DR. ANTHONY VERNON DALLAS JR. (NPI# 1861437063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861437063 |
| Entity Type | Individual |
| Full Name | DR. ANTHONY VERNON DALLAS JR. |
| Credential | M.D. |
| Practice Address |
211 Indian Lake Blvd Suite A Hendersonville TN 37075-6214 |
| Practice Telephone | 6158263100 |
| Practice Fax Number | 6154471059 |
| Mailing Telephone | 6158263100 |
| Mailing Fax Number | 6154471059 |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2015-08-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD16926 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1517861 | 05 |
| Street Address |
211 INDIAN LAKE BLVD SUITE A |
| City | HENDERSONVILLE |
| State | TN |
| Zip Code | 37075-6214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609363597 | Jill Schlisner Welbern | Nurse Practitioner | 211 Indian Lake Blvd, Ste A, Hendersonville, TN 37075 | 2018-04-17 |
| 1598157570 | Kody C Sanderfer | Nurse Practitioner | 211 Indian Lake Blvd, Hendersonville, TN 37075-6214 | 2015-02-27 |
| 1447491014 | Katie Agee Seal | Nurse Practitioner | 211 Indian Lake Blvd, Hendersonville, TN 37075-6214 | 2009-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667425 | Results-ast Jv, LLC | Physical Therapist | 326 New Shackle Island Rd, Suite 300, Hendersonville, TN 37075 | 2020-10-21 |
| 1871126524 | Jessica Elise Williams | Nurse Practitioner | 100 Indian Lake Blvd, Hendersonville, TN 37075 | 2020-02-20 |
| 1003379108 | Infusion Express of Tennessee, PC | Clinic/Center | 1006 Glenbrook Way, Ste 130, Hendersonville, TN 37075 | 2019-04-08 |
| 1417414335 | Red Owl Industries, LLC | Chiropractor | 16 Executive Park Dr # 100, Hendersonville, TN 37075 | 2019-02-27 |
| 1992203368 | Cassie Berman | Occupational Therapist | 209 Shivel Drive, Hendersonville, TN 37075 | 2018-01-31 |
| 1407379373 | Hendersonville Smiles Dentistry, PC | Dentist | 1002 Glenbrook Way, Suite 200, Hendersonville, TN 37075 | 2017-07-21 |
| 1215483466 | Ryan Escue | Registered Nurse | 4221 Harding Pike, Nashville, TN 37075 | 2016-08-28 |
| 1003279589 | Grant Anderson | Physician Assistant | 211 Indian Lake Bloulevard, Hendersonville, TN 37075 | 2016-04-01 |
| 1073974192 | Jennifer Kramer | Nurse Practitioner | 103 Hazel Path Ct, Suite 7, Hendersonville, TN 37075 | 2016-03-16 |
| 1144680315 | Catherine Alexandria Wellendorf | Specialist/Technologist | 3126 Long Hollow Pike, Hendersonville, TN 37075 | 2016-03-02 |
| Find all providers in zip 37075 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447873591 | Hannah Barnwell Bell | Family Medicine | 1419 Jeter Mountain Rd, Hendersonville, NC 28739-2403 | 2020-05-23 |
| 1609346675 | Patricia Mae Fajardo | Family Medicine | 121 Creekwood Ln, Hendersonville, TN 37075-2444 | 2018-12-03 |
| 1487005203 | Marianna Cristine Benson | Family Medicine | 1881 Pisgah Dr Bldg A, Hendersonville, NC 28791-3760 | 2016-06-22 |
| 1265779466 | Healthy Inside & Out LLC | Family Medicine | 5 Industrial Park Dr, Suite 3, Hendersonville, TN 37075-2172 | 2013-01-08 |
| 1639324056 | Family Wellness Group of Middle Tennessee LLC | Family Medicine | 107 Glen Oak Blvd Ste 201, Glen Oaks Center, Hendersonville, TN 37075-3000 | 2008-11-26 |
| 1023284601 | Angelisa Janikke Janssen | Family Medicine | 170 E Main St Ste D, Ste 193, Hendersonville, TN 37075-3952 | 2008-05-05 |
| 1578766697 | Chris Mehr | Family Medicine | 146 Gatone Dr, Hendersonville, TN 37075-4937 | 2007-06-06 |
| 1831257617 | Ada Dorothy Hayes | Family Medicine | 266 Lake Terrace Dr, Hendersonville, TN 37075-5122 | 2006-12-05 |
| 1548335730 | Jorge David Flechas | Family Medicine | 80 Doctors Drive, Suite 3, Hendersonville, NC 28792 | 2006-11-22 |
| 1184708539 | Conn M. Mcconnell | Family Medicine | 351 New Shackle Island Road, Hendersonville, TN 37075-2300 | 2006-10-24 |
| Find all providers in HENDERSONVILLE | ||||
| City | HENDERSONVILLE |
| Zip Code | 37075 |
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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.