JEREMY CLARK SCREWS (NPI# 1376744151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376744151 |
| Entity Type | Individual |
| Full Name | JEREMY CLARK SCREWS |
| Credential | M.D. |
| Practice Address |
910 Blackford St Chattanooga TN 37403-1405 |
| Mailing Address |
Po Box 11503 Chattanooga TN 37401-2503 |
| Practice Telephone | 4237786575 |
| Practice Fax Number | 4237784231 |
| Mailing Telephone | 4237786575 |
| Mailing Fax Number | 4237784231 |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2012-04-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
37992 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
910 BLACKFORD ST |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37403-1405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629070651 | David M Suhrbier | Psychiatry & Neurology | 910 Blackford St, Chattanooga, TN 37403-1405 | 2005-08-10 |
| 1528667037 | Ian Andrews | Registered Nurse | 910 Blackford St, Chattanooga, TN 37403-1405 | 2020-10-26 |
| 1407476518 | Tanner Douglas Cabbage | Student in an Organized Health Care Education/Training Program | 910 Blackford St, Chattanooga, TN 37403-1405 | 2020-04-18 |
| 1093334302 | Nikita Patil | Student in an Organized Health Care Education/Training Program | 910 Blackford St, Chattanooga, TN 37403-1405 | 2020-04-16 |
| 1851910269 | Daniel Mathis | Student in an Organized Health Care Education/Training Program | 910 Blackford St, Chattanooga, TN 37403-1405 | 2020-04-15 |
| 1295354538 | David Anthony Sheron II | Student in an Organized Health Care Education/Training Program | 910 Blackford St, Chattanooga, TN 37403-1405 | 2020-04-15 |
| 1821627076 | Merla Johanna Hubler | Student in an Organized Health Care Education/Training Program | 910 Blackford St, Chattanooga, TN 37403-1405 | 2020-04-08 |
| 1174142327 | Jenna Mae Dedeker Shoemaker | Student in an Organized Health Care Education/Training Program | 910 Blackford St, Chattanooga, TN 37403-1405 | 2020-04-08 |
| 1417586694 | Kathleen Richey Demars | Student in an Organized Health Care Education/Training Program | 910 Blackford St, Chattanooga, TN 37403-1405 | 2020-04-08 |
| 1417586629 | Joshua Bland | Student in an Organized Health Care Education/Training Program | 910 Blackford St, Chattanooga, TN 37403-1405 | 2020-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033771332 | Jaimie Mills | Specialist/Technologist | 103 Metropolitan Building, Chattanooga, TN 37403 | 2019-07-08 |
| 1972092849 | Joshua Dale Gebhardt | Marriage & Family Therapist | 1024 East M L King Blvd, Chattanooga, TN 37403 | 2018-05-07 |
| 1528580750 | Klifford Hawkins | Physical Therapist | 1100 E 3rd St Ste G103, Chattanooga, TN 37403 | 2017-07-10 |
| 1861921470 | Jonathan Everett Burden | Student in an Organized Health Care Education/Training Program | 960 E 3rd St Ste 104, Chattanooga, TN 37403 | 2017-06-07 |
| 1992167092 | Majel Victoria Purvis Miles | Student in an Organized Health Care Education/Training Program | 979 E 3rd St Ste 401, Chattanooga, TN 37403 | 2016-03-28 |
| 1972942902 | Danielle Nessly | Nurse Practitioner | 730 East 11th Street, Chattanooga, TN 37403 | 2013-06-24 |
| 1023453271 | Nathan Claydon | Internal Medicine | 960 East 3rd St, Suite 104, Chattanooga, TN 37403 | 2013-05-01 |
| 1336482603 | Veronica Patterson Zachry | Student in an Organized Health Care Education/Training Program | 975 E. 3rd Street, Chattanooga, TN 37403 | 2013-04-04 |
| 1639420417 | Ctr. for Individual & Family Effectiveness | Community/Behavioral Health | 310 E. 8th St., Ste. C, Chattanooga, TN 37403 | 2012-09-20 |
| 1063773521 | Shelley L Murphy | Emergency Medicine | 1018 Blackford Street, Chattanooga, TN 37403 | 2012-05-31 |
| Find all providers in zip 37403 | ||||
| Taxonomy Code | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174750517 | Fernando Jose Windemuller | Pediatrics | 910 Blackford St, Chattanooga, TN 37403-1405 | 2009-06-12 |
| 1063446268 | Drago Tolosa | Pediatrics | 910 Blackford St, Chattanooga, TN 37403-1405 | 2006-07-11 |
| 1891728432 | Douglas L. Laman | Pediatrics | 910 Blackford St, Chattanooga, TN 37403-1405 | 2006-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477811834 | Christiana Jahnae Bernal | Pediatrics | 2200 Childrens Way # 10233, Nashville, TN 37232-1231 | 2012-04-23 |
| 1699080994 | Einar Thor Hafberg | Pediatrics | 2200 Childrens Way # 10109, Nashville, TN 37232-0005 | 2010-08-11 |
| 1174758296 | Alexandra Concetta Natale Russell | Pediatrics | 2200 Childrens Way # Way10, Nashville, TN 37232-5100 | 2009-05-19 |
| 1093959181 | Chad Alan Thornhill | Pediatrics | 2100 W Clinch Ave Ste 510, Knoxville, TN 37916-2225 | 2009-04-21 |
| 1811044761 | Kelly Thomsen | Pediatrics | 9214 Doctors Office Tower, 2200 Children's Way, Nashville, TN 37232-0001 | 2007-01-04 |
| 1699707638 | John R Whitworth | Pediatrics | 806 Estate Pl, Memphis, TN 38120-0600 | 2006-07-07 |
| 1326012758 | David E Devoid | Pediatrics | 2100 West Clinch Ave Suite 510, Knoxville, TN 37916 | 2006-02-14 |
| 1215392030 | Gi for Kids, Pllc | Pediatrics | 2100 W Clinch Ave, Ste 510, Knoxville, TN 37916-2219 | 2015-12-21 |
| 1801201801 | Lybil Briscia Mendoza Alvarez | Pediatrics | 51 N Dunlap St, Memphis, TN 38105-4625 | 2014-06-27 |
| 1174964803 | Ligia Maria Alfaro Cruz | Pediatrics | 325 N State of Franklin Rd, Johnson City, TN 37604 | 2013-07-10 |
| Find all providers with the same taxonomy | ||||
| City | CHATTANOOGA |
| Zip Code | 37403 |
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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.