EMERGENCY PHYSICIANS OF MONTGOMERY COUNTY, PLLC (NPI# 1336166388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336166388 |
| Entity Type | Organization |
| Organization Name | EMERGENCY PHYSICIANS OF MONTGOMERY COUNTY, PLLC |
| Practice Address |
651 Dunlop Ln Clarksville TN 37040-5015 |
| Mailing Address |
840 Crescent Centre Dr Ste 140 Franklin TN 37067-4688 |
| Practice Telephone | 9315021370 |
| Mailing Telephone | 6152690652 |
| Mailing Fax Number | 6152690135 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2016-06-23 |
| Authorized Official Name | HAROLD W DUKE III (OWNER) |
| Authorized Official Telephone | 6152690652 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3734849 | 05 |
| Street Address |
651 DUNLOP LN |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37040-5015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821098690 | Dale P Cunningham | Physical Medicine & Rehabilitation | 651 Dunlop Ln, Clarksville, TN 37040-5015 | 2005-07-22 |
| 1487253183 | Carlyn Alexandra Owens | Physician Assistant | 651 Dunlop Ln, Clarksville, TN 37040-5015 | 2020-10-22 |
| 1427671718 | Clarksville Health System Gp | Medicare Defined Swing Bed Unit | 651 Dunlop Ln, Clarksville, TN 37040-5015 | 2020-05-21 |
| 1063041010 | Caitlynn Richole Laster | Dietitian, Registered | 651 Dunlop Ln, Clarksville, TN 37040-5015 | 2020-04-02 |
| 1457994402 | Caroline Elizabeth Chadwell | Physician Assistant | 651 Dunlop Ln, Clarksville, TN 37040-5015 | 2019-10-22 |
| 1215578976 | Brian Ronald Song | Physician Assistant | 651 Dunlop Ln, Clarksville, TN 37040-5015 | 2019-10-03 |
| 1942768866 | Sabrina Patrise Poydras | Nurse Practitioner | 651 Dunlop Ln, Clarksville, TN 37040-5015 | 2019-03-10 |
| 1790274850 | Cedar Ridge Critical Care Medical Group PC | Physician Assistant | 651 Dunlop Ln, Clarksville, TN 37040-5015 | 2018-05-04 |
| 1780181263 | Allison Bledsoe | Nurse Practitioner | 651 Dunlop Ln, Clarksville, TN 37040-5015 | 2018-04-10 |
| 1528579604 | Valley Emergency Physicians Tennessee PC | Nurse Practitioner | 651 Dunlop Ln, Clarksville, TN 37040-5015 | 2017-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770124380 | Clarksville Treatment Center, LLC | Clinic/Center | 495 Dunlop Lane, Clarksville, TN 37040 | 2019-10-04 |
| 1295384956 | Dena Marie Borchick | Technician | 3779 Cindy Jo Dr. N, Clarksville, TN 37040 | 2019-09-05 |
| 1477014488 | Emily Allen | Dentist | 930 Hwy 76, Clarksville, TN 37040 | 2019-03-31 |
| 1730640566 | Latoya Ewert | Counselor | Centerstone Clarksville Harriet Cohn Center, 511 8th Street, Clarksville, TN 37040 | 2019-03-26 |
| 1356811988 | Jamie Coles | Behavior Technician | 851 Professional Park Drive 851 Profesiional Park Drive, Clarksville, TN 37040 | 2018-11-27 |
| 1518448554 | Bandel Counseling Service | Clinic/Center | 113 3rd St., Suite 25, Clarksville, TN 37040 | 2018-08-28 |
| 1477052520 | Bridget Stokes | Behavior Technician | 2277 Wilma Rudolph Blvd., Suite C #259, Clarksville, TN 37040 | 2018-02-05 |
| 1053824334 | Sandra Loren Coates | Nurse Practitioner | 980 Professional Park Dr Ste C, Clarksville, TN 37040 | 2017-11-09 |
| 1902328362 | Terri Brooke Roach | Registered Nurse | 651 Dunlop Lane, Clarksville, TN 37040 | 2017-07-07 |
| 1093244428 | Nikkia Deneil Bell | Behavior Technician | 139 E. Old Trenton Rd, Suite B, Clarksville, TN 37040 | 2017-06-08 |
| Find all providers in zip 37040 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578728002 | Simon Martin Spilkin | Emergency Medicine | 1492 Tiny Town Rd, Suite A1&a2, Clarksville, TN 37042-7873 | 2008-07-24 |
| 1144417528 | Ameet Sharad Parikh | Emergency Medicine | 12313 Daniel Circle Ln, Clarksville, MD 21029-1197 | 2007-09-28 |
| 1003993213 | Kaiser Ahmad, Pa | Emergency Medicine | 6404 Western Star Run, Clarksville, MD 21029-1247 | 2006-11-01 |
| 1760599575 | Syed Ahmed Naseeruddin | Emergency Medicine | 137 Village Way, Clarksville, TN 37043-5458 | 2006-08-25 |
| 1346277324 | Jackie L Hinds | Emergency Medicine | 651 Dunlop Ln., Gateway Med Center, Clarksville, TN 37040-5015 | 2006-06-27 |
| 1841239647 | Gregory Laurent Conner | Emergency Medicine | 2191 Memorial Dr, Aptartment G95, Clarksville, TN 37043-4797 | 2006-06-06 |
| 1174570014 | Mark A Muiznieks | Emergency Medicine | 651 Dunlop Lane Clarksville, Clarksville, TN 37040-5015 | 2006-05-27 |
| 1568446268 | Henry Shipley Hewes | Emergency Medicine | 720 County Road 3100, Clarksville, TX 75426-6612 | 2005-12-06 |
| 1194259630 | Logan Snyder I | Emergency Medicine | 651 Dunlop Ln, Clarksville, TN 37040-5015 | 2017-04-11 |
| 1609259753 | East Arkansas Emergency Physicians, Pllc | Emergency Medicine | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2015-07-08 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 37040 |
Please comment or provide details below to improve the information on EMERGENCY PHYSICIANS OF MONTGOMERY COUNTY, PLLC.
| 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.