NEIL W KOOY (NPI# 1689626343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689626343 |
| Entity Type | Individual |
| Full Name | NEIL W KOOY |
| Credential | M.D. |
| Practice Address |
408 N State of Franklin Rd Suite 31d Johnson City TN 37604-6089 |
| Practice Telephone | 4234314946 |
| Practice Fax Number | 4234314947 |
| Mailing Telephone | 4234314946 |
| Mailing Fax Number | 4234314947 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2017-02-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
20713 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q015096 | 05 | |
| VA | 1689626343 | 05 |
| Street Address |
408 N STATE OF FRANKLIN RD SUITE 31D |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604-6089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710981105 | Thomas R. Borthwick | Internal Medicine | 408 N State of Franklin Rd, Suite 24, Johnson City, TN 37604-6089 | 2005-06-13 |
| 1013364785 | Jill Hughes | Nurse Practitioner | 408 N State of Franklin Rd, Suite 12, Johnson City, TN 37604-6089 | 2016-05-23 |
| 1245685858 | Blue Ridge Medical Management Corporaiton | Internal Medicine | 408 N State of Franklin Rd, Ste 12, Johnson City, TN 37604-6089 | 2016-05-02 |
| 1619349578 | Blue Ridge Medical Management Corporation | Nurse Practitioner | 408 N State of Franklin Rd, Suite 31e, Johnson City, TN 37604-6089 | 2015-10-30 |
| 1679949572 | Julie Ann Reed | Nurse Practitioner | 408 N State of Franklin Rd, Suite 24, Johnson City, TN 37604-6089 | 2015-08-13 |
| 1962883678 | Blue Ridge Medical Management Corporation | Nurse Practitioner | 408 N State of Franklin Rd, Suite 31b, Johnson City, TN 37604-6089 | 2015-06-18 |
| 1811378854 | Blue Ridge Medical Management Corporation | Pediatrics | 408 N State of Franklin Rd, Suite 31d, Johnson City, TN 37604-6089 | 2015-06-16 |
| 1134500218 | Blue Ridge Medical Management Corporation | Nurse Practitioner | 408 N State of Franklin Rd, Suite 31c, Johnson City, TN 37604-6089 | 2015-06-15 |
| 1336541259 | Brooklyn Beaupre | Nurse Practitioner | 408 N State of Franklin Rd, Suite 24, Johnson City, TN 37604-6089 | 2014-09-23 |
| 1063823185 | Alexis Hodge Duty | Nurse Practitioner | 408 N State of Franklin Rd, Suite 31b, Johnson City, TN 37604-6089 | 2014-05-12 |
| 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 | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811378854 | Blue Ridge Medical Management Corporation | Pediatrics | 408 N State of Franklin Rd, Suite 31d, Johnson City, TN 37604-6089 | 2015-06-16 |
| 1992182091 | Riwaaj Lamsal | Pediatrics | 325 N. State of Franklin Road, Ground Floor, Johnson City, TN 37604 | 2015-04-28 |
| 1124426259 | Mountain States Health Alliance | Pediatrics | 400 N State of Franklin Rd, Niswonger Children's Hospital Admin, Johnson City, TN 37604-6035 | 2014-12-05 |
| 1346681012 | Priyamvada Chaudhary | Pediatrics | 325 N. State of Franklin Road, Ground Floor, Johnson City, TN 37604 | 2013-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023132727 | Geoffrey Fleming | Pediatrics | 5121 Doctors Office Tower, 2200 Children's Way, Nashville, TN 37232-0001 | 2007-03-19 |
| 1659477818 | Kevin B Churchwell | Pediatrics | 5121 Doctors Ofc Tower, 2200 Childrens Way, Nashville, TN 37232-0001 | 2006-09-15 |
| 1598873556 | Paulette M Johnson | Pediatrics | 5121 Doctor S Ofc Tower, 2200 Children's Way, Nashville, TN 37232-0001 | 2006-08-29 |
| 1679050710 | Steven H Portella | Pediatrics | 2200 Childrens Way, Nashville, TN 37232-0005 | 2018-07-22 |
| 1952811507 | Kelly Anne Craighead | Pediatrics | 2200 Childrens Way, Nashville, TN 37232-0005 | 2017-10-10 |
| 1295266906 | Ashlee Christmas | Pediatrics | 920 Madison Avenue Suite 447, Memphis, TN 38163-3818 | 2017-03-23 |
| 1003235441 | Jenny Kingsley | Pediatrics | 2200 Childrens Way, Suite 2404, Nashville, TN 37232-0005 | 2014-04-14 |
| 1275979668 | Dustin Michael Hipp | Pediatrics | 3601 The Vanderbilt Clinic, Nashville, TN 37232-2608 | 2013-05-13 |
| 1477893121 | Maria Del Pilar Anton Martin | Pediatrics | 51 N Dunlap St Fl 2, Memphis, TN 38105 | 2013-02-17 |
| 1972851343 | Isaura Diaz | Pediatrics | 3601 The Vanderbilt Clinic, Nashville, TN 37232-2608 | 2012-08-16 |
| Find all providers with the same taxonomy | ||||
| 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.