BOOMERSHINE WELLNESS CENTERS, PLC (NPI# 1790078962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790078962 |
Entity Type | Organization |
Organization Name | BOOMERSHINE WELLNESS CENTERS, PLC |
Practice Address |
330 Mallory Station Rd Suite E-15 Franklin TN 37067-2859 |
Practice Telephone | 6154353235 |
Practice Fax Number | 6154353275 |
Mailing Telephone | 6154353235 |
Mailing Fax Number | 6154353275 |
Enumeration Date | 2011-05-22 |
Last Update Date | 2011-11-21 |
Authorized Official Name | DR. CHAD STEPHEN BOOMERSHINE (CHIEF MANAGER) |
Authorized Official Telephone | 6154353235 |
Authorized Official Credential | M.D., PH.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
38402 | TN | Allopathic & Osteopathic Physicians |
Street Address |
330 MALLORY STATION RD SUITE E-15 |
City | FRANKLIN |
State | TN |
Zip Code | 37067-2859 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578560785 | Productivemd, LLC | Physiological Laboratory | 330 Mallory Station Rd, F17, Franklin, TN 37067-2859 | 2005-07-01 |
1891219465 | Chance Alexander Moore | Chiropractor | 330 Mallory Station Rd, Ste G27, Franklin, TN 37067-2861 | 2017-07-26 |
1346781242 | White Feather Chiropractic | Chiropractor | 330 Mallory Station Rd, Suite G27, Franklin, TN 37067-2859 | 2017-03-13 |
1245593862 | American Medical Co-op, LLC | Durable Medical Equipment & Medical Supplies | 330 Mallory Station Rd, # C-7, Franklin, TN 37067-2859 | 2012-06-19 |
1376789677 | Erba, Inc. | In Home Supportive Care | 330 Mallory Station Rd, Suite 7, Franklin, TN 37067-2859 | 2008-12-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619580628 | Jennifer Patterson Juskowich | Physical Therapist | 101 International Drive, Franklin, TN 37067 | 2020-08-28 |
1841819505 | Kasar Findi | Nurse Practitioner | 2105 Eward Curd Lane, Nashville, TN 37067 | 2020-04-13 |
1275161465 | Jill Campbell Flowers | Counselor | Cool Springs Psychiatric Group, 354 Cool Springs Boulevard, Suite 105, Franklin, TN 37067 | 2020-04-01 |
1306488622 | Cumberland Pediatric Dentistry and Orthodontics of Cool Springs, Pllc | Dentist | 1201 Liberty Pike, Suite 202-b, Franklin, TN 37067 | 2019-10-09 |
1619522133 | Tennessee Oncology, Pllc | Clinical Medical Laboratory | 4488 Carothers Pkwy, Suite 310, Franklin, TN 37067 | 2019-08-02 |
1235695891 | Bone and Joint Institute of Tennessee Surgery Center LLC | Surgery | 3000 Edward Curd Lane, Franklin, TN 37067 | 2019-02-19 |
1265904924 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 1893 General George Patton Drive, Suite 100, Franklin, TN 37067 | 2018-12-19 |
1730657735 | Physicians Wellness Group Pllc | Family Medicine | 2235 East Mcewen Drive, Franklin, TN 37067 | 2018-11-07 |
1467945402 | Steven A Roush | Dentist | 5040 Carothers Parkway, Ste 101, Franklin, TN 37067 | 2018-06-13 |
1538682877 | Mtpc LLC | Clinic/Center | 4588 Carothers Parkway, Franklin, TN 37067 | 2017-07-19 |
Find all providers in zip 37067 |
Taxonomy Code | 207RR0500X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Rheumatology |
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
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 |
---|---|---|---|---|
1154527455 | Rheumatology and Immunotherapy | Internal Medicine | 4225 W Oakwood Park Ct, Franklin, WI 53132-8131 | 2007-06-23 |
1134234859 | Alvin F Wells | Internal Medicine | 4225 W Oakwood Park Court, Franklin, WI 53132 | 2006-08-20 |
1326073610 | Thomas G Conley | Internal Medicine | 1280 West Central Street, Suite 102, Franklin, MA 02038 | 2006-07-12 |
1598700387 | Salman Waheeduddin | Internal Medicine | 9200 W Loomis Rd, Rheumatology, Franklin, WI 53132-8887 | 2006-06-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043799026 | American Arthritis & Rheumatology Associates Tn, Pllc | Internal Medicine | 6005 Park Ave Ste 409, Memphis, TN 38119-5214 | 2018-08-09 |
1316234974 | Maryam Pourpaki | Internal Medicine | 4230 Harding Pike Ste 301, Nashville, TN 37205-2098 | 2011-07-05 |
1336460054 | Mark Robin Boothby | Internal Medicine | Div of Rheumatology Vanderbilt Medical Ctr, T-3217 Medical Center North, 1161 21st Ave S, Nashville, TN 37232-0001 | 2010-06-16 |
1083931539 | Medical Specialists of Johnson City | Internal Medicine | 2528 Wesley St Ste 2, Johnson City, TN 37601-1766 | 2010-04-23 |
1205063591 | Jayne Littlejohn Crowe | Internal Medicine | 979 E. Third St, Suite B - 805, Chattanooga, TN 37403-2141 | 2009-06-15 |
1487880829 | Syed Saquib Islam | Internal Medicine | University of Tennessee 910 Madison Ave Ste 1031, Memphis, TN 38163-1658 | 2009-05-29 |
1154564086 | Seunghyun Kim | Internal Medicine | 956 Court Ave Ste G-326, Memphis, TN 38103-2814 | 2009-04-08 |
1396983524 | Lizeth Jovanna Romero | Internal Medicine | 979 E 3rd St Ste B-805, Chattanooga, TN 37403-2136 | 2009-01-26 |
1487814166 | Cecilia Pilar Chung Nakandakari | Internal Medicine | S 1115 Medical Center North, 1611 21st Avenue South, Nashville, TN 37232-2681 | 2008-06-16 |
1558533760 | J Suzanne Moore | Internal Medicine | 303 Med Tech Pkwy Ste 200, Johnson City, TN 37604 | 2008-03-27 |
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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.