BLOUNT MEMORIAL PHYSICIAN GROUP, INC. (NPI# 1699710194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699710194 |
| Entity Type | Organization |
| Organization Name | BLOUNT MEMORIAL PHYSICIAN GROUP, INC. |
| Practice Address |
458 Bmh Physician Office Bldg. Maryville TN 37804 |
| Mailing Address |
103 West Broadway Avenue Maryville TN 37801-4703 |
| Practice Telephone | 8652731555 |
| Practice Fax Number | 8652731550 |
| Mailing Telephone | 8652731752 |
| Mailing Fax Number | 8652731755 |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2017-09-14 |
| Authorized Official Name | MR. IRWIN D. HEINEMANN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8659775533 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | TN | Allopathic & Osteopathic Physicians | |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
TN | Allopathic & Osteopathic Physicians | |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
TN | Allopathic & Osteopathic Physicians | |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
TN | Allopathic & Osteopathic Physicians | |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| N | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians | ||
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians | ||
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3373710 | 05 |
| Street Address |
458 BMH PHYSICIAN OFFICE BLDG. |
| City | MARYVILLE |
| State | TN |
| Zip Code | 37804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659835825 | Matthew David Mallory | Physical Therapist | Morning View Village 2320 E. Lamar Alexander Parway, Maryville, TN 37804 | 2019-01-22 |
| 1063937290 | Rachel Ryan Mcmillan | Counselor | 362 High Street, Maryville, TN 37804 | 2017-08-09 |
| 1316461460 | Steven Casey Boring | Nurse Practitioner | 907 E. Lamar Alexander Pkwy., Maryville, TN 37804 | 2017-07-31 |
| 1851738751 | Robert Kane Mccall | Pathology | 250 E. Broadway, Maryville, TN 37804 | 2013-05-31 |
| 1619242849 | Jennifer Mcclements | Physical Therapy Assistant | 4004 Samuel Circle, Maryville, TN 37804 | 2012-03-21 |
| 1316223886 | Sabrina Nicole Powers | Social Worker | 1704 East Broadway, Maryville, TN 37804 | 2011-10-28 |
| 1407138381 | Russmann, Inc. | Ambulance | 4163 Benny Delozier Drive, Maryville, TN 37804 | 2011-09-15 |
| 1184932485 | Complete Family Care of Maryville, Pllc | Internal Medicine | 2004 E. Broadway, Maryville, TN 37804 | 2010-09-21 |
| 1093975096 | Kristi Clark Correll | Speech-Language Pathologist | 2030 East Lamar Alexander Parkway, Maryville, TN 37804 | 2008-06-12 |
| 1134388267 | Barbara Frantz Poulsen | Speech-Language Pathologist | 2030 E Lamar Alexander Parkway, Maryville, TN 37804 | 2008-06-04 |
| Find all providers in zip 37804 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124633995 | Continuum Family Care LLC | Family Medicine | 2336 S Main St, Maryville, MO 64468-3622 | 2020-09-09 |
| 1619530029 | Pamela Gail Byrd | Family Medicine | 934 Dunkirk Dr, Maryville, TN 37801-8990 | 2019-04-22 |
| 1710495965 | Sarah Elizabeth Barto | Family Medicine | 2133 Vadalabene Drive, Suite Sb, Maryville, IL 62062 | 2018-01-22 |
| 1134504012 | Dallas Mullock | Family Medicine | 2332 S Main St, Maryville, MO 64468-3622 | 2015-07-21 |
| 1649538802 | Easterly Family Medicine | Family Medicine | 104 Parliament Drive, Maryville, TN 37804-6209 | 2012-04-25 |
| 1407144819 | Norah Claire Farley Baker | Family Medicine | 10 Professional Park Dr., Maryville, IL 62062 | 2011-07-19 |
| 1275854465 | Charles S Fillingane II | Family Medicine | 2336 S Main St Lowr Level, Maryville, MO 64468-3622 | 2010-06-22 |
| 1083767479 | Metro East Healthcare Limited | Family Medicine | 2133 Vadalabene Dr Ste 5b, Maryville, IL 62062-5839 | 2007-01-19 |
| 1356368310 | Blount Memorial Hospital, Inc. | Family Medicine | 116 Chantilly Ln, Maryville, TN 37803-6102 | 2006-07-16 |
| 1821032285 | Jonathan F Greene | Family Medicine | 720 Foothills Mall Dr, Maryville, TN 37801-3519 | 2006-06-16 |
| Find all providers in MARYVILLE | ||||
Please comment or provide details below to improve the information on BLOUNT MEMORIAL PHYSICIAN GROUP, INC..
| 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.