EAST TENNESSEE GASTROENTEROLOGY, PLLC (NPI# 1326370784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326370784 |
| Entity Type | Organization |
| Organization Name | EAST TENNESSEE GASTROENTEROLOGY, PLLC |
| Practice Address |
2404 Chambliss Ave Nw Cleveland TN 37311-3848 |
| Practice Telephone | 4233392000 |
| Mailing Telephone | 4233392000 |
| Mailing Fax Number | 4233392043 |
| Enumeration Date | 2010-02-09 |
| Last Update Date | 2013-04-01 |
| Authorized Official Name | DR. GEORGE SAMUEL (PRESIDENT) |
| Authorized Official Telephone | 4233392000 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
2102 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
2404 CHAMBLISS AVE NW |
| City | CLEVELAND |
| State | TN |
| Zip Code | 37311-3848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649629049 | Samantha Logan Spinks | Nurse Practitioner | 2404 Chambliss Ave Nw, Cleveland, TN 37311-3848 | 2016-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114433570 | Kirstee Williams | Counselor | 1120 North Ocoee Street, Lee University, Cleveland, TN 37311 | 2017-12-21 |
| 1285070458 | Scott Daniel Pugh | Counselor | 183 1st St Ne, Cleveland, TN 37311 | 2013-05-15 |
| 1407299191 | Bess E Howard | Nurse Practitioner | 2449 Spring Creek Blvd, Ne, Cleveland, TN 37311 | 2013-04-11 |
| 1588913925 | Thomas C Reese | Hearing Instrument Specialist | 60 25th Street Ne, Suite 5, Cleveland, TN 37311 | 2012-08-30 |
| 1932484607 | Southeast Tn Human Resource Agency | Non-emergency Medical Transport (VAN) | 165 Edwards Street Se, Cleveland, TN 37311 | 2011-10-13 |
| 1588956106 | Lee M Radford | Orthopaedic Surgery | 2350 N Ocoee Street, Cleveland, TN 37311 | 2011-05-16 |
| 1124251913 | Mcfarland Group Inc. | Durable Medical Equipment & Medical Supplies | 1300 25th St Nw # 104, Cleveland, TN 37311 | 2009-08-27 |
| 1952554834 | Bradley Cleveland Services Inc | Counselor | 2611 Bower Lane, Cleveland, TN 37311 | 2008-10-23 |
| 1851543151 | Bradley Cleveland Services, Inc | Counselor | 2601 Bower Lane Se, Cleveland, TN 37311 | 2008-10-17 |
| 1306098082 | Kidney Center of Cleveland, LLC | Clinic/Center | 2253 Chambliss Avenue, Cleveland, TN 37311 | 2008-10-14 |
| Find all providers in zip 37311 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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 |
|---|---|---|---|---|
| 1982099370 | Michael Kurin | Internal Medicine | 11100 Euclid Ave Ste 247, Cleveland, OH 44106-1716 | 2015-04-02 |
| 1295027878 | Andrew Blum | Internal Medicine | 10701 East Blvd # 1e-242e, Cleveland, OH 44106-1702 | 2011-05-13 |
| 1851508196 | Katarina Brenkusova Greer | Internal Medicine | 11100 Euclid Ave # Wrn5066, Cleveland, OH 44106-1716 | 2007-05-17 |
| 1396844684 | James R. Brown | Internal Medicine | 6001 Woodland Ave, Cleveland, OH 44104-2762 | 2006-09-22 |
| 1588630891 | Larry D Shuster | Internal Medicine | 1060 Peerless Xing Nw Ste 200, Cleveland, TN 37312-3785 | 2006-02-27 |
| 1154304574 | William F Buchner, Jr. | Internal Medicine | 2415 Chambliss Ave Nw, Cleveland, TN 37311-3882 | 2005-11-21 |
| 1598755464 | Mazen Issa | Internal Medicine | 7255 Old Oak Blvd Ste C412, Cleveland, OH 44130-3331 | 2005-10-24 |
| 1114915337 | Christine Y Lee | Internal Medicine | 9500 Euclid Avenue, Cleveland, OH 44195 | 2005-10-11 |
| 1417503582 | Sara El Ouali | Internal Medicine | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2019-08-14 |
| 1619339470 | Daniel Karb | Internal Medicine | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2016-03-22 |
| Find all providers in CLEVELAND | ||||
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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.