DR. JAMES J MACCARONE (NPI# 1861590002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861590002 |
| Entity Type | Individual |
| Full Name | DR. JAMES J MACCARONE |
| Credential | D.O. |
| Practice Address |
751 Chesapeake Ln Suite 101 Clarksville TN 37040-5263 |
| Mailing Address |
Po Box 3540 Clarksville TN 37043-3540 |
| Practice Telephone | 9316480202 |
| Practice Fax Number | 9316480252 |
| Mailing Telephone | 9316480202 |
| Mailing Fax Number | 9316480252 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2015-06-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | DO1235 | TN | Allopathic & Osteopathic Physicians |
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
00000260 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BLUE CROSS/BLUE SHIELD | 3144330 | 01 |
| TN | RAILROAD MEDICARE | 110204333 | 01 |
| TN | ANTHEM BC/BS | 179292 | 01 |
| TN | 3305160 | 05 |
| Street Address |
751 CHESAPEAKE LN SUITE 101 |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37040-5263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477842045 | Southern Pain Institute Pllc | Physical Medicine & Rehabilitation | 751 Chesapeake Ln, Suite 220, Clarksville, TN 37040-5263 | 2011-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770124380 | Clarksville Treatment Center, LLC | Clinic/Center | 495 Dunlop Lane, Clarksville, TN 37040 | 2019-10-04 |
| 1295384956 | Dena Marie Borchick | Technician | 3779 Cindy Jo Dr. N, Clarksville, TN 37040 | 2019-09-05 |
| 1477014488 | Emily Allen | Dentist | 930 Hwy 76, Clarksville, TN 37040 | 2019-03-31 |
| 1730640566 | Latoya Ewert | Counselor | Centerstone Clarksville Harriet Cohn Center, 511 8th Street, Clarksville, TN 37040 | 2019-03-26 |
| 1356811988 | Jamie Coles | Behavior Technician | 851 Professional Park Drive 851 Profesiional Park Drive, Clarksville, TN 37040 | 2018-11-27 |
| 1518448554 | Bandel Counseling Service | Clinic/Center | 113 3rd St., Suite 25, Clarksville, TN 37040 | 2018-08-28 |
| 1477052520 | Bridget Stokes | Behavior Technician | 2277 Wilma Rudolph Blvd., Suite C #259, Clarksville, TN 37040 | 2018-02-05 |
| 1053824334 | Sandra Loren Coates | Nurse Practitioner | 980 Professional Park Dr Ste C, Clarksville, TN 37040 | 2017-11-09 |
| 1902328362 | Terri Brooke Roach | Registered Nurse | 651 Dunlop Lane, Clarksville, TN 37040 | 2017-07-07 |
| 1093244428 | Nikkia Deneil Bell | Behavior Technician | 139 E. Old Trenton Rd, Suite B, Clarksville, TN 37040 | 2017-06-08 |
| Find all providers in zip 37040 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932527090 | Healogics Specialty Physicians of Tennessee, Pllc | Internal Medicine | 647 Dunlop Ln Ste 108, Clarksville, TN 37040-6284 | 2014-04-04 |
| 1255621066 | Bruce D Spinzig Internal Medicine LLC | Internal Medicine | 1754 Madison Street, Suite 2, Clarksville, TN 37043-2924 | 2011-04-13 |
| 1073745717 | Khin Maung U | Internal Medicine | 6000 Pure Sky Pl, Clarksville, MD 21029-1238 | 2009-08-13 |
| 1376707216 | Rachel Owsiak | Internal Medicine | 141 Chesapeake Ln, Suite 300, Clarksville, TN 37040-5241 | 2008-07-10 |
| 1740487305 | Stephen Aulton White | Internal Medicine | 2289 Rudolphtown Rd Ste B, Clarksville, TN 37043-2231 | 2007-06-28 |
| 1376757054 | Rukhsana Ikram Rahman | Internal Medicine | 630 Eastern Blvd, Clarksville, IN 47129 | 2007-05-10 |
| 1407077928 | David T Schulz | Internal Medicine | 2051 Clevidence Blvd Ste A, Clarksville, IN 47129-2278 | 2007-05-01 |
| 1841312568 | Ehab T Shehata | Internal Medicine | 7205 Fawn Crossing Dr, Clarksville, MD 21029-1743 | 2007-04-04 |
| 1780709451 | Gateway Medical Associates, P.C. | Internal Medicine | 751 Chesapeake Lane, Ste 101, Clarksville, TN 37040-5263 | 2007-03-20 |
| 1831274117 | Olawumi Olubukola Ayo | Internal Medicine | 1771 Madison Street, Clarksville, TN 37043-4990 | 2006-10-26 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 37040 |
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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.