CHILHOWEE MEDICAL, INC. (NPI# 1548768328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548768328 |
| Entity Type | Organization |
| Organization Name | CHILHOWEE MEDICAL, INC. |
| Other Organization Name | CHILHOWEE MEDICAL, INC. DBA CHILHOWEE PAIN CENTER |
| Practice Address |
2012 Chilhowee Medical Park Maryville TN 37804 |
| Mailing Address |
253 Reynolds Road Chilhowee Medical, Inc. In Care of Dawayne Cantrell Keavy KY 40737 |
| Practice Telephone | 8659818838 |
| Practice Fax Number | 8653808868 |
| Mailing Telephone | 8883525559 |
| Mailing Fax Number | 6063630789 |
| Enumeration Date | 2018-01-26 |
| Last Update Date | 2018-01-26 |
| Authorized Official Name | MR. DAWAYNE DOUGLAS CANTRELL (PRACTICE CONSULTANT) |
| Authorized Official Telephone | 8883525559 |
| Authorized Official Credential | AUTHORIZED SIGNA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0000X |
Registered Nurse Specialization: Pain Management |
1136 | TN | Nursing Service Providers |
| Other Name | Type Code |
|---|---|
| Chilhowee Medical, Inc. DBA Chilhowee Pain Center | Doing Business As Name - Organization |
| Street Address |
2012 CHILHOWEE MEDICAL PARK |
| City | MARYVILLE |
| State | TN |
| Zip Code | 37804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821039348 | Donna J. Smith | Nurse Practitioner | 2012 Chilhowee Medical Park, Maryville, TN 37804-5285 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659835825 | Matthew David Mallory | Physical Therapist | Morning View Village 2320 E. Lamar Alexander Parway, Maryville, TN 37804 | 2019-01-22 |
| 1063937290 | Rachel Ryan Mcmillan | Counselor | 362 High Street, Maryville, TN 37804 | 2017-08-09 |
| 1316461460 | Steven Casey Boring | Nurse Practitioner | 907 E. Lamar Alexander Pkwy., Maryville, TN 37804 | 2017-07-31 |
| 1851738751 | Robert Kane Mccall | Pathology | 250 E. Broadway, Maryville, TN 37804 | 2013-05-31 |
| 1619242849 | Jennifer Mcclements | Physical Therapy Assistant | 4004 Samuel Circle, Maryville, TN 37804 | 2012-03-21 |
| 1316223886 | Sabrina Nicole Powers | Social Worker | 1704 East Broadway, Maryville, TN 37804 | 2011-10-28 |
| 1407138381 | Russmann, Inc. | Ambulance | 4163 Benny Delozier Drive, Maryville, TN 37804 | 2011-09-15 |
| 1184932485 | Complete Family Care of Maryville, Pllc | Internal Medicine | 2004 E. Broadway, Maryville, TN 37804 | 2010-09-21 |
| 1093975096 | Kristi Clark Correll | Speech-Language Pathologist | 2030 East Lamar Alexander Parkway, Maryville, TN 37804 | 2008-06-12 |
| 1134388267 | Barbara Frantz Poulsen | Speech-Language Pathologist | 2030 E Lamar Alexander Parkway, Maryville, TN 37804 | 2008-06-04 |
| Find all providers in zip 37804 | ||||
| Taxonomy Code | 163WP0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Pain Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982977294 | Kimberly Lynn Chambers | Registered Nurse | 1620 E Lamar Alexander Pkwy, Maryville, TN 37804-6205 | 2012-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669749537 | Clarksville Pain Institute, LLC | Registered Nurse | 1849 Madison St, Suite F, Clarksville, TN 37043-4903 | 2011-11-21 |
| 1821140310 | Preferred Anesthesia, LLC | Registered Nurse | 22024 Rhea County Hwy, Spring City, TN 37381-5243 | 2007-01-17 |
| 1962473587 | James E Kuziel | Registered Nurse | 110 Med Tech Pkwy, Johnson City, TN 37604-4004 | 2006-01-31 |
| 1568021483 | Karen Gayle Brazier | Registered Nurse | 1211 Dinah Shore Blvd, Winchester, TN 37398-1107 | 2019-06-13 |
| 1952498701 | Barbara June Bidek | Registered Nurse | 1310 24th Avenue South, Nashville, TN 37212-2637 | 2006-10-05 |
| 1366479644 | Tri-star Anesthesia P.l.l.c. | Registered Nurse | 310 25th Ave N, Suite 105, Nashville, TN 37203-1515 | 2006-06-26 |
| 1538196829 | Smokey Mountain Anesthesia PC | Registered Nurse | 110 Med Tech Pkwy, Johnson City, TN 37604-4004 | 2006-06-26 |
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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.