DR. JOHN R BERTUSO (NPI# 1427084342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427084342 |
| Entity Type | Individual |
| Full Name | DR. JOHN R BERTUSO |
| Credential | MD |
| Practice Address |
2050 Meadowview Parkway Kingsport TN 37660-7332 |
| Mailing Address |
105 W Stone Dr Suite 6a Kingsport TN 37660-3365 |
| Practice Telephone | 4232305000 |
| Practice Fax Number | 4232305097 |
| Mailing Telephone | 4234087220 |
| Mailing Fax Number | 4234087405 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2014-12-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
18550 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | UNITED HEALTHCARE | 621112685 | 01 |
| KY | 060013324 | 05 | |
| TN | 3030794 | 05 | |
| VA | 600177 | 05 |
| Street Address |
2050 MEADOWVIEW PARKWAY |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37660-7332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992795066 | Pabitra K Saha | Internal Medicine | 2050 Meadowview Parkway, Kingsport, TN 37660-7332 | 2005-10-28 |
| 1164681607 | Rahul Sakhuja | Internal Medicine | 2050 Meadowview Parkway, Kingsport, TN 37660-7332 | 2008-06-09 |
| 1710098546 | Marc W Mayhew | Internal Medicine | 2050 Meadowview Parkway, Kingsport, TN 37660-7332 | 2006-08-31 |
| 1073539078 | Daniel E Simpson | Internal Medicine | 2050 Meadowview Parkway, Kingsport, TN 37660-7332 | 2006-07-14 |
| 1811920630 | Harrison D Turner | Specialist | 2050 Meadowview Parkway, Kingsport, TN 37660-7332 | 2006-07-07 |
| 1376575035 | Wellmont Cardiology Services | Nurse Practitioner | 2050 Meadowview Parkway, Kingsport, TN 37660-7332 | 2006-07-06 |
| 1790717429 | James J Merrill | Internal Medicine | 2050 Meadowview Parkway, Kingsport, TN 37660-7332 | 2006-07-06 |
| 1730119272 | Gregory K Jones | Internal Medicine | 2050 Meadowview Parkway, Kingsport, TN 37660-7332 | 2006-07-03 |
| 1174552467 | Herbert D Ladley | Internal Medicine | 2050 Meadowview Parkway, Kingsport, TN 37660-7332 | 2006-07-01 |
| 1689600587 | Gerald G Blackwell | Internal Medicine | 2050 Meadowview Parkway, Kingsport, TN 37660-7332 | 2006-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909891 | Nancy Gober | Pharmacist | Holston Valley Medical Center Inpatient Pharmacy, 130 W Ravine, Kingsport, TN 37660 | 2020-07-06 |
| 1700437621 | Tammy Denise Leblanc | Technician | 125 Lancer Rd, Kingsport, TN 37660 | 2019-09-23 |
| 1831743392 | Independent Physical Therapy | Occupational Therapist | 1704 E. Stone Dr. Ste 120, Kingsport, TN 37660 | 2019-08-01 |
| 1871095315 | Macie Anderson | Nurse Practitioner | 411 Clay St, Kingsport, TN 37660 | 2018-03-01 |
| 1053813527 | Pulitzer Orthodontics, LLC | Dentist | 1200 Pulitzer Place, Kingsport, TN 37660 | 2018-03-01 |
| 1174038749 | Sbh-kingsport | Psychiatric Hospital | 1025 Executive Park Blvd, Kingsport, TN 37660 | 2017-12-05 |
| 1548771447 | Sara B Ball | Registered Nurse | 111 W Stone Dr Ste 240, Kingsport, TN 37660 | 2017-10-18 |
| 1821525361 | Ashley Brook Weems | Nurse Practitioner | Six Sheridan Square Suite 100, Kingsport, TN 37660 | 2017-05-15 |
| 1639625643 | Stephanie H Garris | Nurse Practitioner | 117 W Sevier Ave Ste 120, Kingsport, TN 37660 | 2016-08-30 |
| 1073965679 | Teresa Anne Starke | Physician Assistant | 8 Sheridan Square, Suite 110, Kingsport, TN 37660 | 2016-07-07 |
| Find all providers in zip 37660 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992795066 | Pabitra K Saha | Internal Medicine | 2050 Meadowview Parkway, Kingsport, TN 37660-7332 | 2005-10-28 |
| 1912139411 | Judd Thomas Salamat | Internal Medicine | 2050 Meadowview Pkwy, Kingsport, TN 37660-7475 | 2009-08-17 |
| 1407003403 | Mark Aziz | Internal Medicine | 2050 Meadowview Pkwy, Kingsport, TN 37660-7475 | 2008-08-20 |
| 1356553648 | Freddie Maxine Williams | Internal Medicine | 2050 Meadowview Pkwy, Kingsport, TN 37660-7332 | 2007-05-07 |
| 1437245636 | Keith Aaron Kyker | Internal Medicine | 2050 Meadowview Pkwy, Kingsport, TN 37660-7475 | 2006-10-05 |
| 1780780882 | Robert Hughes Mcqueen | Internal Medicine | 2205 Pavilion Dr, Suite 201, Kingsport, TN 37660-4641 | 2006-09-15 |
| 1073539078 | Daniel E Simpson | Internal Medicine | 2050 Meadowview Parkway, Kingsport, TN 37660-7332 | 2006-07-14 |
| 1629002043 | Marc D Counts | Internal Medicine | 2050 Meadowview Pkwy, Kingsport, TN 37660-7475 | 2006-07-10 |
| 1154354033 | Larry T Breeding | Internal Medicine | 2205 Pavilion Dr, Suite 201, Kingsport, TN 37660-4641 | 2006-07-07 |
| 1730119272 | Gregory K Jones | Internal Medicine | 2050 Meadowview Parkway, Kingsport, TN 37660-7332 | 2006-07-03 |
| Find all providers in KINGSPORT | ||||
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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.