ANDREW BLYTHE (NPI# 1336786383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | MEDICAL LICENSE | 3961 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
340 Steeles Rd, Bristol, TN 37620 | 4232829011 | |
875 Larry Neil Way, Kingsport, TN 376606368 | 4232829011 |
Street Address |
2410 SUSANNAH ST |
City | JOHNSON CITY |
State | TN |
Zip Code | 37601-1748 |
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 |
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 Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
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 |
City | JOHNSON CITY |
Zip Code | 37601 |
Please comment or provide details below to improve the information on ANDREW BLYTHE.
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.