DR. JAMES J MERRILL (NPI# 1790717429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790717429 |
| Entity Type | Individual |
| Full Name | DR. JAMES J MERRILL |
| Credential | MD |
| Practice Address |
2050 Meadowview Parkway Kingsport TN 37660-7332 |
| Mailing Address |
105 W Stone Dr Suite 6a Kingsport TN 37660-3365 |
| Practice Telephone | 4232305000 |
| Practice Fax Number | 4232305097 |
| Mailing Telephone | 4234087220 |
| Mailing Fax Number | 4234087405 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2017-05-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 25496 | TN | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
0101050765 | VA | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
25496 | TN | Allopathic & Osteopathic Physicians |
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
0101050765 | VA | Allopathic & Osteopathic Physicians |
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
25496 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | UNITED HEALTHCARE | 621112685 | 01 |
| VA | 6011632 | 05 | |
| KY | 64920531 | 05 | |
| TN | 3082706 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184707259 | James Johnson Merrill | Counselor | 49 Congress St, Rumford, ME 04276-2014 | 2006-10-23 |
| 1134463391 | James Benjamin Merrill | Counselor | 1640 Powers Ferry Rd Se, Building 16, Ste 100, Marietta, GA 30067-5491 | 2012-11-11 |
| 1265716278 | James Merrill | Psychologist | 511 Morris St, Charleston, WV 25301-1326 | 2011-10-10 |
| 1114009859 | James Erwin Merrill | Obstetrics & Gynecology | 1001 S Hemlock St, Iron Mountain, MI 49801-3805 | 2006-10-20 |
| 1306878236 | James A Merrill | Family Medicine | 3021 Griffin Ave, Enumclaw, WA 98022-2369 | 2006-07-07 |
| 1912956665 | James M Merrill | Family Medicine | 1709 Precinct Line Rd, Hurst, TX 76054-3131 | 2006-05-09 |
| Street Address |
2050 MEADOWVIEW PARKWAY |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37660-7332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992795066 | Pabitra K Saha | Internal Medicine | 2050 Meadowview Parkway, Kingsport, TN 37660-7332 | 2005-10-28 |
| 1164681607 | Rahul Sakhuja | Internal Medicine | 2050 Meadowview Parkway, Kingsport, TN 37660-7332 | 2008-06-09 |
| 1710098546 | Marc W Mayhew | Internal Medicine | 2050 Meadowview Parkway, Kingsport, TN 37660-7332 | 2006-08-31 |
| 1073539078 | Daniel E Simpson | Internal Medicine | 2050 Meadowview Parkway, Kingsport, TN 37660-7332 | 2006-07-14 |
| 1811920630 | Harrison D Turner | Specialist | 2050 Meadowview Parkway, Kingsport, TN 37660-7332 | 2006-07-07 |
| 1376575035 | Wellmont Cardiology Services | Nurse Practitioner | 2050 Meadowview Parkway, Kingsport, TN 37660-7332 | 2006-07-06 |
| 1730119272 | Gregory K Jones | Internal Medicine | 2050 Meadowview Parkway, Kingsport, TN 37660-7332 | 2006-07-03 |
| 1174552467 | Herbert D Ladley | Internal Medicine | 2050 Meadowview Parkway, Kingsport, TN 37660-7332 | 2006-07-01 |
| 1689600587 | Gerald G Blackwell | Internal Medicine | 2050 Meadowview Parkway, Kingsport, TN 37660-7332 | 2006-06-23 |
| 1427084342 | John R Bertuso | Internal Medicine | 2050 Meadowview Parkway, Kingsport, TN 37660-7332 | 2006-06-23 |
| 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 | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| 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 |
|---|---|---|---|---|
| 1861015935 | Basu Ray Cardiology Associates PC | Internal Medicine | 1755 Groveway Dr, Germantown, TN 38139-5554 | 2020-05-25 |
| 1538391446 | Indranill Basu Ray | Internal Medicine | 6005 Park Ave Ste 500b, Memphis, TN 38119 | 2009-08-12 |
| 1548266786 | Tibor Sandor Szabo | Internal Medicine | 7460 Wolf River Blvd, Germantown, TN 38138-1760 | 2005-06-22 |
| 1275811713 | Knoxville Hma Cardiology Ppm, LLC | Internal Medicine | 1225 E Weisgarber Rd, Knoxville, TN 37909-2604 | 2011-08-02 |
| 1518279686 | Chattanooga Hamilton County Hospital Authority | Internal Medicine | 979 E 3rd St, Suite C-520, Chattanooga, TN 37403-2136 | 2010-07-06 |
| 1174842181 | Specialty Physician Group LLC | Internal Medicine | 7460 Wolf River Blvd, Germantown, TN 38138-1760 | 2010-06-01 |
| 1831332626 | Karine Guerrier | Internal Medicine | 848 Adams Ave, Ste. L400, Memphis, TN 38103 | 2009-04-09 |
| 1518122613 | Martin Antonio Espinosa | Internal Medicine | 222 22nd Ave N, Suite 400, Nashville, TN 37203-1852 | 2008-07-28 |
| 1093978751 | Rashmi Ujaneppa Hottigoudar | Internal Medicine | 7557b Dannaher Dr Ste 225, Powell, TN 37849-3568 | 2008-07-02 |
| 1265606255 | Przemyslaw Peter Borek | Internal Medicine | 2400 Patterson St Ste 502, Nashville, TN 37203-6511 | 2008-04-22 |
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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.