AMG SOUTHERN TENNESSEE LLC (NPI# 1568790632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568790632 |
| Entity Type | Organization |
| Organization Name | AMG SOUTHERN TENNESSEE LLC |
| Other Organization Name | WINCHESTER EAR NOSE AND THROAT |
| Practice Address |
1894 Cowan Hwy Suite 2 Winchester TN 37398-2624 |
| Practice Telephone | 9319621020 |
| Practice Fax Number | 9319621043 |
| Mailing Telephone | 9319621020 |
| Mailing Fax Number | 9319621043 |
| Enumeration Date | 2009-11-30 |
| Last Update Date | 2010-09-21 |
| Authorized Official Name | JESS N JUDY (PRESIDENT) |
| Authorized Official Telephone | 6153728500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1516481 | 05 |
| Other Name | Type Code |
|---|---|
| Winchester Ear Nose and Throat | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376075549 | Amg Southern Tennessee LLC | Internal Medicine | 491 Majors Blvd, Lynchburg, TN 37352-8344 | 2017-03-28 |
| 1962660886 | Amg Southern Tennessee LLC | Family Medicine | 1397 S College St, Bldg 2 Suite 2, Winchester, TN 37398-2414 | 2008-05-28 |
| Street Address |
1894 COWAN HWY SUITE 2 |
| City | WINCHESTER |
| State | TN |
| Zip Code | 37398-2624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447275359 | Shon Patrick Nolin | Family Medicine | 1894 Cowan Hwy, Suite 2, Winchester, TN 37398-2643 | 2006-07-12 |
| 1245600378 | Monica M Master | Nurse Practitioner | 1894 Cowan Hwy, Winchester, TN 37398-2643 | 2015-10-01 |
| 1902939655 | Kelly Beth Golden | Nurse Practitioner | 1894 Cowan Hwy, Suite 2, Winchester, TN 37398-2643 | 2007-03-13 |
| 1477692499 | Jennifer Lynn Tinch | Preventive Medicine | 1894 Cowan Hwy, Winchester, TN 37398-2643 | 2007-02-06 |
| 1972608669 | Linda Rose Williams | Nurse Practitioner | 1894 Cowan Hwy, Suite 2, Winchester, TN 37398-2643 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235738170 | Results-ast Jv, LLC | Physical Therapist | 2030 Cowan Highway, Suite 1, Winchester, TN 37398 | 2020-10-21 |
| 1902239759 | Ann C Richardson | Pharmacist | 1201 Dinah Shore Blvd, Winchester, TN 37398 | 2013-08-15 |
| 1851734230 | Gina Renee Jacobs | Ambulance | 305 N College St., Winchester, TN 37398 | 2013-04-16 |
| 1083895205 | Jill Kay Stokes | Occupational Therapy Assistant | 463 Dripping Springs Road, Winchester, TN 37398 | 2007-11-15 |
| 1962581702 | Carol H Wallace | Pharmacy | 1201 Dinah Shore Boulevard, Winchester, TN 37398 | 2006-11-03 |
| 1457459562 | Karen A Tidmore | Family Medicine | 1811 Sharp Springs Rd, Winchester, TN 37398 | 2006-09-20 |
| 1356385967 | Sherry Lee | Nurse Practitioner | 1211 Dinah Shore Blvd, Winchester, TN 37398 | 2006-06-15 |
| 1912985425 | Caresouth Hha Holdings of Winchester LLC | Durable Medical Equipment & Medical Supplies | 2068 Cowan Hwy, Winchester, TN 37398 | 2006-01-04 |
| 1215372768 | Clive Anderson Wasson | Surgery | 83 Memorial Dr, Winchester, TN 37398 | 2013-05-09 |
| 1326322967 | John Anthony O'driscoll Jr. | Physical Therapist | 2030 Cowan Hwy Ste 1, Winchester, TN 37398 | 2011-09-30 |
| Find all providers in zip 37398 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477725067 | Shns Hearing Services, L.L.C. | Otolaryngology | 142 Linden Dr Ste 106, Winchester, VA 22601-6901 | 2008-03-24 |
| 1659478485 | Shenandoah Head and Neck Specialists, Plc | Otolaryngology | 142 Linden Dr, Suite 106, Winchester, VA 22601-6901 | 2006-09-20 |
| 1477519833 | Matthew E Karen | Otolaryngology | 2055 Valley Ave, Winchester, VA 22601-2751 | 2006-04-25 |
| 1871553446 | James A Salata | Otolaryngology | 1870 Amherst St Ste 2b, Winchester, VA 22601-2841 | 2006-03-27 |
| 1598752248 | Ara S. Makdessian | Otolaryngology | 225 Hospital Drive, Suite 265, Clark Clinic B, Winchester, KY 40391-1156 | 2005-09-27 |
| 1881200533 | Valley Physician Enterprise, Inc. | Otolaryngology | 1870 Amherst St Ste 2b, Winchester, VA 22601-2841 | 2020-09-18 |
| 1801220546 | Amg - Southern Tennessee, LLC | Otolaryngology | 1383 S College St, Winchester, TN 37398-2414 | 2013-08-29 |
| 1801125810 | Jose D. Angeles | Otolaryngology | 955 Main St, Suite 104, Winchester, MA 01890-1961 | 2009-12-22 |
| 1689769416 | Ingrid C Iwanow | Otolaryngology | 1870 Amherst St Ste 2b, Winchester, VA 22601-2841 | 2006-10-04 |
| 1124036082 | Jose D Angeles | Otolaryngology | 955 Main St, Suite 104, Winchester, MA 01890-1961 | 2006-08-04 |
| Find all providers in WINCHESTER | ||||
| City | WINCHESTER |
| Zip Code | 37398 |
Please comment or provide details below to improve the information on AMG SOUTHERN TENNESSEE LLC.
| 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.