HEALTH AND ANCILLARY SERVICES LLC (NPI# 1437702834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437702834 |
| Entity Type | Organization |
| Organization Name | HEALTH AND ANCILLARY SERVICES LLC |
| Practice Address |
1059 Neal St Cookeville TN 38501-0946 |
| Mailing Address |
74 Lebanon Hwy Carthage TN 37030-2954 |
| Practice Telephone | 9314007246 |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2019-07-24 |
| Authorized Official Name | KATHRYN DUBRAY (ADMINISTRATOR) |
| Authorized Official Telephone | 6157677726 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Perimeter Primary | Doing Business As Name - Organization |
| Street Address |
1059 NEAL ST |
| City | COOKEVILLE |
| State | TN |
| Zip Code | 38501-0946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669437901 | Dennis L. Cosgrove | Optometrist | 1059 Neal St, Cookeville, TN 38501-0906 | 2006-04-19 |
| 1861042897 | Upper Cumberland Laboratory, LLC | Clinical Medical Laboratory | 1059 Neal St, Cookeville, TN 38501-0946 | 2019-09-11 |
| 1649825829 | Lakita Mae Ramsey | Nurse Practitioner | 1059 Neal St, Cookeville, TN 38501-0946 | 2019-08-05 |
| 1205488178 | Healthcare Resource Management | Clinic/Center | 1059 Neal St, Cookeville, TN 38501-0946 | 2019-07-11 |
| 1316236367 | Genesis Anesthesia Services, Pllc | Nurse Anesthetist, Certified Registered | 1059 Neal St, Suite B, Cookeville, TN 38501-0946 | 2011-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596711 | Results-ast Jv, LLC | Physical Therapist | 627 James Campbell Blvd, South, Suite B, Columbia, TN 38501 | 2020-10-21 |
| 1376167080 | Melinda Jane Jetter | Registered Nurse | 320 North Willow Avenue, Cookeville, TN 38501 | 2020-05-29 |
| 1366950875 | Tara Beth Smith | Occupational Therapist | 315 N Washington Ave Ste 240, Cookeville, TN 38501 | 2018-01-18 |
| 1669990339 | Tonya Rachelle Perry | Counselor | 13 South Jefferson Ave, Cookeville, TN 38501 | 2017-09-01 |
| 1659896207 | Dustin Chase Rich | Physical Therapist | 105 S. Willow Ave, #100, Cookeville, TN 38501 | 2017-08-04 |
| 1487009668 | Holly Young | Physical Therapist | 315 North Washungton Ave., Suite 240, Cookeville, TN 38501 | 2016-04-26 |
| 1194190306 | Johnna Sprague | Nurse Practitioner | 620 S. Jefferson Ave, Suite 202, Cookeville, TN 38501 | 2015-12-14 |
| 1881099885 | Carlos Alberto Podesta | Internal Medicine | 238 W 4th St Ste 200, Cookeville, TN 38501 | 2014-11-03 |
| 1124445002 | Shashank Sarvepalli | Internal Medicine | 1 Medical Center Blvd Ste D, Cookeville, TN 38501 | 2014-03-27 |
| 1689095762 | Kendra Hicks | Licensed Practical Nurse | 701 County Services Drive, Cookeville, TN 38501 | 2013-12-17 |
| Find all providers in zip 38501 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356682819 | James Lanier Jr. | Family Medicine | 1041 Sugartree Pt, Cookeville, TN 38501-4535 | 2013-03-08 |
| 1417155292 | Tabor Family Medicine Pllc | Family Medicine | 406 N Whitney Ave Ste 3, Cookeville, TN 38501-2455 | 2007-07-03 |
| 1134339278 | Hunter A Stenzel | Family Medicine | 1080 Neal St Ste 103, Cookeville, TN 38501 | 2007-05-23 |
| 1508989450 | Brent Davis Staton | Family Medicine | 1135 S Walnut Ave, Cookeville, TN 38501-5961 | 2007-04-07 |
| 1306976352 | Clarence L Jones Md PC | Family Medicine | 222 N Oak Ave, Cookeville, TN 38501-2438 | 2007-03-07 |
| 1043376544 | Kenny W. Lynn, M.d. | Family Medicine | 210 N Cedar Ave, Cookeville, TN 38501-2419 | 2006-12-29 |
| 1821107574 | James G Staggs | Family Medicine | 753b Humble Dr, Cookeville, TN 38501-3777 | 2006-08-29 |
| 1891719274 | Harold A Chertok | Family Medicine | 445 N Cedar Ave, Cookeville, TN 38501-2422 | 2006-07-27 |
| 1295706356 | Pamela J Sanders | Family Medicine | 43 Church Ave, Cookeville, TN 38501-3217 | 2006-01-27 |
| 1588645196 | Pardeep K Sharma | Family Medicine | 221 N Oak Ave, Cookeville, TN 38501-2437 | 2005-11-10 |
| Find all providers in COOKEVILLE | ||||
| City | COOKEVILLE |
| Zip Code | 38501 |
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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.