MURFREESBORO DERMATOLOGY CLINIC, PLC (NPI# 1275553703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275553703 |
| Entity Type | Organization |
| Organization Name | MURFREESBORO DERMATOLOGY CLINIC, PLC |
| Practice Address |
1725 Medical Center Pkwy Suite 300 Murfreesboro TN 37129-2246 |
| Practice Telephone | 6158934100 |
| Mailing Telephone | 6158934100 |
| Mailing Fax Number | 6158939713 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | CAROLINE NYLEN (SUPERVISOR) |
| Authorized Official Telephone | 6158494115 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MD0000027511 | TN | Other Service Providers |
| Street Address |
1725 MEDICAL CENTER PKWY SUITE 300 |
| City | MURFREESBORO |
| State | TN |
| Zip Code | 37129-2246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639108293 | Elizabeth Ann Otter | Physician Assistant | 1725 Medical Center Pkwy, Suite 300, Murfreesboro, TN 37129-2247 | 2006-07-03 |
| 1881118313 | Rachel Hale | Nurse Practitioner | 1725 Medical Center Pkwy, Murfreesboro, TN 37129-2247 | 2017-07-26 |
| 1578099123 | Emma Pierce | Nurse Practitioner | 1725 Medical Center Pkwy, Suite # 300, Murfreesboro, TN 37129-2247 | 2017-05-02 |
| 1821532078 | Klhee Bang | Nurse Practitioner | 1725 Medical Center Pkwy, Suite 220, Murfreesboro, TN 37129-2247 | 2016-12-07 |
| 1457708950 | Amanda Wells | Physical Therapist | 1725 Medical Center Pkwy, Suite 130, Murfreesboro, TN 37129-2247 | 2016-05-16 |
| 1982075297 | Joshua Courtney | Physician Assistant | 1725 Medical Center Pkwy, Murfreesboro, TN 37129-2247 | 2015-10-13 |
| 1144611260 | Lindsay White | Nurse Practitioner | 1725 Medical Center Pkwy, Murfreesboro, TN 37129-2247 | 2015-02-11 |
| 1508272105 | Wendy Rhim | Nurse Practitioner | 1725 Medical Center Pkwy, Murfreesboro, TN 37129-2247 | 2014-07-03 |
| 1639421225 | Erin Danielle Thayer | Nurse Practitioner | 1725 Medical Center Pkwy, Suite 110, Murfreesboro, TN 37129-2247 | 2012-10-08 |
| 1902122096 | Christina Feser | Dermatology | 1725 Medical Center Pkwy, Suite 300, Murfreesboro, TN 37129-2247 | 2010-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183188 | Results-ast Jv, LLC | Physical Therapist | 1203-b Memorial Blvd, Murfreesboro, TN 37129 | 2020-10-27 |
| 1629689674 | Saint Thomas Medical Partners | Clinic/Center | 220 West Jefferson Pike, Murfreesboro, TN 37129 | 2020-08-13 |
| 1841822301 | Treasure Island Pediatric Dentistry | Clinic/Center | 1900 Medical Center Parkway, 110, Murfreesboro, TN 37129 | 2020-02-12 |
| 1275164162 | Seven Springs Orthopaedics, PC | Orthopaedic Surgery | 2213memorial Blvd., Suite D, Murfreesboro, TN 37129 | 2020-01-29 |
| 1255898185 | Sonja Vanetta Brown Deloatch | Social Worker | 6400 Lebanon Rd, Murfreesboro, TN 37129 | 2019-02-27 |
| 1821560137 | Zachary Ditmarsen | Chiropractor | 803 N Thompson Ln, Suite 103a, Murfreesboro, TN 37129 | 2018-12-27 |
| 1154841575 | Julia Goddeeris | Audiologist | 804 N Thompson Ln, Murfreesboro, TN 37129 | 2017-06-27 |
| 1548713100 | National Vision, Inc. | Technician/Technologist | 1993 Old Fort Pkwy, Murfreesboro, TN 37129 | 2016-08-01 |
| 1437504891 | Journeypure At The River LLC | Substance Abuse Rehabilitation Facility | 5080 Florence Rd, Murfreesboro, TN 37129 | 2016-05-04 |
| 1750763900 | Vilayvanh Saysoukha | Podiatrist | 1155 Kennedy Dr Ste 101, Murfreesboro, TN 37129 | 2015-06-24 |
| Find all providers in zip 37129 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083122642 | Daniela Kam | Specialist | 2615 Medical Center Pkwy Ste 1560, Murfreesboro, TN 37129-3758 | 2018-01-17 |
| 1437496577 | Center for Spine Joint and Neuromuscular Rehab PC | Specialist | 833 Memorial Blvd, Suite E, Murfreesboro, TN 37129-2986 | 2013-01-09 |
| 1356675177 | Jerry Neal Campbell | Specialist | 2110 Windsor St, Murfreesboro, TN 37130-1721 | 2009-09-25 |
| 1013156231 | Pain Management Group, P.C. | Specialist | 1547 Warrior Dr, Murfreesboro, TN 37128-0921 | 2009-02-11 |
| 1437316312 | Dana L Cox | Specialist | 257 Mcniel Dr, Murfreesboro, TN 37128-4509 | 2008-05-19 |
| 1073789004 | Sylvia Lunn | Specialist | 847 N Church St, Murfreesboro, TN 37130-2826 | 2008-04-30 |
| 1114102050 | Alice Jeanette Johnson | Specialist | 931 E Northfield Blvd, Murfreesboro, TN 37130-1204 | 2008-01-09 |
| 1124216395 | Jacqueline Ann Randolph | Specialist | 4131 Avalon Pl, Murfreesboro, TN 37128-4520 | 2007-10-11 |
| 1881880961 | Columbia Radiation Oncology | Specialist | 509 E Bell St, Murfreesboro, TN 37130-3059 | 2007-09-21 |
| 1437299195 | Stones River Medical Group PC | Specialist | 726 S. Church Street, Murfreesboro, TN 37130 | 2007-02-08 |
| Find all providers in MURFREESBORO | ||||
| City | MURFREESBORO |
| Zip Code | 37129 |
Please comment or provide details below to improve the information on MURFREESBORO DERMATOLOGY CLINIC, PLC.
| 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.