JOE DICK MOBLEY JR. (NPI# 1316931462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316931462 |
| Entity Type | Individual |
| Full Name | JOE DICK MOBLEY JR. |
| Credential | MD |
| Practice Address |
1002 Cornerstone Dr Ste A Paris TN 38242-5812 |
| Practice Telephone | 7316428884 |
| Practice Fax Number | 7316428865 |
| Mailing Telephone | 7316428884 |
| Mailing Fax Number | 7316428865 |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2015-03-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | MD0000011608 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3701995 | 05 | |
| TN | RAILROAD MEDICARE | 340000578 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356597983 | Joe Dick Mobley IIi | Specialist | 1002 Cornerstone Dr., Suite A, Paris, TN 38242 | 2008-08-14 |
| Street Address |
1002 CORNERSTONE DR STE A |
| City | PARIS |
| State | TN |
| Zip Code | 38242-5812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033102397 | Kentucky Lake Surgery Center LLC | Clinic/Center | 1002 Cornerstone Dr, Suite B, Paris, TN 38242-5812 | 2005-08-23 |
| 1154439891 | Tamara M Robertson | Nurse Practitioner | 1002 Cornerstone Dr, Suite A, Paris, TN 38242 | 2006-08-25 |
| 1528025574 | Kentucky Lake Urology Clinic | Urology | 1002 Cornerstone Dr, Ste A, Paris, TN 38242 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396374732 | Renee Michelle Girouard | Physician Assistant | 209 B Tyson Ave, Paris, TN 38242 | 2020-04-07 |
| 1255960134 | Alexander P Patrone | Student in an Organized Health Care Education/Training Program | 302b Tyson Ave, Paris, TN 38242 | 2020-04-03 |
| 1457980302 | Aswathy Krishnakumar | Student in an Organized Health Care Education/Training Program | 302b Tyson Avenue, Paris, TN 38242 | 2020-04-03 |
| 1053824052 | Rocky Mountain Holdings, LLC | Ambulance | 1949 Driggs Road, Paris, TN 38242 | 2017-11-13 |
| 1588199152 | Taylor Wilson | Dentist | 3485 Highway 79 N, Paris, TN 38242 | 2017-04-20 |
| 1215472592 | Elizabeth Lane Mcintosh | Behavioral Analyst | 28 Fieldstone Dr, Paris, TN 38242 | 2016-12-22 |
| 1124574959 | Patty Wilson | Counselor | 2555 E. Wood Street, Paris, TN 38242 | 2016-08-31 |
| 1942601539 | Trustworthy Anesthesia Care | Nurse Anesthetist, Certified Registered | 1010 Green Hill Dr, Paris, TN 38242 | 2014-09-15 |
| 1083963946 | West Tennessee Physical Medicine, Pllc | General Practice | 1024 Mineral Wells Avenue, Paris, TN 38242 | 2012-09-06 |
| 1316242514 | Henry Co. Health Dept. | Skilled Nursing Facility | 803 Joy St., Paris, TN 38242 | 2011-01-19 |
| Find all providers in zip 38242 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063642403 | John William Beddies | Urology | 1002 Cornerstone Dr Ste A, Paris, TN 38242-5846 | 2009-07-20 |
| 1336112473 | Donald L Wikoff | Urology | 2915 N Main St, Paris, TX 75460-9360 | 2006-02-09 |
| 1184060881 | Jay David Carpenter | Urology | 2850 Lewis Ln Ste 113, Paris, TX 75460-9378 | 2013-05-21 |
| 1124056619 | Arthur Tijerina | Urology | 811 E Austin St, Paris, TX 75460-7353 | 2006-06-30 |
| 1528025574 | Kentucky Lake Urology Clinic | Urology | 1002 Cornerstone Dr, Ste A, Paris, TN 38242 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396363875 | Connor Forbes | Urology | Vumc Dept Urology, 1161 21st Ave. South, A-1302 Medical Center North, Nashville, TN 37232-2765 | 2020-07-10 |
| 1427528546 | Mark Johnson | Urology | 278 Franklin Rd Ste 150, Brentwood, TN 37027-3265 | 2018-12-01 |
| 1750808580 | Clyde Alexander Kyle | Urology | 448 Kyle Ln Nw, Cleveland, TN 37312-6435 | 2017-08-23 |
| 1316464142 | Urology Associates PC | Urology | 4601 Carothers Pkwy Ste 475, Franklin, TN 37067-5980 | 2017-08-23 |
| 1649796376 | Urology Associates PC | Urology | 502 Northcrest Dr, Springfield, TN 37172-4066 | 2017-08-15 |
| 1932625662 | Urology Associates PC | Urology | 393 Wallace Rd Ste A400, Nashville, TN 37211-4983 | 2017-08-15 |
| 1619493343 | Urology Associates PC | Urology | 5651 Frist Blvd Ste 616, Hermitage, TN 37076-2060 | 2017-08-15 |
| 1881110500 | Urology Associates PC | Urology | 107 Glen Oak Blvd Ste 100, Hendersonville, TN 37075-3161 | 2017-08-15 |
| 1124544853 | Urology Associates PC | Urology | 3443 Dickerson Pike Ste 160, Nashville, TN 37207-2533 | 2017-08-15 |
| 1801310727 | Urology Associates PC | Urology | 1909 Mallory Ln Ste 110, Franklin, TN 37067-8230 | 2017-08-01 |
| Find all providers with the same taxonomy | ||||
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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.