |
| 1437601036 | Starla Swaney | Nurse Practitioner | 167 Warren St, Madisonville, TN 37354 | 2016-10-30 |
| 1144610304 | Laura Jo Vacheresse | Social Worker | 4798 New Highway 68, Madisonville, TN 37354 | 2015-01-27 |
| 1548427586 | Chota Community Health Services | Clinic/Center | 4798 New Highway 68, Madisonville, TN 37354 | 2008-05-19 |
| Find all providers in zip 37354 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265072946 | Baptist Health Medical Group Inc | Clinic/Center | 800 Hospital Dr Fl 2, Madisonville, KY 42431-1658 | 2020-01-10 |
| 1730734229 | Baptist Health Medical Group Inc | Clinic/Center | 1851 N Main St, Madisonville, KY 42431-9024 | 2019-08-02 |
| 1306124714 | Walker County Hospital Corporation | Clinic/Center | 1613 E Main St, Madisonville, TX 77864-2207 | 2011-08-02 |
| 1487739991 | St. Joseph Regional Health Center | Clinic/Center | 100 W Cross St, Madisonville, TX 77864-2432 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588275317 | Henry County Medical Center | Clinic/Center | 300 Hospital Cir Ste 204, Paris, TN 38242-4597 | 2020-08-14 |
| 1447861562 | Henry County Medical Center | Clinic/Center | 14201 Highway 79 N Unit 4, Buchanan, TN 38222-4183 | 2020-08-12 |
| 1003425224 | Dickson Medical Associate, PC | Clinic/Center | 127 Crestview Park Dr Ste 205, Dickson, TN 37055-2856 | 2020-07-23 |
| 1023631454 | Spring City Family Clinic Pllc | Clinic/Center | 126 Lavender St Ste 2, Spring City, TN 37381-5102 | 2020-05-20 |
| 1871001271 | Shelbyville Hospital Company LLC | Clinic/Center | 1330 Cedar Ln Ste 100, Tullahoma, TN 37388-2284 | 2018-01-19 |
| 1720596125 | Shelbyville Hospital Company LLC | Clinic/Center | 1440 Cedar Ln Unit 100, Tullahoma, TN 37388-2262 | 2018-01-19 |
| 1548788458 | Shelbyville Hospital Company LLC | Clinic/Center | 1612 N Main St Ste A, Shelbyville, TN 37160-2392 | 2017-08-31 |
| 1063938520 | Mid-south Convenient Care, Pllc | Clinic/Center | 1445 Us Highway 51 Byp E Ste B, Dyersburg, TN 38024-2127 | 2017-08-16 |
| 1871034462 | Martin Health | Clinic/Center | 143 Kennedy Drive, Martin, TN 38237-3309 | 2017-03-15 |
| 1881135895 | Humboldt Family Walk-in Clinic LLC | Clinic/Center | 1600 Coleman Dr, Humboldt, TN 38343-1756 | 2017-03-10 |
| Find all providers with the same taxonomy | ||||
| City | MADISONVILLE |
| Zip Code | 37354 |
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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.