DR. DOUGLAS WISTER LIGON (NPI# 1376579730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376579730 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS WISTER LIGON |
| Credential | M.D. |
| Practice Address |
4895 East Main St Ste A Erin TN 37061 |
| Mailing Address |
Po Box 268 Erin TN 37061-0268 |
| Practice Telephone | 9312892929 |
| Practice Fax Number | 9312892930 |
| Mailing Telephone | 9312892929 |
| Mailing Fax Number | 9312892930 |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2017-01-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
MD6383 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | MEDICAL LICENSE NUMBER | MD0000006383 | 01 |
| TN | 3148023 | 05 | |
| TN | RAILROAD MEDICARE | P00282547 | 01 |
| TN | BCBS/TENNCARE SELECT | 4113788 | 01 |
| TN | TAX IDENTIFACTION | 810676663 | 01 |
| Street Address |
4895 EAST MAIN ST STE A |
| City | ERIN |
| State | TN |
| Zip Code | 37061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528185428 | Erin Family Medicine, Pllc | Family Medicine | 4895 East Main St, Suite C, Erin, TN 37061 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366717985 | Traylor Family Health,llc | Nurse Practitioner | 5923 East Main Street, Erin, TN 37061 | 2012-03-14 |
| 1396964862 | Ginger C. Lyle | Registered Nurse | 45 East Court Square, Erin, TN 37061 | 2007-04-24 |
| 1427173210 | Houston County Ems | Ambulance | 3515 West Main Street, Erin, TN 37061 | 2007-03-20 |
| 1467582064 | Richard Allen Ramsey | Pharmacist | Spring & Front Street, Erin, TN 37061 | 2007-03-06 |
| 1386787315 | Mitchum Drug Company Inc | Pharmacy | Spring & Front Sts, Erin, TN 37061 | 2007-02-15 |
| 1013062108 | John L Stanton Md | Durable Medical Equipment & Medical Supplies | 307 E Main Street, Suite A, Erin, TN 37061 | 2007-01-25 |
| 1689729105 | Carlisle Webb Mitchum IIi | Pharmacist | 18 Spring St, Erin, TN 37061 | 2007-01-24 |
| 1912017435 | Ericka K Fuller | Nurse Practitioner | 4891 East Main St, Erin, TN 37061 | 2006-08-30 |
| 1437177045 | James William Branson | Surgery | 4895 East Main St., Erin, TN 37061 | 2006-07-18 |
| 1295769552 | Hilcrest Clinic, PC | Clinic/Center | 4891 East Main Street, Erin, TN 37061 | 2006-07-10 |
| Find all providers in zip 37061 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992182224 | Steven T. Haywood | Emergency Medicine | 1120 Skyline Dr, Johnson City, TN 37604-3779 | 2015-05-06 |
| 1003173923 | Harold Earl Smith | Emergency Medicine | 2277 Stewarts Ferry Pike, Hermitage, TN 37076-3902 | 2012-04-17 |
| 1942538459 | Michael Alan Dorrity | Emergency Medicine | 2952 Gardens Way, Memphis, TN 38111-2647 | 2009-11-20 |
| 1730322389 | James Robert Davenport | Emergency Medicine | 209 Light Hall, Nashville, TN 37212 | 2009-04-13 |
| 1598938060 | William John Heerman | Emergency Medicine | Vanderbilt Medical Center 1215 21st Ave S, 7th Floor, Mce, Suite 2, North Tower, Nashville, TN 37232-0001 | 2008-04-07 |
| 1669556148 | Adejoke Foluke Aina-babalola | Emergency Medicine | 6716 Nolensville Pike, Suite 240, Brentwood, TN 37027-8805 | 2006-10-24 |
| 1003912148 | Richard W. Babin | Emergency Medicine | 506 S Yates Rd, Memphis, TN 38120-2436 | 2006-09-16 |
| 1679502314 | Meifung Kerley | Emergency Medicine | Lamont Street, Mountain Home, TN 37684 | 2006-07-03 |
| 1518912195 | Ralf Joffe | Emergency Medicine | 522 Treyburn Dr, Knoxville, TN 37934-0899 | 2006-05-23 |
| 1598727380 | David D. Buckman | Emergency Medicine | 2320 Wilma Rudolph Blvd., Clarksville, TN 37040-8960 | 2006-04-05 |
| 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.