DR. WYTHE WYNDHAM OWENS III (NPI# 1609053198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609053198 |
| Entity Type | Individual |
| Full Name | DR. WYTHE WYNDHAM OWENS III |
| Credential | M.D. |
| Practice Address |
1420 Tusculum Blvd Greeneville TN 37745-4279 |
| Mailing Address |
Po Box 11167 Knoxville TN 37939-1167 |
| Practice Telephone | 4237875021 |
| Mailing Telephone | 8655847376 |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2016-10-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
50746 | TN | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
001485 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q006178 | 05 |
| Street Address |
1420 TUSCULUM BLVD |
| City | GREENEVILLE |
| State | TN |
| Zip Code | 37745-4279 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386645240 | John Carlton Boys | Radiology | 1420 Tusculum Blvd, Greeneville, TN 37745-4279 | 2005-08-02 |
| 1528619335 | Christopher Allen Chamberlain | Nurse Practitioner | 1420 Tusculum Blvd, Greeneville, TN 37745-4279 | 2019-09-23 |
| 1629550603 | Kellie Byrd | Physician Assistant | 1420 Tusculum Blvd, Greeneville, TN 37745-4279 | 2018-09-05 |
| 1861989303 | Becky Jane Shelton | Registered Nurse | 1420 Tusculum Blvd, Greeneville, TN 37745-5825 | 2018-04-19 |
| 1760920342 | Stephanie Posey | Nurse Practitioner | 1420 Tusculum Blvd, Greeneville, TN 37745-4279 | 2017-02-03 |
| 1235676867 | Leanne C Harkness | Specialist/Technologist | 1420 Tusculum Blvd, Greeneville, TN 37745-4279 | 2017-01-20 |
| 1841746393 | Association of University Radiologists, PC | Radiology | 1420 Tusculum Blvd, Greeneville, TN 37745-4279 | 2016-08-25 |
| 1447639851 | Michael Mccloud | Physical Therapist | 1420 Tusculum Blvd, Greeneville, TN 37745-4279 | 2015-05-19 |
| 1538423181 | Ashley Marie Dikis | Podiatrist | 1420 Tusculum Blvd, Greeneville, TN 37745-4279 | 2012-06-28 |
| 1598022352 | Teresa R Glick | Physical Therapist | 1420 Tusculum Blvd, Greeneville, TN 37745-4279 | 2012-04-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619409489 | Watauga Recovery Center Greeneville | Family Medicine | 819 W Church Street, Greeneville, TN 37745 | 2017-03-31 |
| 1154862340 | Open Arms Care Corporation | Intermediate Care Facility, Mentally Retarded | 1404 East Church St, Greeneville, TN 37745 | 2017-03-20 |
| 1770024010 | Open Arms Care Corporation | Intermediate Care Facility, Mentally Retarded | 1406 East Church Street, Greeneville, TN 37745 | 2017-03-20 |
| 1336685569 | D&s Residential Services, Lp | Intermediate Care Facility, Mentally Retarded | 1010 Old Stage Rd, Greeneville, TN 37745 | 2017-01-11 |
| 1750635298 | Matthew Brandon Allen | Pharmacist | 515 Van Hill Rd, Greeneville, TN 37745 | 2012-11-06 |
| 1083963466 | Addison Dimartino | Optometrist | 204 Emory Dr, Greeneville, TN 37745 | 2012-08-31 |
| 1639443419 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2499 Buckingham Rd., Greeneville, TN 37745 | 2012-02-27 |
| 1477786168 | Mcfarland Group Inc. | Durable Medical Equipment & Medical Supplies | 1413 Tusculum Blvd, Greeneville, TN 37745 | 2009-08-27 |
| 1043458128 | Greenville Dental Associates, Pllc | Dentist | 1308 Tusculum Blvd., Greeneville, TN 37745 | 2009-01-28 |
| 1275779555 | Professional Hearing Aid Ctr | Hearing Aid Equipment | 705 Professional Plaza, #3, Greenville, TN 37745 | 2008-12-17 |
| Find all providers in zip 37745 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992909923 | Greeneville Radiology Imaging | Radiology | 1410 Tosculum Blvd, Suite 2000, Greeneville, TN 37745 | 2007-06-13 |
| 1811906118 | Philip A Marino Jr. | Radiology | 1130 Jennings Creek Ln, Greeneville, TN 37743-5694 | 2006-08-05 |
| 1588838718 | Kevin Shayne Delk | Radiology | 1420 Tusculum Blvd, Greeneville, TN 37745-4279 | 2008-04-18 |
| 1902828478 | Scot Stanley Vermillion | Radiology | 1420 Tusculum Blvd, Greeneville, TN 37745-4279 | 2006-07-24 |
| 1285688655 | Unicom Radiology Services, Pllc | Radiology | 401 Takoma Ave, Greeneville, TN 37743-4647 | 2006-05-20 |
| 1235190489 | Arthur F Adams | Radiology | 1420 Tusculum Blvd, Greeneville, TN 37745-4279 | 2006-03-29 |
| 1104821990 | Robert D. Thomas | Radiology | 401 Takoma Ave, Greeneville, TN 37743-4647 | 2005-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417197 | West Clinic, P. C. | Radiology | 5999 Manor Cv, Memphis, TN 38120-3105 | 2020-11-04 |
| 1114528205 | West Clinic, P. C. | Radiology | 708 W Suggs Dr, Memphis, TN 38120-2741 | 2020-11-04 |
| 1447851530 | West Clinic, P. C. | Radiology | 5740 The Forest Gate Rd, Memphis, TN 38120-2540 | 2020-11-04 |
| 1720689169 | West Clinic, P. C. | Radiology | 5396 Gwynne Rd, Memphis, TN 38120-1908 | 2020-11-03 |
| 1558990788 | Sanitas Medical Center of Tennessee PC | Radiology | 438 N Cleveland St, Memphis, TN 38104-7014 | 2020-04-08 |
| 1114551132 | Lebanon Pet Scan Center, LLC | Radiology | 103 Physicians Way Ste 100, Lebanon, TN 37090-4129 | 2020-02-28 |
| 1407373053 | Association of University Radiologists, PC | Radiology | 5779 Creekwood Park Blvd Ste 130, Lenoir City, TN 37772-1203 | 2017-08-24 |
| 1023481090 | Richard Sanders | Radiology | 611 Bedford Forest Ct, Old Hickory, TN 37138-1006 | 2015-11-12 |
| 1972982569 | Lee Van Carroll Jr. | Radiology | 3601 The Vanderbilt Clinic Department of Radiology, Nashville, TN 37232-3326 | 2015-05-28 |
| 1912394495 | Eniola Oladosu Fagbongbe | Radiology | 1265 Union Ave, 7 Thomas Wing, Room 707, Memphis, TN 38104 | 2015-04-22 |
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| City | GREENEVILLE |
| Zip Code | 37745 |
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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.