NORTHWEST TENNESSEE FOOT CLINIC, PLLC (NPI# 1821393422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821393422 |
Entity Type | Organization |
Organization Name | NORTHWEST TENNESSEE FOOT CLINIC, PLLC |
Practice Address |
326 Asbury Ave Suite #102 Ripley TN 38063-5577 |
Mailing Address |
600 Us Highway 51 Byp E Dyersburg TN 38024-2040 |
Practice Telephone | 7312212567 |
Practice Fax Number | 7312212560 |
Mailing Telephone | 7312873130 |
Mailing Fax Number | 7312873818 |
Enumeration Date | 2011-01-13 |
Last Update Date | 2011-03-30 |
Authorized Official Name | DR. ELIZABETH T LU (OWNER/PRESIDENT) |
Authorized Official Telephone | 7312873130 |
Authorized Official Credential | DPM |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
0000000658 | TN | Podiatric Medicine & Surgery Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912202516 | Northwest Tennessee Foot Clinic, Pllc | Podiatrist | 1020 E Reelfoot Ave, Union City, TN 38261-6051 | 2011-01-13 |
1598065310 | Northwest Tennessee Foot Clinic, Pllc | Podiatrist | 600 Us Highway 51 Byp E, Dyersburg, TN 38024-2079 | 2010-10-26 |
Street Address |
326 ASBURY AVE SUITE #102 |
City | RIPLEY |
State | TN |
Zip Code | 38063-5577 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295792125 | Baptist Memorial Hospital- Lauderdale | Psychiatric Unit | 326 Asbury Ave, Ripley, TN 38063-5577 | 2006-04-26 |
1376175687 | Lauderdale Community Hospital LLC | General Acute Care Hospital | 326 Asbury Ave, Ripley, TN 38063-5577 | 2020-02-05 |
1356973663 | Lauderdale Community Hospital LLC | Medicare Defined Swing Bed Unit | 326 Asbury Ave, Ripley, TN 38063-5577 | 2020-02-05 |
1962034272 | Lauderdale Community Hospital LLC | Clinic/Center | 326 Asbury Ave, Ripley, TN 38063-5577 | 2020-02-05 |
1871916395 | Christy Tipton | Registered Nurse | 326 Asbury Ave, Ripley, TN 38063-5577 | 2014-02-04 |
1588911986 | Cah Acquisition Company 11 LLC | Surgery | 326 Asbury Ave, Suite 104, Ripley, TN 38063-5577 | 2012-08-06 |
1992069538 | Cah Acquisition Company 11 LLC | Surgery | 326 Asbury Ave, Ripley, TN 38063 | 2012-06-28 |
1144516964 | Jessica Revelle Rains | Physician Assistant | 326 Asbury Ave, Suite 101, Ripley, TN 38063-5577 | 2011-06-20 |
1831400449 | Charles D Ford Jr. | Emergency Medicine | 326 Asbury Ave, Ripley, TN 38063-5577 | 2010-06-29 |
1962725242 | Cah Acquisition Company 11 LLC | Medicare Defined Swing Bed Unit | 326 Asbury Ave, Ripley, TN 38063 | 2010-03-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609327246 | Ld&h Specialized Care Services | Preferred Provider Organization | 2260 Us-51, Helen R Tucker Adult Dev Center, Ripley, TN 38063 | 2016-10-19 |
1477984508 | Mid-south Convenient Care, Pllc | Family Medicine | 521 Hwy 51 North, Ripley, TN 38063 | 2013-11-27 |
1285879577 | The Wellness Center of West Tn Inc | Technician | 171 Tucker Street, Ripley, TN 38063 | 2008-12-16 |
1023281185 | Aniko Vedette Campbell | Nurse Practitioner | 79 Highway 51 South, Christian Family Medicine, Ripley, TN 38063 | 2008-04-10 |
1275750556 | Annabelle Chua | Physical Therapist | 326 Asbury Rd, Ripley, TN 38063 | 2007-04-19 |
1073659058 | Thomas Ross Patterson | Dentist | 500 Hwy 51 South, Ripley, TN 38063 | 2007-01-29 |
1144370305 | State of Tennessee | Public Health or Welfare | 500 Highway 51 South, Ripley, TN 38063 | 2007-01-11 |
1669479036 | Syed A Zaidi | Specialist | 868 Highway 51 South, Suite 101, Ripley, TN 38063 | 2005-06-30 |
1558609628 | Citizens of Lake County for Health Care, Inc | Clinic/Center | 317 Cleveland St, Ripley, TN 38063 | 2013-01-24 |
1083962633 | James Matthew Harper | Optometrist | 479 S Washington St, Ripley, TN 38063 | 2012-08-29 |
Find all providers in zip 38063 |
Taxonomy Code | 213ES0131X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497215438 | Sandberg Foot Health Center PC | Podiatrist | 116 Concord Rd Ste 300, Knoxville, TN 37934-2941 | 2019-03-25 |
1912202516 | Northwest Tennessee Foot Clinic, Pllc | Podiatrist | 1020 E Reelfoot Ave, Union City, TN 38261-6051 | 2011-01-13 |
1114158144 | Tomika Thomas Dpm | Podiatrist | 6775 Watergrove Dr, Memphis, TN 38119-8658 | 2009-08-08 |
1407021926 | Steve K Chase Dpm PC | Podiatrist | 7174 Stage Rd Ste 123, Bartlett, TN 38133-8954 | 2008-04-25 |
1376723163 | Associated Podiatrists of Tennessee | Podiatrist | 100 Medical Center Ct, Clarksville, TN 37043-4546 | 2007-11-08 |
1417140070 | Timothy L. Gardner,dpm | Podiatrist | 10810 Parkside Dr Ste 202, Knoxville, TN 37934-1981 | 2007-08-27 |
1437297595 | Oliver Foot Clinic, Inc. | Podiatrist | 635 N. Main Street, Suite A, Shelbyville, TN 37160-3235 | 2007-02-01 |
1134161979 | David Michael Velarde | Podiatrist | 2824 Merchants Dr, Knoxville, TN 37912-4905 | 2006-06-12 |
1720039779 | Carol A. Akerman | Podiatrist | 2725 Asbury Rd, Suite 102, Knoxville, TN 37914-6441 | 2006-05-15 |
1033109327 | Paul Benjamin Schodowski | Podiatrist | 2004 American Way, Suite 115, Kingsport, TN 37660-4673 | 2005-10-27 |
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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.