DR. FREDRICK S DIBRELL (NPI# 1285654111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285654111 |
Entity Type | Individual |
Full Name | DR. FREDRICK S DIBRELL |
Credential | M.D. |
Practice Address |
136 Wheelertown Avenue Pikeville TN 37367-5247 |
Mailing Address |
Po Box 11527 Chattanooga TN 37401-2527 |
Practice Telephone | 4234473524 |
Practice Fax Number | 4234473621 |
Mailing Telephone | 4237783274 |
Mailing Fax Number | 4237782255 |
Enumeration Date | 2006-07-21 |
Last Update Date | 2014-10-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207R00000X | Internal Medicine | 45770 | TN | Allopathic & Osteopathic Physicians |
N | 207R00000X | Internal Medicine | E1622 | AR | Allopathic & Osteopathic Physicians |
N | 208000000X | Pediatrics | 45770 | TN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | RAILROAD MEDICARE | P0117339 | 01 |
AR | QUALCHOICE | 18437000000 | 01 |
AR | 134513001 | 05 | |
TN | 1517996 | 05 | |
AR | BLUE CROSS BLUE SHIELD | 5K789 | 01 |
Street Address |
136 WHEELERTOWN AVENUE |
City | PIKEVILLE |
State | TN |
Zip Code | 37367-5247 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952882920 | Troy David Simpson | Hearing Instrument Specialist | 3252 Main Street, Pikeville, TN 37367 | 2018-08-27 |
1154800993 | Northland Hearing Centers, Inc. | Hearing Aid Equipment | 3252 Main St, Pikeville, TN 37367 | 2018-08-13 |
1508365651 | Anna Mccurdy | Counselor | 1045 Horsehead Road, Pikeville, TN 37367 | 2018-02-05 |
1326552225 | Tiffany Danielle Turner | Family Medicine | 1045 Horse Head Lane, Pikeville, TN 37367 | 2017-11-30 |
1053770248 | Melanie Campbell Young | Marriage & Family Therapist | 57 City Hall Street, Pikeville, TN 37367 | 2016-02-16 |
1316321953 | Pikeville Urgent Care, Pllc | Clinic/Center | 344 Church St., Pikeville, TN 37367 | 2015-07-14 |
1215295514 | Pikeville Family Dentistry | Dentist | 3086 Main St, Pikeville, TN 37367 | 2012-04-25 |
1972801637 | Dorothy Spafford | Psychologist | 1405 Horsehead Rd, Pikeville, TN 37367 | 2011-03-04 |
1730497934 | Frederick Junghoon Lee | Dentist | 3086 Main St., Pikeville, TN 37367 | 2010-09-22 |
1881906360 | John Van Bradley Shanks | Dentist | 3086 Main Street, Pikeville, TN 37367 | 2010-07-13 |
Find all providers in zip 37367 |
Taxonomy Code | 207R00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467874800 | Manu Bansal | Internal Medicine | 911 By Pass Road, Pikeville, KY 41501-1689 | 2014-01-18 |
1164675880 | Chris Mccoy | Internal Medicine | 111 Justice Way, Apt. 223, Pikeville, KY 41501-7949 | 2008-10-25 |
1679647150 | Chattanooga Hamilton County Hospital Authority | Internal Medicine | 136 Wheelertown Ave, Pikeville, TN 37367-5247 | 2006-11-17 |
1568573152 | Paul L Maynard | Internal Medicine | 108 Trivette Dr, Suite 100, Pikeville, KY 41501-1343 | 2006-08-31 |
1265485544 | Ayorinde A Medaiyese | Internal Medicine | 911 Bypass Road, Pikeville, KY 41501-2911 | 2006-05-18 |
1588658116 | Radhika C Cherukuri | Internal Medicine | 178 Douglas Pkwy, Shelby Valley Clinic, Pikeville, KY 41501-6970 | 2005-09-09 |
1518348549 | Joseph R Yates Jr. | Internal Medicine | 911 Bypass Rd Bldg A, Pikeville, KY 41501-1689 | 2015-06-16 |
1861807489 | Hazim Said Bukamur | Internal Medicine | 911 Bypass Rd Bldg A, Pikeville, KY 41501-1689 | 2014-06-23 |
1407276538 | Casey Brett Peavler | Internal Medicine | 911 Bypass Rd Bldg A, Pikeville, KY 41501-1689 | 2014-04-16 |
1467896365 | Jimmy D Gentry, II | Internal Medicine | 911 Bypass Rd # Clinic8, Pikeville, KY 41501-1689 | 2013-04-22 |
Find all providers in PIKEVILLE |
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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.