WILLIAM R KINCAID (NPI# 1609979749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609979749 |
| Entity Type | Individual |
| Full Name | WILLIAM R KINCAID |
| Credential | M.D. |
| Practice Address |
310 N State of Franklin Rd Ste 401 Johnson City TN 37604-6008 |
| Mailing Address |
Po Box 3770 Johnson City TN 37602-3770 |
| Practice Telephone | 4239263611 |
| Practice Fax Number | 4239263073 |
| Mailing Telephone | 4239263611 |
| Mailing Fax Number | 4239263073 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2011-02-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
MD0000009750 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BCBS | 0051193 | 01 |
| TN | 3172786 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447288295 | William Ira Kincaid | Dentist | 635 Mccarthy Blvd, New Bern, NC 28562-5232 | 2006-06-29 |
| 1992368559 | William Kincaid | Behavioral Analyst | 10595 State Route 550, Vincent, OH 45784-5650 | 2019-04-19 |
| Street Address |
310 N STATE OF FRANKLIN RD STE 401 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604-6008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598769903 | Pamela L. Greer | Nurse Practitioner | 310 N State of Franklin Rd, Ste 202, Johnson City, TN 37604-6063 | 2005-06-13 |
| 1659817377 | Shandon Morrison | Nurse Practitioner | 310 N State of Franklin Rd, Suite 202, Johnson City, TN 37604-6008 | 2017-01-19 |
| 1366990442 | Michelle L Jones | Nurse Practitioner | 310 N State of Franklin Rd, Suite 400, Johnson City, TN 37604-6008 | 2016-09-16 |
| 1881147692 | Deretsa Perry | Nurse Practitioner | 310 N State of Franklin Rd, Suite 400, Johnson City, TN 37604-6008 | 2016-07-28 |
| 1053762112 | Blue Ridge Medical Management Corporation | Internal Medicine | 310 N State of Franklin Rd, Ste 301a, Johnson City, TN 37604-6008 | 2016-06-29 |
| 1669864377 | Emily Kathleen Price | Nurse Practitioner | 310 N State of Franklin Rd, Suite 400, Johnson City, TN 37604-6008 | 2015-03-04 |
| 1366862336 | Miranda Kyker | Nurse Practitioner | 310 N State of Franklin Rd, Suite 400, Johnson City, TN 37604-6008 | 2014-04-17 |
| 1114340445 | Blue Ridge Medical Management | Surgery | 310 N State of Franklin Rd, Suite 101b, Johnson City, TN 37604-6008 | 2014-01-22 |
| 1225389349 | Trinity Cancer Care, P.C. | Internal Medicine | 310 N State of Franklin Rd, Suite 401, Johnson City, TN 37604-6073 | 2012-09-28 |
| 1285936930 | Ryan Kara Judson | Nurse Practitioner | 310 N State of Franklin Rd, Suite 400, Johnson City, TN 37604-6008 | 2010-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| Find all providers in zip 37604 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710406350 | Hope, Blood and Cancer Center | Internal Medicine | 110 Corporate Dr Ste 120, Johnson City, TN 37604-2008 | 2017-09-14 |
| 1730653494 | Tennessee Cancer Specialist Pllc | Internal Medicine | 300 Med Tech Pkwy, Johnson City, TN 37604-2277 | 2019-01-16 |
| 1316410335 | Tennessee Cancer Specialists | Internal Medicine | 1301 Sunset Dr Ste 3, Johnson City, TN 37604-7906 | 2019-01-03 |
| 1952657231 | Tennessee Cancer Specialists, Pllc | Internal Medicine | 400 N State of Franklin Rd, Mountain State Health Alliance, Johnson City, TN 37604-6035 | 2012-07-24 |
| 1558632216 | Quality of Life Healthcare Inc. | Internal Medicine | 302 Wesley St Ste 3, Johnson City, TN 37601-1741 | 2012-01-25 |
| 1821240011 | Shilpa Sambidi | Internal Medicine | 30 Harrison St, Suite 100, Johnson City, NY 13790-2161 | 2008-10-21 |
| 1235300179 | Anindya Kumar Sen | Internal Medicine | 110 Corporate Dr, Suite 120, Johnson City, TN 37604-2008 | 2008-03-19 |
| 1558329078 | Agnes Krozer Hamati | Internal Medicine | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 | 2006-05-03 |
| 1073502019 | Serazul A Khan | Internal Medicine | 30 Harrison St, Suite 100, Johnson City, NY 13790-2161 | 2005-10-20 |
| 1720077373 | Daniel P Bellina | Internal Medicine | 30 Harrison St, Suite 100, Johnson City, NY 13790-2161 | 2005-10-17 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
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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.