AMG - SOUTHERN TENNESSEE, LLC (NPI# 1801220546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801220546 |
| Entity Type | Organization |
| Organization Name | AMG - SOUTHERN TENNESSEE, LLC |
| Other Organization Name | WINCHESTER EAR, NOSE AND THROAT |
| Practice Address |
1383 S College St Winchester TN 37398-2414 |
| Practice Telephone | 9319623500 |
| Practice Fax Number | 9319623545 |
| Mailing Telephone | 9319623500 |
| Mailing Fax Number | 9319623545 |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2013-08-29 |
| Authorized Official Name | DANIEL SYKES (VICE PRESIDENT) |
| Authorized Official Telephone | 6153728500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Winchester Ear, Nose and Throat | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942744339 | Amg - Southern Tennessee, LLC | Nurse Practitioner | 108 W Blackwell St, Tullahoma, TN 37388-3505 | 2016-12-05 |
| 1922388297 | Amg - Southern Tennessee, LLC | Clinic/Center | 21 1st Street, Monteagle, TN 37356 | 2011-08-18 |
| 1316480213 | Amg - Southern Tennessee, LLC | Nurse Practitioner | 100 Hunters Ln, Suite 100, Tullahoma, TN 37388-8263 | 2016-11-24 |
| 1972055127 | Amg - Southern Tennessee, LLC | Physical Medicine & Rehabilitation | 183 Hospital Rd, Suite B, Winchester, TN 37398-2470 | 2016-11-03 |
| 1851745434 | Amg - Southern Tennessee, LLC | Psychiatry & Neurology | 2230 Cowan Hwy, Winchester, TN 37398-2627 | 2016-04-20 |
| 1952786675 | Amg - Southern Tennessee, LLC | Internal Medicine | 81 Memorial Dr, Winchester, TN 37398-2401 | 2015-07-23 |
| 1770968489 | Amg - Southern Tennessee, LLC | Urology | 155 Hospital Rd, Suite H, Winchester, TN 37398-2494 | 2015-07-23 |
| 1780075333 | Amg - Southern Tennessee, LLC | Family Medicine | 300 S Main St, Estill Springs, TN 37330-4042 | 2015-02-17 |
| 1891103438 | Amg - Southern Tennessee, LLC | Internal Medicine | 155 Hospital Rd, Suite H, Winchester, TN 37398-2494 | 2014-07-28 |
| 1922436195 | Amg - Southern Tennessee, LLC | Psychiatry & Neurology | 66 Sunrise Park, Winchester, TN 37398-2345 | 2013-10-24 |
| Street Address |
1383 S COLLEGE ST |
| City | WINCHESTER |
| State | TN |
| Zip Code | 37398-2414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427030782 | Frank G Rao | Otolaryngology | 1383 S College St, Winchester, TN 37398-2414 | 2005-11-14 |
| 1679928485 | Healthy Life Family Medicine LLPc | Family Medicine | 1383 S College St, Ste. 2, Winchester, TN 37398-2414 | 2016-04-29 |
| 1851538417 | Southern Tennessee Internal Medicine Pllc | Clinic/Center | 1383 S College St, Winchester, TN 37398-2414 | 2009-01-18 |
| 1265586259 | Sherri Lee Walker | Family Medicine | 1383 S College St, Ste. 2, Winchester, TN 37398-2414 | 2007-01-23 |
| 1205922606 | Anisa I Nayeem | Internal Medicine | 1383 S College St, Winchester, TN 37398-2414 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235738170 | Results-ast Jv, LLC | Physical Therapist | 2030 Cowan Highway, Suite 1, Winchester, TN 37398 | 2020-10-21 |
| 1902239759 | Ann C Richardson | Pharmacist | 1201 Dinah Shore Blvd, Winchester, TN 37398 | 2013-08-15 |
| 1851734230 | Gina Renee Jacobs | Ambulance | 305 N College St., Winchester, TN 37398 | 2013-04-16 |
| 1083895205 | Jill Kay Stokes | Occupational Therapy Assistant | 463 Dripping Springs Road, Winchester, TN 37398 | 2007-11-15 |
| 1962581702 | Carol H Wallace | Pharmacy | 1201 Dinah Shore Boulevard, Winchester, TN 37398 | 2006-11-03 |
| 1457459562 | Karen A Tidmore | Family Medicine | 1811 Sharp Springs Rd, Winchester, TN 37398 | 2006-09-20 |
| 1356385967 | Sherry Lee | Nurse Practitioner | 1211 Dinah Shore Blvd, Winchester, TN 37398 | 2006-06-15 |
| 1912985425 | Caresouth Hha Holdings of Winchester LLC | Durable Medical Equipment & Medical Supplies | 2068 Cowan Hwy, Winchester, TN 37398 | 2006-01-04 |
| 1215372768 | Clive Anderson Wasson | Surgery | 83 Memorial Dr, Winchester, TN 37398 | 2013-05-09 |
| 1326322967 | John Anthony O'driscoll Jr. | Physical Therapist | 2030 Cowan Hwy Ste 1, Winchester, TN 37398 | 2011-09-30 |
| Find all providers in zip 37398 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477725067 | Shns Hearing Services, L.L.C. | Otolaryngology | 142 Linden Dr Ste 106, Winchester, VA 22601-6901 | 2008-03-24 |
| 1659478485 | Shenandoah Head and Neck Specialists, Plc | Otolaryngology | 142 Linden Dr, Suite 106, Winchester, VA 22601-6901 | 2006-09-20 |
| 1477519833 | Matthew E Karen | Otolaryngology | 2055 Valley Ave, Winchester, VA 22601-2751 | 2006-04-25 |
| 1871553446 | James A Salata | Otolaryngology | 1870 Amherst St Ste 2b, Winchester, VA 22601-2841 | 2006-03-27 |
| 1598752248 | Ara S. Makdessian | Otolaryngology | 225 Hospital Drive, Suite 265, Clark Clinic B, Winchester, KY 40391-1156 | 2005-09-27 |
| 1881200533 | Valley Physician Enterprise, Inc. | Otolaryngology | 1870 Amherst St Ste 2b, Winchester, VA 22601-2841 | 2020-09-18 |
| 1801125810 | Jose D. Angeles | Otolaryngology | 955 Main St, Suite 104, Winchester, MA 01890-1961 | 2009-12-22 |
| 1568790632 | Amg Southern Tennessee LLC | Otolaryngology | 1894 Cowan Hwy, Suite 2, Winchester, TN 37398-2624 | 2009-11-30 |
| 1689769416 | Ingrid C Iwanow | Otolaryngology | 1870 Amherst St Ste 2b, Winchester, VA 22601-2841 | 2006-10-04 |
| 1124036082 | Jose D Angeles | Otolaryngology | 955 Main St, Suite 104, Winchester, MA 01890-1961 | 2006-08-04 |
| Find all providers in WINCHESTER | ||||
| City | WINCHESTER |
| Zip Code | 37398 |
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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.