LINCOLN MEDICAL CENTER HOSPITALIST (NPI# 1902048010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902048010 |
| Entity Type | Organization |
| Organization Name | LINCOLN MEDICAL CENTER HOSPITALIST |
| Practice Address |
106 Medical Center Blvd Fayetteville TN 37334-2684 |
| Practice Telephone | 9314387482 |
| Practice Fax Number | 9314387447 |
| Mailing Telephone | 9314387482 |
| Mailing Fax Number | 9314387447 |
| Enumeration Date | 2009-04-03 |
| Last Update Date | 2010-04-20 |
| Authorized Official Name | DAVID RAY GROCE (CFO) |
| Authorized Official Telephone | 9314387471 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians |
| Street Address |
106 MEDICAL CENTER BLVD |
| City | FAYETTEVILLE |
| State | TN |
| Zip Code | 37334-2684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952394876 | John C Compton | Nurse Anesthetist, Certified Registered | 106 Medical Center Blvd, Fayetteville, TN 37334-2684 | 2005-08-25 |
| 1063043578 | Lori Atchley Mitchell | Nurse Practitioner | 106 Medical Center Blvd, Fayetteville, TN 37334-2684 | 2020-02-03 |
| 1972052561 | Lincoln Anesthesia Services Pllc | Nurse Anesthetist, Certified Registered | 106 Medical Center Blvd, Attn: Patsy A. Langford, Crna - Anesthesia Dept, Fayetteville, TN 37334-2684 | 2016-09-24 |
| 1235500562 | Rajesh Gade Rao | Physician Assistant | 106 Medical Center Blvd, Fayetteville, TN 37334-2684 | 2015-10-13 |
| 1629450614 | William Daniel | Nurse Practitioner | 106 Medical Center Blvd, Fayetteville, TN 37334 | 2015-06-25 |
| 1235542333 | Lincoln Medical Center Ambulance Service | Ambulance | 106 Medical Center Blvd, Fayetteville, TN 37334-2684 | 2014-06-05 |
| 1184988941 | Jessica Anne Mccormick | Pharmacist | 106 Medical Center Blvd, Fayetteville, TN 37334-2684 | 2012-06-26 |
| 1992947568 | Sandra Kilburn Daniel | Nurse Practitioner | 106 Medical Center Blvd, Fayetteville, TN 37334-2684 | 2009-03-29 |
| 1023202223 | Samantha Lea Stephens | Physician Assistant | 106 Medical Center Blvd, Fayetteville, TN 37334-2684 | 2007-08-30 |
| 1326190679 | Michael William Knight Et Al Ptrs | Registered Nurse | 106 Medical Center Blvd, Fayetteville, TN 37334-2684 | 2007-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902385198 | Denisia Bernadette Maldonado | Specialist/Technologist, Other | 108 Medical Center Blvd., Suite #100, Fayetteville, TN 37334 | 2018-08-09 |
| 1457801011 | Joshua Meadows | Specialist/Technologist | 101 Industrial Blvd, Fayetteville, TN 37334 | 2016-10-07 |
| 1891083762 | Kathryn Clare Moran | Physical Therapist | 1412 Huntsville Hwy, Fayetteville, TN 37334 | 2011-07-13 |
| 1891997714 | Calvin H Parks | Chiropractor | 1321 Huntsville Hwy, Fayetteville, TN 37334 | 2007-06-04 |
| 1225249691 | Stacey Starr Pace | Family Medicine | 1931 Wilson Pky, Suite A, Fayetteville, TN 37334 | 2007-05-25 |
| 1144388992 | Tom Spain Bigham IIi | Dentist | 608 West College Street, Fayetteville, TN 37334 | 2006-12-05 |
| 1932286259 | Alan B Drewry | Dentist | 602 West College Street, Fayetteville, TN 37334 | 2006-11-01 |
| 1083724561 | Samuel Michael Ashby | Internal Medicine | 804 William D Jones Blvd, Fayetteville, TN 37334 | 2006-08-30 |
| 1194336818 | Collin Amos | Pharmacist | 1000 Huntsville Hwy, Fayetteville, TN 37334 | 2020-08-14 |
| 1578885620 | Lincoln Medical Group | Specialist | 108 Medical Center Blvd, Suite 150, Fayetteville, TN 37334 | 2010-02-17 |
| Find all providers in zip 37334 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578095048 | Jason K Jones | Hospitalist | 3215 N North Hills Blvd, Fayetteville, AR 72703 | 2017-04-03 |
| 1982068094 | Aderajew Amsalu Taddesse | Hospitalist | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2016-04-06 |
| 1962864694 | Phillip G Doerner IIi | Hospitalist | 3215 N Northhills Blvd, Fayetteville, AR 72703-4424 | 2016-03-22 |
| 1619378387 | Ashish Subedi | Hospitalist | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2014-09-11 |
| 1225386816 | Thida Win | Hospitalist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2012-08-29 |
| 1316202609 | Dhp of Piedmont PC | Hospitalist | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2012-07-12 |
| 1255609186 | Ramesh Kumar | Hospitalist | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2011-12-07 |
| 1265717474 | Mayank Singhal | Hospitalist | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2011-10-19 |
| 1801195557 | Derinda Trobaugh | Hospitalist | 3215 N Northhills Blvd, Fayetteville, AR 72703-4424 | 2011-03-21 |
| 1326369331 | Claire Douglas | Hospitalist | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2010-06-14 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 37334 |
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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.