SEQUATCHIE VALLEY UROLOGY LLC (NPI# 1427134147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427134147 |
| Entity Type | Organization |
| Organization Name | SEQUATCHIE VALLEY UROLOGY LLC |
| Practice Address |
1000 Highway 28 Jasper TN 37347-3638 |
| Practice Telephone | 4238379500 |
| Practice Fax Number | 4238373333 |
| Mailing Telephone | 4238379500 |
| Mailing Fax Number | 4238373333 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DANIEL C ARANDA (ADMINISTRATOR) |
| Authorized Official Telephone | 4238373334 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Street Address |
1000 HIGHWAY 28 |
| City | JASPER |
| State | TN |
| Zip Code | 37347-3638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528054293 | Marshall Ray Willis | Radiology | 1000 Highway 28, Grandview Medical Center, Jasper, TN 37347-3638 | 2005-09-27 |
| 1396222154 | Frances Elizabeth Jones | Counselor | 1000 Highway 28, Jasper, TN 37347-3638 | 2018-07-25 |
| 1013380500 | Red Spruce Emergency Physicians, Pplc | Physician Assistant | 1000 Highway 28, Jasper, TN 37347-3638 | 2015-11-05 |
| 1255704037 | Salient Emergency Physicians, Pllc | Physician Assistant | 1000 Highway 28, Jasper, TN 37347-3638 | 2015-11-03 |
| 1710399332 | Pelican Inpatient Services Pllc | Internal Medicine | 1000 Highway 28, Jasper, TN 37347-3638 | 2014-06-02 |
| 1104246040 | Hospital Based Medical Services of Tennessee-i PC | Physician Assistant | 1000 Highway 28, Jasper, TN 37347-3638 | 2014-04-18 |
| 1841610755 | Heron Emergency Physicians Pllc | Emergency Medicine | 1000 Highway 28, Jasper, TN 37347-3638 | 2014-04-17 |
| 1174951271 | Valley Medical Imaging | Radiology | 1000 Highway 28, Jasper, TN 37347-3638 | 2013-10-29 |
| 1679836613 | Eric Lee Hitch | Pharmacist | 1000 Highway 28, Jasper, TN 37347-3638 | 2012-06-22 |
| 1639472855 | S P Acquisition Center | Ambulance | 1000 Highway 28, Jasper, TN 37347-3638 | 2010-12-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629518626 | Mary Elisabeth Jordan | Clinical Nurse Specialist | 4665 Main St Suite 2, Jasper, TN 37347 | 2017-02-24 |
| 1336569359 | Kevin Stevens | Emergency Medicine | 1000 Tn-28, Jasper, TN 37347 | 2014-04-17 |
| 1487801924 | Valley Imaging Partners, P.C. | Radiology | 1000 Hwy 28, Jasper, TN 37347 | 2008-08-27 |
| 1053494708 | Elizabeth Rodgers | Nurse Practitioner | 215 Hickman Road, Jasper, TN 37347 | 2006-10-23 |
| 1386726875 | Wal-mart Stores East, Lp | Technician/Technologist | 525 Kimball Crossing, Kimball, TN 37347 | 2006-10-20 |
| 1427033307 | Karim D Hasnani | Dentist | 507 Betsy Pack Dr Suite B, Jasper, TN 37347 | 2005-12-13 |
| 1932184017 | Craig John Cott | Psychiatry & Neurology | 215 Hickman Rd, Jasper, TN 37347 | 2005-12-12 |
| 1104817774 | Karin B Boeck | Family Medicine | 24 Mountain View Drive, Suite A, Kimball, TN 37347 | 2005-11-02 |
| 1508344227 | Faith Hannah Williams | Registered Nurse | 1000 Tn-28, Jasper, TN 37347 | 2018-08-03 |
| 1861752578 | Jana Marlow | Social Worker | 215 Hickman Rd, Jasper, TN 37347 | 2012-05-29 |
| Find all providers in zip 37347 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821353814 | Little Company of Mary Hospital of Indiana Inc | Urology | 600 W 13th Street, Suite 105, Jasper, IN 47546-1882 | 2012-07-06 |
| 1811187420 | Kristopher Harper Gunn | Urology | 600 W 13th St, Suite 105, Jasper, IN 47546-1881 | 2007-07-30 |
| 1902951312 | Urology Specialists PC | Urology | 1950 St Charles Street, Suite 3, Jasper, IN 47546 | 2007-01-24 |
| 1639281595 | Peter Strom Selikoff | Urology | 6610 Curry Hwy, Jasper, AL 35503-5664 | 2006-08-31 |
| 1811940679 | Alan Clayton Mccool | Urology | 3400 Highway 78 E Ste 412, Jasper, AL 35501-8952 | 2006-05-19 |
| 1457506172 | Bhc-jasper Urology Associates | Urology | 3400 Highway 78 E, Suite 412, Jasper, AL 35501-8907 | 2008-11-21 |
| 1235354424 | Georgia Urology Pa | Urology | 220 J L White Dr, Suite 160, Jasper, GA 30143-4893 | 2007-04-15 |
| 1417051590 | Joel A Rosenfeld | Urology | 220 J L White Dr, Suite 160, Jasper, GA 30143-4893 | 2006-09-11 |
| 1235241100 | James Owen Moon | Urology | 3400 Highway 78 E, 412 Medical Arts Tower, Jasper, AL 35501-8907 | 2006-08-31 |
| 1376589499 | Richard Lawrence Levine | Urology | 980 Highway 28, Suite 201, Jasper, TN 37347-3695 | 2006-06-20 |
| Find all providers in JASPER | ||||
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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.