MARK TYLER EDGE (NPI# 1831634542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831634542 |
| Entity Type | Individual |
| Full Name | MARK TYLER EDGE |
| Practice Address |
1229 Dinah Shore Blvd Winchester TN 37398-1135 |
| Practice Telephone | 9319674199 |
| Practice Fax Number | 9319674099 |
| Mailing Telephone | 9319674199 |
| Mailing Fax Number | 9319674099 |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2017-01-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2936 | TN | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003899766 | Mark Thomas Edge | Radiology | 620 Summit Crossing Pl, Ste 106, Gastonia, NC 28054 | 2005-11-26 |
| 1750372777 | Mark Douglas Edge | Internal Medicine | 150 N Park Trl Ste B, Stockbridge, GA 30281 | 2005-10-31 |
| Street Address |
1229 DINAH SHORE BLVD |
| City | WINCHESTER |
| State | TN |
| Zip Code | 37398-1135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295948081 | Amy Elaine Rudder | Chiropractor | 1229 Dinah Shore Blvd, Winchester, TN 37398-1657 | 2007-05-08 |
| 1265606396 | Rudder Chiropractic Center, LLC | Chiropractor | 1229 Dinah Shore Blvd, Winchester, TN 37398-1135 | 2008-04-18 |
| 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 | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821525510 | Simon Dagenais | Chiropractor | 94 Hillcrest Pkwy, Winchester, MA 01890-1440 | 2017-05-12 |
| 1265979686 | Aimee Rose Duarte | Chiropractor | 35751 Date Palm St, Winchester, CA 92596-8719 | 2017-01-24 |
| 1275906547 | Thomas Potts | Chiropractor | 1593 Bypass Rd, Winchester, KY 40391-2714 | 2015-11-08 |
| 1518214048 | Erica K Riggleman | Chiropractor | 611 W Jubal Early Dr Ste A, Winchester, VA 22601-6501 | 2012-08-15 |
| 1780902890 | Chiro One Wellness Center of Winchester Pllc | Chiropractor | 1145 W Lexington Ave, Suite B, Winchester, KY 40391-1290 | 2010-05-13 |
| 1134383961 | Arnold Chiropractic Clinic, P.C. | Chiropractor | 130 Lee Ave, Winchester, VA 22601-4940 | 2008-07-10 |
| 1245443035 | Christopher John Ubert | Chiropractor | 3119 Valley Ave, Suite 104, Winchester, VA 22601-2665 | 2007-05-08 |
| 1295948081 | Amy Elaine Rudder | Chiropractor | 1229 Dinah Shore Blvd, Winchester, TN 37398-1657 | 2007-05-08 |
| 1164644365 | Perry N Williams II | Chiropractor | 124 Professional Ave, Winchester, KY 40391-1116 | 2007-05-03 |
| 1619092392 | Scott County Chiropractic | Chiropractor | 38 E Cherry St, Winchester, IL 62694-1002 | 2007-03-20 |
| 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.