CHARLES T HUDDLESTON (NPI# 1609805431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609805431 |
| Entity Type | Individual |
| Full Name | CHARLES T HUDDLESTON |
| Credential | MD |
| Practice Address |
203 N Cedar Ave Cookeville TN 38501 |
| Mailing Address |
203 N Cedar Ave Cookeville TN 38501-2498 |
| Practice Telephone | 9315281992 |
| Practice Fax Number | 9315264381 |
| Mailing Telephone | 9315281992 |
| Mailing Fax Number | 9315264381 |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2019-07-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 038564 | TN | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 0101237006 | VA | Allopathic & Osteopathic Physicians |
| Y | 208600000X | Surgery | MD38564 | TN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1801 N Washington St, Suite 100, Tullahoma, TN 373888245 | 9314541067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942226162 | Charles Buford Huddleston | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1465 South Grand Blvd., Suite 5730 Cardinal Glennon Hosp., St. Louis, MO 63104-1095 | 2006-07-14 |
| 1144319336 | Charles Huddleston | Chiropractor | 27 N Main St, Fort Loramie, OH 45845 | 2006-10-12 |
| 1295744043 | Charles Louis Huddleston | Physical Medicine & Rehabilitation | 3400 Lebanon Rd, Murfreesboro, TN 37129-1237 | 2006-08-07 |
| 1518925825 | Charles I Huddleston | Dermatology | 200 Fort Sanders West Blvd, Suite 102, Knoxville, TN 37922-3357 | 2006-05-03 |
| Street Address |
203 N CEDAR AVE |
| City | COOKEVILLE |
| State | TN |
| Zip Code | 38501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548226376 | Christopher L Hicks | Nurse Practitioner | 203 N Cedar Ave, Cookeville, TN 38501 | 2006-04-21 |
| 1285006635 | Justin Link Cox | Physician Assistant | 203 N Cedar Ave, Cookeville, TN 38501-2498 | 2015-10-26 |
| 1295929248 | Jeffrey S Moore | Specialist | 203 N Cedar Ave, Suite A, Cookeville, TN 38501-2498 | 2007-09-04 |
| 1508801523 | Amber Renee Hensley | Nurse Practitioner | 203 N Cedar Ave, Cookeville, TN 38501-2498 | 2006-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596711 | Results-ast Jv, LLC | Physical Therapist | 627 James Campbell Blvd, South, Suite B, Columbia, TN 38501 | 2020-10-21 |
| 1376167080 | Melinda Jane Jetter | Registered Nurse | 320 North Willow Avenue, Cookeville, TN 38501 | 2020-05-29 |
| 1366950875 | Tara Beth Smith | Occupational Therapist | 315 N Washington Ave Ste 240, Cookeville, TN 38501 | 2018-01-18 |
| 1669990339 | Tonya Rachelle Perry | Counselor | 13 South Jefferson Ave, Cookeville, TN 38501 | 2017-09-01 |
| 1659896207 | Dustin Chase Rich | Physical Therapist | 105 S. Willow Ave, #100, Cookeville, TN 38501 | 2017-08-04 |
| 1487009668 | Holly Young | Physical Therapist | 315 North Washungton Ave., Suite 240, Cookeville, TN 38501 | 2016-04-26 |
| 1194190306 | Johnna Sprague | Nurse Practitioner | 620 S. Jefferson Ave, Suite 202, Cookeville, TN 38501 | 2015-12-14 |
| 1881099885 | Carlos Alberto Podesta | Internal Medicine | 238 W 4th St Ste 200, Cookeville, TN 38501 | 2014-11-03 |
| 1124445002 | Shashank Sarvepalli | Internal Medicine | 1 Medical Center Blvd Ste D, Cookeville, TN 38501 | 2014-03-27 |
| 1689095762 | Kendra Hicks | Licensed Practical Nurse | 701 County Services Drive, Cookeville, TN 38501 | 2013-12-17 |
| Find all providers in zip 38501 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336127885 | Chinmay Sarvottam Majmundar | Surgery | 145 W 4th St Ste 102, Cookeville, TN 38501-2476 | 2006-01-05 |
| 1770571473 | Vaughn N Barnard Jr. | Surgery | 1150 Mount Vernon Ct, Cookeville, TN 38501-1567 | 2005-10-07 |
| 1962792762 | Brandon Fadner | Surgery | 145 W 4th St Ste 102, Cookeville, TN 38501-2476 | 2011-04-13 |
| 1023220316 | Terah C Isaacson | Surgery | 145 W 4th St Ste 102, Cookeville, TN 38501-2476 | 2007-05-07 |
| 1528056694 | Dale E Douglas | Surgery | 701 County Services Dr, Cookeville, TN 38501-4338 | 2005-10-12 |
| 1821086505 | Upper Cumberland Surgical Associate | Surgery | 340 N Cedar Ave, Cookeville, TN 38501-2421 | 2005-10-07 |
| 1720076342 | George L Ivey IIi | Surgery | 701 County Services Dr, Cookeville, TN 38501-4338 | 2005-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043855604 | East Tennessee Children's Hospital Association, Inc. | Surgery | 207 E Emory Rd, Powell, TN 37849-4047 | 2019-11-07 |
| 1235695891 | Bone and Joint Institute of Tennessee Surgery Center LLC | Surgery | 3000 Edward Curd Lane, Franklin, TN 37067 | 2019-02-19 |
| 1659835692 | Michael H. Schatzlein | Surgery | 1435 Tyne Blvd, Nashville, TN 37215-4425 | 2019-01-23 |
| 1205309382 | Md Webber PC | Surgery | 10810 Parkside Dr Ste 310, Knoxville, TN 37934-1986 | 2019-01-10 |
| 1699256040 | Amarnath Kadimella | Surgery | 1211 Union Ave Ste 340, Memphis, TN 38104-6663 | 2018-08-23 |
| 1043739287 | Sumner Physician Practices LLC | Surgery | 133 Hospital Dr Ste 700, Carthage, TN 37030-4010 | 2017-09-19 |
| 1790201135 | Surgical Services of East Tennessee PC | Surgery | 300 East Main St., Suite 301, Johnson City, TN 37601 | 2017-08-17 |
| 1275064057 | Surgical Services of America, PC | Surgery | 103 Forrest Crossing Blvd Ste 204, Franklin, TN 37064-5453 | 2017-03-23 |
| 1639618663 | Heather N Fesmire | Surgery | 1030 Mcarthur St., Manchester, TN 37355 | 2017-02-23 |
| 1275905440 | Milligan Surgical Associates, Pllc | Surgery | 1919 Pinnacle Pointe Way, Knoxville, TN 37922 | 2015-10-27 |
| Find all providers with the same taxonomy | ||||
| City | COOKEVILLE |
| Zip Code | 38501 |
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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.