DR. MARY ANGELA SKELTON (NPI# 1740323393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740323393 |
| Entity Type | Individual |
| Full Name | DR. MARY ANGELA SKELTON |
| Credential | M.D. |
| Practice Address |
1034 W Main St Waverly TN 37185-1447 |
| Practice Telephone | 9312967000 |
| Practice Fax Number | 9312967231 |
| Mailing Telephone | 9312967000 |
| Mailing Fax Number | 9312967231 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2008-01-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | MD8719 | TN | Allopathic & Osteopathic Physicians |
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
MD8719 | TN | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | MD8719 | TN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679188205 | Mary Skelton | Speech-Language Pathologist | 3851 Commercial Center Dr, Ladson, SC 29456-4146 | 2020-09-10 |
| Street Address |
1034 W MAIN ST |
| City | WAVERLY |
| State | TN |
| Zip Code | 37185-1447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962796888 | Waverly Pediatric and Adult Care | Clinical Nurse Specialist | 1034 W Main St, Waverly, TN 37185-1447 | 2011-06-08 |
| 1982993796 | Mandi Nicole Beuerlein | Nurse Practitioner | 1034 W Main St, Waverly, TN 37185-1447 | 2011-04-01 |
| 1821317546 | Melanie Leigh Dowling | Registered Nurse | 1034 W Main St, Waverly, TN 37185-1447 | 2010-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104295567 | Tiffany Szabo | Speech-Language Pathologist | 670 Tn- 13, Waverly, TN 37185 | 2015-09-16 |
| 1407266653 | Wallace Mcclure | General Practice | 450 Powers Blvd., Waverly, TN 37185 | 2014-04-28 |
| 1982995346 | Laurel Lea Barrier | Speech-Language Pathologist | 1171 Lockhart Road, Waverly, TN 37185 | 2011-04-20 |
| 1477703155 | Christie Madge King-patterson | Nurse Practitioner | 215b Holly Lane, Waverly, TN 37185 | 2008-09-30 |
| 1396921946 | Tammy Jo Saffel | Counselor | 205b East Main Street, Waverly, TN 37185 | 2008-01-14 |
| 1386794816 | Lawrence Richard Jackson Jr. | Family Medicine | 102 Hillwood Dr, Waverly, TN 37185 | 2007-01-10 |
| 1720147119 | Kelley M Blackwell | Marriage & Family Therapist | 795 Holly Ln, Waverly, TN 37185 | 2006-12-08 |
| 1063509578 | Ida Suellen Westerman | Counselor | 205 B East Main Street, Waverly, TN 37185 | 2006-10-06 |
| 1801835962 | Noel R Dominguez | Internal Medicine | 209 West Main Street, Waverly, TN 37185 | 2006-06-05 |
| 1730145822 | Waverly Health Care and Rehabilitation Center Inc | Skilled Nursing Facility | 895 Powers Blvd, Waverly, TN 37185 | 2006-04-26 |
| Find all providers in zip 37185 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033516109 | Comprehensive Pediatrics | Pediatrics | 4250 Faronia Road, Suite 3, Memphis, TN 38116 | 2014-12-04 |
| 1063597979 | James Langston Cowan IIi | Pediatrics | 6073 Mt. Moriah Ext., Suite 2, Memphis, TN 38115 | 2006-10-26 |
| 1164511085 | Svetlana Yanishevski | Pediatrics | 5050 Sanderlin, Memphis, TN 38117 | 2006-10-11 |
| 1922190875 | Joseph Raoul Morin Jr. | Pediatrics | 698 Clinchfield St, Kingsport, TN 37660-3630 | 2006-09-29 |
| 1518073550 | Lea Ann Lund | Pediatrics | 100 Springhouse Ct, Suite 100, Hendersonville, TN 37075-1609 | 2006-08-22 |
| 1790710168 | Kristin Michele Rager | Pediatrics | 801 Woodland St, Nashville, TN 37206 | 2006-07-12 |
| 1376596452 | Susan C Brewer | Pediatrics | 142 Mount Pelia Rd, Martin, TN 38237-3812 | 2006-05-18 |
| 1790735124 | Tamara P Folz | Pediatrics | 1102 Brookfield Road, 2nd Floor, Memphis, TN 38119 | 2006-05-10 |
| 1376513721 | Landon S Combs | Pediatrics | 115 Judge Gresham Rd, Suite B, Gray, TN 37615-6213 | 2006-01-26 |
| 1871575340 | Eric R Prenshaw | Pediatrics | 1800 Volunteer Blvd, Knoxville, TN 37996-3102 | 2005-11-18 |
| Find all providers with the same taxonomy | ||||
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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.