SAMUEL W HUDDLESTON IV


Address: 2002 Brookside Drive, Ste 201, Kingsport, TN 37660
Phone: 4232457080

SAMUEL W HUDDLESTON IV (NPI# 1770508525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770508525
Entity Type Individual
Full Name SAMUEL W HUDDLESTON IV
Credential MD
Practice Address 2002 Brookside Drive
Ste 201
Kingsport
TN 37660
Practice Telephone 4232457080
Practice Fax Number 4232457875
Mailing Telephone 4232457080
Mailing Fax Number 4232457875
Enumeration Date 2006-07-13
Last Update Date 2013-12-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0122X Surgery
Specialization: Plastic and Reconstructive Surgery
15029 TN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
ANTHEM 384053 01
AETNA 5331096 01
BCBS 0070707 01
LIC 15029 01
TN 3032417 05
DEA AH239412 01

Other Providers SAMUEL HUDDLESTON

NPI Name Taxonomy Address Enumeration
1851992317 Samuel Blake Huddleston Physical Therapist 1932 Almaville Rd Ste 115, Smyrna, TN 37167-7600 2020-11-02
1801139423 Samuel Fielding Huddleston Emergency Medicine 3280 Joe Battle Blvd, El Paso, TX 79938-2622 2013-04-02
1053607432 Samuel Winston Huddleston V Radiology 408 N State of Franklin Rd, Suite 31, Johnson City, TN 37604-6089 2011-06-23

Office Location

Street Address 2002 BROOKSIDE DRIVE
STE 201
City KINGSPORT
State TN
Zip Code 37660

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073638144 Regional Kidney Care, PC Specialist 2002 Brookside Drive, Suite 102, Kingsport, TN 37660-4634 2007-03-20

Providers in the same zip code

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 Information

Taxonomy Code 2086S0122X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Plastic and Reconstructive Surgery

Taxonomy Definition

A surgeon who specializes in plastic and reconstructive surgery.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841433059 New Horizons Plastic Surgery LLC Surgery 2033 Meadowview Ln, Suite 110, Kingsport, TN 37660-7569 2009-04-17
1912178112 Kingsport Plastic Surgery, PC Surgery 2012 Brookside Dr, Suite 1, Kingsport, TN 37660-4645 2008-03-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1255829552 Ahmed Al Bayati Surgery Medical Center North 1161 21st Avenue S Suite Ccc-4312, Nashville, TN 37232-0001 2018-04-23
1275039661 Mekia Truclaye Kauffman Surgery 1934 Alcoa Hwy Ste D-362, Knoxville, TN 37920-1524 2018-04-04
1497137574 Daniel A Hatef Md, Pllc Surgery 6200 Highway 100 Ste 101, Nashville, TN 37205-4252 2015-06-24
1336588201 Nashville Plastic and Reconstructive Surgery, Plc Surgery 2201 Murphy Ave Ste 301, Nashville, TN 37203-1956 2013-06-24
1851657597 Jordi Puente Espel Surgery 6215 Humphreys Blvd Ste 103, Memphis, TN 38120-2382 2012-04-06
1730475179 Sarah Elizabeth Hammond Surgery Plastic Surgery Group, 80 Humphreys Blvd #100, Memphis, TN 38120 2011-06-23
1942500319 Sieveking Plastic Surgery Surgery 204 23rd Ave N, Nashville, TN 37203-1502 2010-11-01
1275733081 Natasha Nicole Luckey Surgery 2001 Mallory Ln Ste 205, Franklin, TN 37067-8235 2007-07-19
1841406063 Robert F Garza Surgery 4322 Harding Rd, Suite 326, Nashville, TN 37205-2490 2007-05-15
1558583021 Stewart Charles Little Surgery 2358 Lifestyle Way Ste 212, Chattanooga, TN 37421-2291 2007-05-03
Find all providers with the same taxonomy

Competitor

Search similar providers

City KINGSPORT
Zip Code 37660

Improve Information

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Dataset Information

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.

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