ANDREW BLYTHE


Address: 2410 Susannah St, Johnson City, TN 37601-1748
Phone: 4232829011

ANDREW BLYTHE (NPI# 1336786383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336786383
Entity Type Individual
Full Name ANDREW BLYTHE
Credential PA-C
Practice Address 2410 Susannah St
Johnson City
TN 37601-1748
Practice Telephone 4232829011
Mailing Telephone 4232829011
Enumeration Date 2019-12-09
Last Update Date 2020-01-30
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TN MEDICAL LICENSE 3961 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
340 Steeles Rd, Bristol, TN 37620 4232829011
875 Larry Neil Way, Kingsport, TN 376606368 4232829011

Office Location

Street Address 2410 SUSANNAH ST
City JOHNSON CITY
State TN
Zip Code 37601-1748

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346223948 Joseph R Hurst Orthopaedic Surgery 2410 Susannah St, Johnson City, TN 37601-1748 2005-11-28
1760098669 Justin Alan Sylvester Physical Therapy Assistant 2410 Susannah St, Johnson City, TN 37601-1748 2020-09-17
1316562549 Frankie Tidwell Nurse Practitioner 2410 Susannah St, Johnson City, TN 37601-1748 2020-06-12
1861025744 Jalen Bridwell Physical Therapist 2410 Susannah St, Johnson City, TN 37601-1748 2020-02-19
1659921294 Emilee Grace Dishner Physician Assistant 2410 Susannah St, Johnson City, TN 37601-1748 2019-09-16
1154889285 Taylor N Harmon Physical Therapist 2410 Susannah St, Johnson City, TN 37601-1748 2019-03-07
1407329246 Mariah M Wagner Physician Assistant 2410 Susannah St, Johnson City, TN 37601-1748 2019-01-04
1497237416 Micah A Mcfaddin Physician Assistant 2410 Susannah St, Johnson City, TN 37601-1748 2018-09-06
1245720382 Stephanie Lynn Owen Specialist/Technologist 2410 Susannah St, Johnson City, TN 37601-1748 2018-05-15
1437565074 Alan J Aiken Orthopaedic Surgery 2410 Susannah St, Johnson City, TN 37601-1748 2014-07-03
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396381992 Juan Carlos Simon Villegas Gomez Specialist/Technologist 1081 John Robert Bell Dr, Johnson City, TN 37601 2019-11-19
1629537279 Jaima Suzanne Price Hearing Instrument Specialist 106 E Watauga Avenue, Johnson City, TN 37601 2019-03-13
1275004467 Brittany Howell Speech-Language Pathologist 2114 E. Fairview Ave, Johnson City, TN 37601 2018-12-16
1194229948 Heather Chantel Lester Physical Therapist 2114 E. Fairview Avenue, Johnson City, TN 37601 2018-03-19
1477061869 Patrick Conway Reynolds Specialist/Technologist 1081 John Robert Bell Drive, Johnson City, TN 37601 2018-01-19
1790201135 Surgical Services of East Tennessee PC Surgery 300 East Main St., Suite 301, Johnson City, TN 37601 2017-08-17
1073065694 Davina Leah Reppond Home Health 1204 E Myrtle Ave, Johnsoncity, TN 37601 2016-10-31
1003365503 Wendi Y Minutolo Behavioral Analyst 403 Princeton Rd Ste 3, Johnson City, TN 37601 2016-09-25
1306208798 Rachel Anne Anderson Nurse Practitioner 1118 East Holston Avenue, Johnson City, TN 37601 2016-03-24
1932560976 Kaydee Louise Davidson Occupational Therapist 3209 Bristol Highway, Johnson City, TN 37601 2016-03-18
Find all providers in zip 37601

Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558987446 Caleb Stephens Physician Assistant 310 N State of Franklin Rd Ste 101, Johnson City, TN 37604-6063 2020-06-17
1174932107 Stephen Steffey Physician Assistant 408 N State of Franklin Rd Ste 31, Johnson City, TN 37604-6088 2014-08-04
1639127327 Tracy Lynn Gaudu Physician Assistant 701 Med Tech Parkway, Suite 300, Johnson City, TN 37604-2365 2006-05-04
1164408712 Christopher Devon Williamson Physician Assistant 30 Harrison St Ste 460, Johnson City, NY 13790 2005-12-15
1851398176 Christopher Michael Hendrix Physician Assistant 300 Wesley St, Johnson City, TN 37601-1722 2005-07-01
1275175234 Sara Marie Pifer Physician Assistant 701 Med Tech Pkwy Ste 300, Johnson City, TN 37604-2365 2019-10-11
1821493263 Oana Stingu Physician Assistant 46 Harrison St, Johnson City, NY 13790-2120 2014-10-28
1588834360 Rickey Allen Ramsey Physician Assistant 2410 Susannah St, Johnson City, TN 37601-1765 2008-03-07
1366452914 East Tennessee Brain & Spine Center, PC Physician Assistant 701 Med Tech Pkwy, Suite 300, Johnson City, TN 37604-2365 2006-08-08
1679526669 Christian D. Tvetenstrand Md, Pllc Physician Assistant 30 Harrison St, Suite 320, Johnson City, NY 13790-2161 2006-05-18
Find all providers in JOHNSON CITY

Competitor

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City JOHNSON CITY
Zip Code 37601

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Dataset Information

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.

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