ANIMAL CLINIC OF NORTH CLARKSVILLE (NPI# 1629336623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629336623 |
| Entity Type | Organization |
| Organization Name | ANIMAL CLINIC OF NORTH CLARKSVILLE |
| Other Organization Name | ST. BETHLEHEM ANIMAL CLINIC |
| Practice Address |
120 Kraft St Clarksville TN 37040-3091 |
| Practice Telephone | 9316488818 |
| Mailing Telephone | 9316488818 |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2012-04-26 |
| Authorized Official Name | DR. RONALD E WHITFORD (VETERINARIAN/OWNER) |
| Authorized Official Telephone | 9316454111 |
| Authorized Official Credential | DVM |
| Is Organization Subpart | Y |
| Parent Organization Name | ANIMAL MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174M00000X | Veterinarian | 1617 | TN | Other Service Providers |
| N | 174M00000X | Veterinarian | 3447 | TN | Other Service Providers |
| N | 174M00000X | Veterinarian | 5510 | TN | Other Service Providers |
| N | 174M00000X | Veterinarian | 3613 | TN | Other Service Providers |
| N | 174M00000X | Veterinarian | 5220 | TN | Other Service Providers |
| N | 174M00000X | Veterinarian | 5258 | TN | Other Service Providers |
| N | 174M00000X | Veterinarian | 3014 | TN | Other Service Providers |
| N | 174M00000X | Veterinarian | 5267 | TN | Other Service Providers |
| Y | 174M00000X | Veterinarian | 1321 | TN | Other Service Providers |
| Other Name | Type Code |
|---|---|
| St. Bethlehem Animal Clinic | Other Name - Individual/Organization |
| Street Address |
120 KRAFT ST |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37040-3091 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770124380 | Clarksville Treatment Center, LLC | Clinic/Center | 495 Dunlop Lane, Clarksville, TN 37040 | 2019-10-04 |
| 1295384956 | Dena Marie Borchick | Technician | 3779 Cindy Jo Dr. N, Clarksville, TN 37040 | 2019-09-05 |
| 1477014488 | Emily Allen | Dentist | 930 Hwy 76, Clarksville, TN 37040 | 2019-03-31 |
| 1730640566 | Latoya Ewert | Counselor | Centerstone Clarksville Harriet Cohn Center, 511 8th Street, Clarksville, TN 37040 | 2019-03-26 |
| 1356811988 | Jamie Coles | Behavior Technician | 851 Professional Park Drive 851 Profesiional Park Drive, Clarksville, TN 37040 | 2018-11-27 |
| 1518448554 | Bandel Counseling Service | Clinic/Center | 113 3rd St., Suite 25, Clarksville, TN 37040 | 2018-08-28 |
| 1477052520 | Bridget Stokes | Behavior Technician | 2277 Wilma Rudolph Blvd., Suite C #259, Clarksville, TN 37040 | 2018-02-05 |
| 1053824334 | Sandra Loren Coates | Nurse Practitioner | 980 Professional Park Dr Ste C, Clarksville, TN 37040 | 2017-11-09 |
| 1902328362 | Terri Brooke Roach | Registered Nurse | 651 Dunlop Lane, Clarksville, TN 37040 | 2017-07-07 |
| 1093244428 | Nikkia Deneil Bell | Behavior Technician | 139 E. Old Trenton Rd, Suite B, Clarksville, TN 37040 | 2017-06-08 |
| Find all providers in zip 37040 | ||||
| Taxonomy Code | 174M00000X |
| Grouping | Other Service Providers |
| Classification | Veterinarian |
| A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. |
| Notes: Source: Dorland’s Illustrated Medical Dictionary. 28th edition. Philadelphia: W.B. Saunders Company, 1994, p. 1823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750764288 | Karen Louise Blanchard | Veterinarian | 2237 Shrewsbury Run E, Collierville, TN 38017-8853 | 2015-07-01 |
| 1457732570 | Kayla Swanay | Veterinarian | 710 Professional Plaza Dr, Greeneville, TN 37745-5138 | 2015-06-15 |
| 1205235942 | Katharine Lakin Mccreary | Veterinarian | 1414 Gunbarrel Rd, Chattanooga, TN 37421-3121 | 2014-08-19 |
| 1700200300 | Brian Rutherford | Veterinarian | 10213 Kingston Pike, Knoxville, TN 37922-3222 | 2014-02-18 |
| 1023444189 | Katie Noe | Veterinarian | 3340 W Wolf Valley Rd, Clinton, TN 37716-6107 | 2013-09-20 |
| 1558794750 | Sarah Gordon | Veterinarian | 2701 N Mount Juliet Rd, Mount Juliet, TN 37122-3040 | 2013-08-12 |
| 1174965487 | Joyce Merryman | Veterinarian | 3914 Sweetwater Vonore Rd, Sweetwater, TN 37874-6153 | 2013-07-27 |
| 1063859700 | Gregory Don Shaw II | Veterinarian | 6920 Winchester Rd, Memphis, TN 38115-4420 | 2013-06-03 |
| 1740523034 | Elizabeth Cherie Cooper | Veterinarian | 5630 N Broadway St, Knoxville, TN 37918-4103 | 2013-04-04 |
| 1679815229 | Timothy David Mandrell | Veterinarian | 4862 Poplar Ave, Memphis, TN 38117-5152 | 2013-03-21 |
| Find all providers with the same taxonomy | ||||
| City | CLARKSVILLE |
| Zip Code | 37040 |
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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.