STEPHEN E DEXTER (NPI# 1740461011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740461011 |
| Entity Type | Individual |
| Full Name | STEPHEN E DEXTER |
| Credential | M.D. |
| Practice Address |
2000 Brookside Dr 3rd Floor Kingsport TN 37660-4627 |
| Practice Telephone | 4238575905 |
| Practice Fax Number | 4238575904 |
| Mailing Telephone | 4238575905 |
| Mailing Fax Number | 4238575904 |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2014-12-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 0101245845 | VA | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | 45849 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1740461011 | 05 | |
| KY | JESSE1964 | 05 | |
| TN | 1517987 | 05 | |
| RAILROAD MEDICARE | P00888006 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124287636 | Stephen Rood Dexter | Audiologist-Hearing Aid Fitter | 5750 W Thunderbird Rd Ste F600, Glendale, AZ 85306-4667 | 2008-06-09 |
| 1659681492 | Stephen Thomas Dexter | Counselor | 43 Hooper St., Wiscasset, ME 04578 | 2010-10-14 |
| Street Address |
2000 BROOKSIDE DR 3RD FLOOR |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37660-4627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205825528 | Carol Ann Brown | Nurse Anesthetist, Certified Registered | 2000 Brookside Dr, Kingsport, TN 37660 | 2005-10-19 |
| 1548734338 | Jennifer Leigh Johnson | Nurse Practitioner | 2000 Brookside Dr, Kingsport, TN 37660-4627 | 2019-01-15 |
| 1730628785 | Amanda Genco | Clinical Nurse Specialist | 2000 Brookside Dr, Kingsport, TN 37660-4627 | 2017-02-22 |
| 1669918314 | Blue Ridge Medical Management Corporation | Hospitalist | 2000 Brookside Dr, 1st Floor Room 12, Kingsport, TN 37660-4627 | 2017-01-18 |
| 1134585326 | Michael John May | Nurse Practitioner | 2000 Brookside Dr, Kingsport, TN 37660-4627 | 2016-01-05 |
| 1386039006 | Susan Netherland | Occupational Therapist | 2000 Brookside Dr, Kingsport, TN 37660-4627 | 2015-03-31 |
| 1467859066 | Ariel Rockett | Physical Therapist | 2000 Brookside Dr, Kingsport, TN 37660 | 2014-11-25 |
| 1881097913 | Randi Teaster | Nurse Practitioner | 2000 Brookside Dr, 3rd Floor, Kingsport, TN 37660-4627 | 2014-10-03 |
| 1043627441 | Valley Ridge Emergency Physicians, LLP | Emergency Medicine | 2000 Brookside Dr, Kingsport, TN 37660-4627 | 2014-07-17 |
| 1184053472 | Madonna Lin Banks | Registered Nurse | 2000 Brookside Dr, 3rd Floor, Kingsport, TN 37660-4627 | 2013-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909891 | Nancy Gober | Pharmacist | Holston Valley Medical Center Inpatient Pharmacy, 130 W Ravine, Kingsport, TN 37660 | 2020-07-06 |
| 1700437621 | Tammy Denise Leblanc | Technician | 125 Lancer Rd, Kingsport, TN 37660 | 2019-09-23 |
| 1831743392 | Independent Physical Therapy | Occupational Therapist | 1704 E. Stone Dr. Ste 120, Kingsport, TN 37660 | 2019-08-01 |
| 1871095315 | Macie Anderson | Nurse Practitioner | 411 Clay St, Kingsport, TN 37660 | 2018-03-01 |
| 1053813527 | Pulitzer Orthodontics, LLC | Dentist | 1200 Pulitzer Place, Kingsport, TN 37660 | 2018-03-01 |
| 1174038749 | Sbh-kingsport | Psychiatric Hospital | 1025 Executive Park Blvd, Kingsport, TN 37660 | 2017-12-05 |
| 1548771447 | Sara B Ball | Registered Nurse | 111 W Stone Dr Ste 240, Kingsport, TN 37660 | 2017-10-18 |
| 1821525361 | Ashley Brook Weems | Nurse Practitioner | Six Sheridan Square Suite 100, Kingsport, TN 37660 | 2017-05-15 |
| 1639625643 | Stephanie H Garris | Nurse Practitioner | 117 W Sevier Ave Ste 120, Kingsport, TN 37660 | 2016-08-30 |
| 1073965679 | Teresa Anne Starke | Physician Assistant | 8 Sheridan Square, Suite 110, Kingsport, TN 37660 | 2016-07-07 |
| Find all providers in zip 37660 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730739442 | Megan Elizabeth Wagner | Internal Medicine | 220 Eauclair St, Kingsport, TN 37664-4840 | 2019-09-14 |
| 1841440096 | Devi Prasad Botu | Internal Medicine | 130 W, Ravine Rd., Kingsport, TN 37660 | 2008-09-24 |
| 1093985004 | A. Evan Lewis Phd Md PC | Internal Medicine | 1936 Brookside Dr Ste D, Kingsport, TN 37660-4654 | 2008-03-05 |
| 1093906810 | Carl E Bendeck Md PC | Internal Medicine | 1328 Belmeade Dr, Kingsport, TN 37664-2002 | 2007-08-06 |
| 1063639839 | Leon Charles Bass | Internal Medicine | 105 W Stone Dr Ste 1j, Kingsport, TN 37660-3365 | 2007-04-20 |
| 1134175938 | Jasjot Paul Singh | Internal Medicine | 1335 E Center St, Suite #1, Kingsport, TN 37664-2489 | 2006-05-25 |
| 1629034327 | Terry R Nye | Internal Medicine | 1916 Brookside Dr, Kingsport, TN 37660-4602 | 2006-04-22 |
| 1083607329 | Melania Bochis | Internal Medicine | 4 Sheridan Sq, Suite 200, Kingsport, TN 37660-7390 | 2005-08-23 |
| 1831182120 | Marian L Chamberlin | Internal Medicine | 4 Sheridan Square, Suite 200, Kingsport, TN 37660-7390 | 2005-08-23 |
| 1326040643 | Richard Dickson | Internal Medicine | 2033 Meadowview Lane, 3rd Floor, Kingsport, TN 37660-4652 | 2005-06-01 |
| Find all providers in KINGSPORT | ||||
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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.