FAMILY AND SPORTS MEDICINE PC (NPI# 1588657977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588657977 |
| Entity Type | Organization |
| Organization Name | FAMILY AND SPORTS MEDICINE PC |
| Practice Address |
1025 Executive Dr Suite 100 Hixson TN 37343-7916 |
| Practice Telephone | 4238702030 |
| Practice Fax Number | 4238756405 |
| Mailing Telephone | 4238702030 |
| Mailing Fax Number | 4238756405 |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2011-03-22 |
| Authorized Official Name | DR. KIRK ALEXANDER WILCOX (MD/PRESIDENT) |
| Authorized Official Telephone | 4238702030 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3082742 | 05 | |
| TN | 3168293 | 05 | |
| TN | 3053865 | 05 |
| Street Address |
1025 EXECUTIVE DR SUITE 100 |
| City | HIXSON |
| State | TN |
| Zip Code | 37343-7916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710211891 | Stephen M Long | Physician Assistant | 1025 Executive Dr, Suite #100, Hixson, TN 37343-7916 | 2009-09-23 |
| 1831222835 | Kirk A. Wilcox | Family Medicine | 1025 Executive Dr, Suite 100, Hixson, TN 37343-7916 | 2007-03-13 |
| 1326170473 | Terri R Brunvoll | Family Medicine | 1025 Executive Dr, Suite 100, Hixson, TN 37343-7916 | 2007-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689208480 | The Fun In Function LLC | Occupational Therapy Assistant | 5251 Hwy 153 Ste C, Pmb 264, Hixson, TN 37343 | 2020-03-02 |
| 1356902878 | Artha Julia Black | Dentist | 5756 Tn-153, Suite 128, Hixson, TN 37343 | 2019-06-25 |
| 1548749625 | Ramyadevi Ramamoorthi | Physical Therapist | 5000 Alpha Lane, Hixson, TN 37343 | 2018-08-09 |
| 1053800458 | Hixson Pharmacy Inc | Pharmacy | 5508 Hixson Pharmacy, Suite 1, Hixson, TN 37343 | 2018-05-02 |
| 1225531304 | Carrie Marie Stanage | Occupational Therapist | 5251 C Hwy 153, Pmb# 264, Hixson, TN 37343 | 2018-03-14 |
| 1124540117 | Nicole Ashley Uchida | Physical Therapist | 5022 Old Godsey Ln Ste 0, Hixson, TN 37343 | 2017-07-11 |
| 1740700400 | Toni Maxwell | Nurse Practitioner | 5741 Highway 153 Ste 117, Hixson, TN 37343 | 2017-06-23 |
| 1417366717 | Debra C. Wiertel | Nutritionist | 1963 Northpoint Blvd 109, Hixson, TN 37343 | 2014-08-12 |
| 1922386606 | Donna April Frye | Pharmacist | 5411 Highway 153, Hixson, TN 37343 | 2011-07-28 |
| 1437448172 | Janna Aislinn Mcmahan | Nurse Practitioner | 5211 Hwy 153, Suite M, Hixson, TN 37343 | 2011-04-04 |
| Find all providers in zip 37343 | ||||
| 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 |
|---|---|---|---|---|
| 1205434420 | Urgent Care for Children, Pllc | Family Medicine | 5207 Highway 153, Hixson, TN 37343-5894 | 2020-10-09 |
| 1629446208 | Deepa Gurusamy | Family Medicine | 1724 Hamill Rd Ste 214, Hixson, TN 37343-5152 | 2015-09-13 |
| 1053632018 | Owen F Speer | Family Medicine | 2051 Hamill Road Suite 301, Hixson, TN 37343 | 2010-06-14 |
| 1285841254 | Brent Jeremy Campbell | Family Medicine | 1025 Executive Drive, Suite 100, Hixson, TN 37343 | 2007-05-17 |
| 1548361280 | Zynia Pua | Family Medicine | 2051 Hamill Rd Ste 103, Hixson, TN 37343-4653 | 2006-09-26 |
| 1447288477 | Parkridge Medical Associates LLC | Family Medicine | 1013 Executive Drive, Suite 101, Hixson, TN 37343 | 2006-06-29 |
| 1467424770 | Maria Martin | Family Medicine | 2051b Hamill Rd, Suite 108, Hixson, TN 37343-4085 | 2006-02-02 |
| 1407837891 | Mark Thomas Simpson | Family Medicine | 4513 Hixson Pike, Suite 102, Hixson, TN 37343-5039 | 2005-11-11 |
| 1861487399 | Julie Hwang Haun | Family Medicine | 4980 Alpha Ln, Hixson, TN 37343-5470 | 2005-09-12 |
| 1841744810 | Fpsc, Pllc | Family Medicine | 1021 Executive Dr, Suite 102, Hixson, TN 37343-7918 | 2016-08-08 |
| Find all providers in HIXSON | ||||
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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.