EMMAUS MEDICAL AND COUNSELING (NPI# 1598256117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598256117 |
Entity Type | Organization |
Organization Name | EMMAUS MEDICAL AND COUNSELING |
Practice Address |
273 Highway 11 E Bulls Gap TN 37711-3433 |
Practice Telephone | 4233934146 |
Practice Fax Number | 4233934377 |
Mailing Telephone | 4233934146 |
Mailing Fax Number | 4233934377 |
Enumeration Date | 2018-05-21 |
Last Update Date | 2020-04-21 |
Authorized Official Name | JUDY A HENEGAR (OFFICE MANAGER) |
Authorized Official Telephone | 4233412570 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
Street Address |
273 HIGHWAY 11 E |
City | BULLS GAP |
State | TN |
Zip Code | 37711-3433 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801856414 | Charles L Backus | Emergency Medicine | 273 Highway 11 E, Bulls Gap, TN 37711-3433 | 2006-03-27 |
1801432281 | Sarah L Nettles | Family Medicine | 273 Highway 11 E, Bulls Gap, TN 37711-3433 | 2019-11-21 |
1104327360 | Mobile Occ Med and Wellness, Pllc | Community/Behavioral Health | 273 Highway 11 E, Bulls Gap, TN 37711-3433 | 2018-02-23 |
1982640140 | Jose Garrido | Internal Medicine | 273 Highway 11 E, Bulls Gap, TN 37711-3433 | 2006-06-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114479151 | Gregory Flora | Driver | 190 Whitaker Road, Bulls Gap, TN 37711 | 2016-10-25 |
1447467469 | Blc Drug, Inc | Pharmacy | 272 East Andrew Johnson Highway, Bulls Gap, TN 37711 | 2007-05-17 |
1982752549 | Cunningham Drugs | Pharmacy | 411 Hwy 11 E, Bulls Gap, TN 37711 | 2007-01-08 |
1396748323 | Laura Ivey Campbell | Pharmacist | 272 Highway 11 E, Bulls Gap, TN 37711 | 2005-05-23 |
1023150521 | Stephen Douglas Pearson | Pharmacist | 412 Hwy 11e, Bulls Gap, TN 37711-0097 | 2007-02-12 |
1679030829 | Michelle Lee Shively | Nurse Practitioner | 363 Pilot Mountain Rd, Bulls Gap, TN 37711-2322 | 2019-02-25 |
1982702791 | Timothy D Humann | Physical Therapist | 264 Highway 11 E, Bulls Gap, TN 37711-3416 | 2006-09-20 |
1013913391 | Mark R Doman | Internal Medicine | 260 Highway 11 E, Bulls Gap, TN 37711-3416 | 2005-06-22 |
1730636556 | Leslie Renee Elliott | Nurse Practitioner | 260 Highway 11 E, Bulls Gap, TN 37711-3416 | 2016-09-09 |
1710301361 | Leslie Bumpas | Nurse Practitioner | 260 Highway 11 E, Bulls Gap, TN 37711-3416 | 2014-02-18 |
Find all providers in zip 37711 |
Taxonomy Code | 207RA0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Addiction Medicine |
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649764911 | Addiction Center of Nashville LLC | Internal Medicine | 1300 Hatcher Ln Ste 5, Columbia, TN 38401-3554 | 2018-06-19 |
1801345285 | Cedar Recovery Center of Middle Tennessee | Internal Medicine | 2636 N Mount Juliet Rd, Mount Juliet, TN 37122-8015 | 2016-09-27 |
1508988650 | Murray Wilton Smith | Internal Medicine | 2 Sharonwood Dr, Nashville, TN 37215-1227 | 2007-04-06 |
1871623801 | Roland W Gray | Internal Medicine | 3410 Clarksville Hwy, Nashville, TN 37218 | 2007-03-07 |
1598859894 | Lorin G Holst | Internal Medicine | 930 Adell Ree Park Ln, Knoxville, TN 37909-2543 | 2006-10-03 |
1972126837 | Volunteer Healing Centers, LLC | Internal Medicine | 622 Wilson Ave, Tullahoma, TN 37388-3265 | 2020-05-26 |
1497232540 | Applachian Recovery Care, Pllc | Internal Medicine | 2726 W State St, Bristol, TN 37620-1827 | 2018-07-22 |
1700377710 | John Robert Barrowclough, Md, Pllc | Internal Medicine | 2726 W State St, Bristol, TN 37620-1827 | 2018-05-24 |
1710477450 | O.h.s. East Knoxville Clinic | Internal Medicine | 8712 Asheville Hwy, Knoxville, TN 37924-4501 | 2018-05-17 |
1396288890 | Renu Chattanooga, Pllc | Internal Medicine | 5870 Highway 153 Ste 122, Hixson, TN 37343-5826 | 2016-12-01 |
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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.