EARL DWAYNE LETT (NPI# 1790757755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790757755 |
Entity Type | Individual |
Full Name | EARL DWAYNE LETT |
Credential | M.D. |
Practice Address |
1417 W Baddour Pkwy Suite B Lebanon TN 37087-2513 |
Mailing Address |
53 Century Blvd Ste 120 Nashville TN 37214-3693 |
Practice Telephone | 6154430901 |
Practice Fax Number | 6154430310 |
Mailing Telephone | 6153466213 |
Mailing Fax Number | 6153466225 |
Enumeration Date | 2006-02-03 |
Last Update Date | 2018-04-27 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 174400000X | Specialist | MD25738 | TN | Other Service Providers |
Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
MD25738 | TN | Allopathic & Osteopathic Physicians |
Street Address |
1417 W BADDOUR PKWY SUITE B |
City | LEBANON |
State | TN |
Zip Code | 37087-2513 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205216454 | Fred D. Hutchison | Hearing Instrument Specialist | 1417 W Baddour Pkwy, Suite A, Lebanon, TN 37087-3064 | 2015-06-03 |
1285899666 | Earl Dwayne Lett, PC | Plastic Surgery | 1417 W Baddour Pkwy, Suite B, Lebanon, TN 37087-2513 | 2008-07-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467051698 | Results-ast Jv, LLC | Physical Therapist | 1420 West Baddour Parkway, Suite 102, Lebanon, TN 37087 | 2020-10-19 |
1306405725 | Angela Kurtz | Hearing Instrument Specialist | 1430 West Baddour Parkwayste D, Lebanon, TN 37087 | 2019-06-10 |
1164926937 | Andrea Christine Morrisett | Physical Therapist | 404 N Castle Heights Ave Ste G, Lebanon, TN 37087 | 2018-03-19 |
1942731492 | Rocky Mountain Holdings, LLC | Ambulance | 760d Franklin Rd, Lebanon, TN 37087 | 2017-03-27 |
1326409285 | Karina Lawrence | Speech-Language Pathologist | 1006 Keaton Street, Lebanon, TN 37087 | 2016-03-18 |
1174910491 | Yehualashet Bekele Hailemariam | Internal Medicine | 1411 W Baddour Pkwy,lebanon Tn 37087, Lebanon, TN 37087 | 2015-04-24 |
1043614829 | Jean Thompson | Behavioral Analyst | 1004 Hickory Hill Lane, Suite 2, Hermitage, TN 37087 | 2014-10-22 |
1588072771 | La Keisha Fair | Community Health Worker | 1 Cumberland Square, Lebanon, TN 37087 | 2014-07-31 |
1023440609 | James Martin Meadows | Specialist/Technologist | One Cumberland Square, Lebanon, TN 37087 | 2013-08-06 |
1336571231 | Lori Ann De Leo | Social Worker | 109 Autumn Creek, Lebanon, TN 37087 | 2013-08-01 |
Find all providers in zip 37087 |
Taxonomy Code | 2086S0122X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Plastic and Reconstructive Surgery |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093834889 | Michael Matthew | Surgery | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2007-03-29 |
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 |
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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.