MEDICAL EDUCATION ASSISTANCE CORPORATION (NPI# 1518236538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518236538 |
| Entity Type | Organization |
| Organization Name | MEDICAL EDUCATION ASSISTANCE CORPORATION |
| Other Organization Name | PSYCHIATRY DEPT |
| Practice Address |
Lake Dr., Bldg. 52 Mountain Home TN 37684-0699 |
| Mailing Address |
Po Box 2204 Johnson City TN 37605-2204 |
| Practice Telephone | 4234398000 |
| Practice Fax Number | 4234332200 |
| Mailing Telephone | 4234336050 |
| Mailing Fax Number | 4234336060 |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2011-12-20 |
| Authorized Official Name | MR. RUSSELL E LEWIS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4234336050 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| PSYCHIATRY DEPT | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164062659 | Medical Education Assistance Corporation | Speech-Language Pathologist | 2423 Susannah St, Johnson City, TN 37601-1749 | 2020-01-13 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1194146894 | Medical Education Assistance Corporation | Psychiatry & Neurology | 2109 W Market St Ste 140, Johnson City, TN 37604 | 2013-12-23 |
| 1336408996 | Medical Education Assistance Corporation | Clinical Medical Laboratory | 1319 Sunset Dr Ste 103, Johnson City, TN 37604 | 2012-05-16 |
| 1013288810 | Medical Education Assistance Corporation | Family Medicine | 826 Meadow View Rd, Bristol, TN 37620 | 2012-01-25 |
| 1225309891 | Medical Education Assistance Corporation | Pediatrics | 201 E Myrtle Ave, Johnson City, TN 37601 | 2012-01-13 |
| 1750650875 | Medical Education Assistance Corporation | Pediatrics | 252 Sam Jenkins Rd, Attn: Dr. H. Patrick Stern, Gray, TN 37615 | 2011-12-19 |
| 1629346580 | Medical Education Assistance Corporation | Pediatrics | 2891 Highway 11 E, Attn: Dr. H. Patrick Stern, Telford, TN 37690 | 2011-12-07 |
| 1760655914 | Medical Education Assistance Corporation | Speech-Language Pathologist | 1000 Jason Witten Way, Elizabethton, TN 37643-2970 | 2008-04-09 |
| 1598940793 | Medical Education Assistance Corporation | Clinic/Center | Etsu Mini-dome, John Robert Bell Drive, Johnson City, TN 37614-1700 | 2008-01-07 |
| Street Address |
LAKE DR., BLDG. 52 |
| City | MOUNTAIN HOME |
| State | TN |
| Zip Code | 37684-0699 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730524 | Kendra Lee Thorne | Psychologist | Corner of Lamont St and Veterans Way, Building 160, Mountain Home, TN 37684 | 2020-11-04 |
| 1255930160 | Maximillian Scott Crockett | Optometrist | James. H Quillen Vamc, Eye Clinic 112e, Mountain Home, TN 37684 | 2020-10-21 |
| 1699393256 | Joshua Thomas Spencer | Pharmacist | Veterans Way and Lamont St, Mountain Home, TN 37684 | 2020-07-10 |
| 1073140265 | James Hankil Kim | Student in an Organized Health Care Education/Training Program | Building 52/lake Drive, Mountain Home, TN 37684 | 2020-03-26 |
| 1932736030 | Trishna Sharma | Student in an Organized Health Care Education/Training Program | Building 52/lake Drive Mountain Home, Johnson City, TN 37684 | 2020-03-26 |
| 1508421884 | Sarvatit Patel | Student in an Organized Health Care Education/Training Program | 52 Lake Dr, Mountain Home, TN 37684 | 2019-05-02 |
| 1902366024 | Katelyn Cserjes | Student in an Organized Health Care Education/Training Program | Building 52 Lake Drive Va Medical Center, Mountain Home, TN 37684 | 2019-03-24 |
| 1114404282 | Anesa Ellen Hughes | Pharmacist | Veterans Way and Lamont St Mountain Home, Mountain Home, TN 37684 | 2018-07-23 |
| 1508352287 | Leon Nguyen | Optometrist | James H. Quillen Vamc - Lamont St & Veterans Way, Eye Clinic 112e, Mountain Home, TN 37684 | 2018-07-06 |
| 1649761750 | Bahaaeldin Ibrahim Mahmoud Youssef | Student in an Organized Health Care Education/Training Program | Va Building 1 Carl A Jones Hall, Dogwood Avenue, Mountain Home, TN 37684 | 2018-05-24 |
| Find all providers in zip 37684 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275858516 | Kaushal Yogeshbhai Shah | Psychiatry & Neurology | Corner of Lamont & Veterans Way, Mountain Home Va Medical Center, Mountain Home, TN 37684 | 2010-03-30 |
| 1902062896 | William Scott Huddleston | Psychiatry & Neurology | James H. Quillen Va Medical Center, Dept of Psychiatry, Mountain Home, TN 37684-4000 | 2008-07-31 |
| 1417138512 | Martha Bird | Psychiatry & Neurology | Building 52, Lake Drive, Mountain Home, TN 37684 | 2007-11-16 |
| 1255527370 | Steven Michael Shulruff | Psychiatry & Neurology | Bldg 52, Lake Dr, Mountain Home, TN 37684-0699 | 2007-09-21 |
| 1740354752 | Thomas Russell Olmsted | Psychiatry & Neurology | Bldg 52 Lake Drive, Mountain Home, TN 37684 | 2006-11-20 |
| 1538176466 | Karl Goodkin | Psychiatry & Neurology | Bldg. #52, Lake Dr., Mountain Home, TN 37684 | 2006-08-02 |
| 1508889460 | John Preston Hendrick | Psychiatry & Neurology | 116a Sidney and Lamont Streets, Mountain Home Vamc, Mountain Home, TN 37684 | 2006-07-25 |
| 1194757096 | Shantha Grace Pandian | Psychiatry & Neurology | James H.quillen/vamc, Corner of Sydney and Lamont, Mountain Home, TN 37684 | 2006-07-07 |
| 1508897307 | Thomas E Walden | Psychiatry & Neurology | 204 N College St, Mountain Home, AR 72653-3654 | 2006-07-06 |
| 1760439392 | Shambhavi Chandraiah | Psychiatry & Neurology | Bldg. #52 Lake Dr, Mountain Home, TN 37684-0699 | 2006-05-28 |
| Find all providers in MOUNTAIN HOME | ||||
| City | MOUNTAIN HOME |
| Zip Code | 37684 |
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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.