KENNETH E. CUTSHALL (NPI# 1700872959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700872959 |
| Entity Type | Individual |
| Full Name | KENNETH E. CUTSHALL |
| Credential | MD |
| Practice Address |
3 Professional Park Dr Ste 31 Johnson City TN 37604-6529 |
| Mailing Address |
3 Professional Park Drive Suite 31 Johnson City TN 37604-6529 |
| Practice Telephone | (423) 975-5650 |
| Practice Fax Number | 4239755652 |
| Mailing Telephone | (423) 975-5650 |
| Mailing Fax Number | 4239755652 |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2017-07-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | MD19352 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3065739 | 05 | |
| TN | Q009403 | 05 | |
| VA | 1700872959 | 05 |
| Street Address |
3 PROFESSIONAL PARK DR STE 31 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604-6529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487699617 | John Lawson Surgical Group, PC | Surgery | 3 Professional Park Dr Ste 31, Johnson City, TN 37604-6529 | 2006-06-19 |
| 1851387872 | John F. Robertson IIi | Surgery | 3 Professional Park Dr Ste 31, Johnson City, TN 37604-6529 | 2005-09-26 |
| 1154317220 | Tony O. Haley | Surgery | 3 Professional Park Dr Ste 31, Johnson City, TN 37604-6529 | 2005-09-23 |
| 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 | 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 |
|---|---|---|---|---|
| 1790201135 | Surgical Services of East Tennessee PC | Surgery | 300 East Main St., Suite 301, Johnson City, TN 37601 | 2017-08-17 |
| 1235469974 | Jeffrey Scott Wiseman | Surgery | 30 Harrison St Ste 455, Johnson City, NY 13790-2176 | 2009-12-31 |
| 1750301685 | Surgical Group of Johnson City, Mpc | Surgery | 310 N State of Franklin Rd Ste 404, Johnson City, TN 37604-6063 | 2006-07-21 |
| 1184660482 | Daniel Brooks Drinnen | Surgery | 300 E Main St Ste 301, Johnson City, TN 37601-5708 | 2006-06-22 |
| 1508821067 | James Bracken Burns Jr. | Surgery | Dogwood Ave, Bldg #1, Room 2-42, Johnson City, TN 37614 | 2006-04-19 |
| 1801851324 | Annamalai Periakaruppan | Surgery | 180 Harry L Dr, Johnson City, NY 13790-1566 | 2006-04-18 |
| 1588641187 | Michael J Hodge | Surgery | 2333 Knob Creek Rd Ste 16, Johnson City, TN 37604-2007 | 2005-12-27 |
| 1134119209 | Ghassem Mangouri | Surgery | 355 Riverside Dr, Johnson City, NY 13790-2708 | 2005-10-28 |
| 1437145687 | Paul Thurdekoos | Surgery | 3 Professional Park Dr, Suite 31, Johnson City, TN 37604-6529 | 2005-09-23 |
| 1154816429 | Tamer Dawud | Surgery | 30 Harrison St Ste 400, Johnson City, NY 13790-2176 | 2018-06-28 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
Please comment or provide details below to improve the information on KENNETH E. CUTSHALL.
| 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.