DR. ALISA ROSEANN BOWERSOCK (NPI# 1609073626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609073626 |
| Entity Type | Individual |
| Full Name | DR. ALISA ROSEANN BOWERSOCK |
| Credential | DO |
| Practice Address |
5651 Frist Blvd Ste 201 Hermitage TN 37076 |
| Mailing Address |
5651 Frist Blvd Ste 201 Hermitage TN 37076-2056 |
| Practice Telephone | 6153910800 |
| Practice Fax Number | 6153910431 |
| Mailing Telephone | 6153910800 |
| Mailing Fax Number | 6153910431 |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2018-12-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 2318 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | INTERN | 5101017318 | 01 |
| TN | PTAN | T030270764 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1421 W Baddour Pkwy, Suite B, Lebanon, TN 370872652 | 6154496780 | 6154491929 |
| 5651 Frist Blvd Ste 201, Hermitage, TN 37076 | 6153910800 | 6153910431 |
| Street Address |
5651 FRIST BLVD STE 201 |
| City | HERMITAGE |
| State | TN |
| Zip Code | 37076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225557408 | Southern Womans Care | Obstetrics & Gynecology | 5651 Frist Blvd Ste 201, Hermitage, TN 37076-2056 | 2017-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255996583 | Cassandra Renea Brown | Dietitian, Registered | 5653 Frist Blvd Suite 530, Hermitage, TN 37076 | 2019-05-02 |
| 1164979753 | Chelsea Douglas | Nurse Practitioner | 5565 Frist Boulevard, Hermitage, TN 37076 | 2016-09-01 |
| 1417333568 | Middle Tennessee Homes | Intermediate Care Facility, Mentally Retarded | 3207 Earhart Road, Hermitage, TN 37076 | 2015-07-30 |
| 1578944187 | Middle Tennesse Homes | Intermediate Care Facility, Mentally Retarded | 3209 Earhart Road, Hermitage, TN 37076 | 2015-06-10 |
| 1063835585 | Rachel Jane Morris | Occupational Therapist | 1621 Robindale Dr, Hermitage, TN 37076 | 2014-02-04 |
| 1427488154 | Earhart 1 | Intermediate Care Facility, Mentally Retarded | 3156 Earhart Rd, Nashville, TN 37076 | 2013-11-15 |
| 1669802393 | Tulip Grove #2 | Intermediate Care Facility, Mentally Retarded | 877 Tulip Grove Rd, Nashville, TN 37076 | 2013-11-15 |
| 1780014514 | Tulip Grove Road #1 | Intermediate Care Facility, Mentally Retarded | 869 Tulip Grove Rd, Nashville, TN 37076 | 2013-11-14 |
| 1215365440 | Hospital Based Medical Services of Tennessee-i PC | Physician Assistant | 5655 First Blvd, Hermitage, TN 37076 | 2013-10-25 |
| 1942545686 | Helping Hands Support Center, Inc. | Home Health | 4060 Andrew Jackson Pkwy #907, Hermitage, TN 37076 | 2012-12-06 |
| Find all providers in zip 37076 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215448303 | Summit Obstetrics and Women's Health, Pllc | Obstetrics & Gynecology | 5651 Frist Blvd Ste 213, Hermitage, TN 37076-2056 | 2017-10-17 |
| 1497118095 | Logan Kai Williams | Obstetrics & Gynecology | 5651 Frist Blvd Ste 500, Hermitage, TN 37076-2059 | 2016-03-31 |
| 1144582081 | Kimberly Ann Hunt | Obstetrics & Gynecology | 5653 Frist Blvd Ste 738, Hermitage, TN 37076-2066 | 2012-06-15 |
| 1255502183 | Carolyn C. Thompson, M.d. ; PC | Obstetrics & Gynecology | 5651 Frist Blvd Ste 505, Hermitage, TN 37076-2059 | 2008-03-19 |
| 1528047776 | Rebecca M Hanigosky | Obstetrics & Gynecology | 480 N Kerrwood Dr, Suite 103, Hermitage, PA 16148-5212 | 2006-01-14 |
| 1053317990 | Michael E Abdul-malak | Obstetrics & Gynecology | 2151 Shenango Valley Fwy Ste A-2, Hermitage, PA 16148-2586 | 2005-06-24 |
| 1447253638 | Brian C Beatty | Obstetrics & Gynecology | 5651 Frist Blvd, Ste 213, Hermitage, TN 37076-2056 | 2005-05-23 |
| 1164425203 | Cathy A Deppen | Obstetrics & Gynecology | 5653 Frist Blvd, Ste 738, Hermitage, TN 37076-2066 | 2005-05-23 |
| 1366069783 | Paige Baker | Obstetrics & Gynecology | 2151 Shenango Valley Fwy, Hermitage, PA 16148-2586 | 2020-07-01 |
| 1225557408 | Southern Womans Care | Obstetrics & Gynecology | 5651 Frist Blvd Ste 201, Hermitage, TN 37076-2056 | 2017-09-19 |
| Find all providers in HERMITAGE | ||||
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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.