BOONES CREEK MEDICAL PLLC


Address: 2685 Boones Creek Road, Suite 104, Johnson City, TN 37615
Phone: 4232820636

BOONES CREEK MEDICAL PLLC (NPI# 1871528976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871528976
Entity Type Organization
Organization Name BOONES CREEK MEDICAL PLLC
Practice Address 2685 Boones Creek Road
Suite 104
Johnson City
TN 37615
Mailing Address 1000 W Jackson Blvd Ste 5
Jonesborough
TN 37659-5397
Practice Telephone 4232820636
Practice Fax Number 4232821990
Mailing Telephone 4232821990
Mailing Fax Number 4232821990
Enumeration Date 2006-07-11
Last Update Date 2020-02-13
Authorized Official Name AMBER F WILKINSON (OWNER/ADMINISTRATOR)
Authorized Official Telephone 4232820636
Authorized Official Credential FNP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TN 3735590 05

Office Location

Street Address 2685 BOONES CREEK ROAD
SUITE 104
City JOHNSON CITY
State TN
Zip Code 37615

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053535211 Amber F Wilkinson Nurse Practitioner 2685 Boones Creek Road, Suite 104, Johnson City, TN 37615 2007-04-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568962983 Clayton Kilgore Pharmacist 208 Suncrest St Unit 1, Gray, TN 37615 2018-02-13
1346648268 Jesse Mullins Pharmacist 121 Boone Ridge Dr, Suite 1006, Johnson City, TN 37615 2014-12-09
1750650875 Medical Education Assistance Corporation Pediatrics 252 Sam Jenkins Rd, Attn: Dr. H. Patrick Stern, Gray, TN 37615 2011-12-19
1700018603 Anna Lynne Deal Nurse Practitioner 119 Boone Ridge Dr., Ste. 201, Johnson City, TN 37615 2009-08-11
1285876631 Leigh A Furman Occupational Therapist 253 Wiltshire Dr., Gray, TN 37615 2009-04-01
1811098908 Fay Lynn Bembry Nurse Practitioner 119 Boone Ridge Drive Ste. 201, Johnson City, TN 37615 2006-09-25
1568402048 Joseph Vincent Pinyard Jr. Family Medicine 880 Boones Station Rd, Johnson City, TN 37615 2006-06-07
1548223084 Pitchar Theerathorn Internal Medicine 119 Boone Ridge Drive, Suite 201, Johnson City, TN 37615 2006-04-07
1194717157 Susan Kay Pennypacker Nurse Practitioner 140 Old Gray Station Rd, Suite 200, Gray, TN 37615 2005-08-16
1164901898 National Rx Inc Pharmacy 880 Boones Station Rd, Johnson City, TN 37615 2018-08-13
Find all providers in zip 37615

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154775468 Luke Spencer Family Medicine 917 W. Walnut Street, Johnson City Family Medicine Center, Johnson City, TN 37604 2016-04-22
1184043853 Shivali M Patel Family Medicine 400 N State of Franklin Rd Fl 4, Johnson City, TN 37604-6035 2014-04-10
1306062542 Debra J. Uncapher Family Medicine 1409 W Market St Ste 108, Johnson City, TN 37604-6005 2007-04-17
1609947944 Daniela Pogan Wright Family Medicine 401 East Main Strette, Johnson City, TN 37601-4877 2006-11-10
1518978402 Vance Cleveland Shaw Family Medicine 205 High Point Dr, Johnson City, TN 37601-1503 2006-08-10
1063459410 State of Franklin Healthcare Associates Pllc Family Medicine 2528 Wesley St, Suite 2, Johnson City, TN 37601-1724 2006-06-01
1316995491 Robert Elsworth Grindstaff Family Medicine 2203 Mckinley Rd, Ste 107, Johnson City, TN 37604-6893 2006-05-04
1184680787 Paul E Moran IIi Family Medicine 1321 Sunset Dr, Suite 22, Johnson City, TN 37604-3698 2006-04-22
1295799120 Guy W Robins Family Medicine 101 Med Tech Pkwy Ste 100, Johnson City, TN 37604-4006 2006-04-17
1285603985 Krish Purswani Family Medicine 119 E King St, Suite 208, Johnson City, TN 37601-4721 2006-03-15
Find all providers in JOHNSON CITY

Competitor

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City JOHNSON CITY
Zip Code 37615

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Dataset Information

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.

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