FAMILY MEDICINE WEST PLLC (NPI# 1902292865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902292865 |
| Entity Type | Organization |
| Organization Name | FAMILY MEDICINE WEST PLLC |
| Other Organization Name | FAMILY MEDICINE WEST OF WARTBURG |
| Practice Address |
1236 Knoxville Hwy Suite 500 Wartburg TN 37887-4200 |
| Mailing Address |
220 Fort Sanders West Blvd Building 2, Suite 200 Knoxville TN 37922-3398 |
| Practice Telephone | 4233465566 |
| Practice Fax Number | 4233465631 |
| Mailing Telephone | 4233465566 |
| Mailing Fax Number | 4233465631 |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2015-04-07 |
| Authorized Official Name | DR. SANJAY P THANKUR (MD/PRESIDENT) |
| Authorized Official Telephone | 4233465566 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
TN | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Family Medicine West of Wartburg | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083962815 | Family Medicine West Pllc | Family Medicine | 220 Fort Sanders West Blvd, Bldg 2, Suite 200, Knoxville, TN 37922 | 2012-08-28 |
| Street Address |
1236 KNOXVILLE HWY SUITE 500 |
| City | WARTBURG |
| State | TN |
| Zip Code | 37887-4200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114920105 | Timothy Sutton Ochs | Nurse Anesthetist, Certified Registered | 1236 Knoxville Hwy, Wartburg, TN 37887-4200 | 2005-05-23 |
| 1982234209 | Emily Marie Lee | Nurse Practitioner | 1236 Knoxville Hwy, Wartburg, TN 37887-4200 | 2020-01-26 |
| 1992217723 | Southeastern Pain Pllc | Anesthesiology | 1236 Knoxville Hwy, Wartburg, TN 37887 | 2017-11-02 |
| 1760939516 | Wartburg Ambulatory Care | Clinic/Center | 1236 Knoxville Hwy, Wartburg, TN 37887-4200 | 2016-09-08 |
| 1053754408 | Angela Lynn Brown | Nurse Practitioner | 1236 Knoxville Hwy, Wartburg, TN 37887-4200 | 2013-04-15 |
| 1306139365 | Deborah Upchurch Howard | Clinical Nurse Specialist | 1236 Knoxville Hwy, Wartburg, TN 37887-4200 | 2011-05-25 |
| 1104055425 | Wartburg Surgery Center LLC | Clinic/Center | 1236 Knoxville Hwy, Wartburg, TN 37887-4200 | 2009-07-08 |
| 1689816365 | Priority Anesthesia, Pllc | Nurse Anesthetist, Certified Registered | 1236 Knoxville Hwy, Wartburg, TN 37887-4200 | 2009-03-27 |
| 1225162423 | Judy D Smith | Nurse Practitioner | 1236 Knoxville Hwy, Wartburg, TN 37887 | 2007-03-16 |
| 1013052463 | Addie L Freytag | Nurse Practitioner | 1236 Knoxville Hwy, Wartburg, TN 37887 | 2007-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538775507 | Kayla Renea Ruppe | Occupational Therapy Assistant | 116 Cumberland Street, Wartburg, TN 37887 | 2020-09-16 |
| 1124646559 | Summit Medical Group, Pllc | Family Medicine | 1825 Knoxville Hwy, Wartburg, TN 37887 | 2020-07-13 |
| 1255878203 | Heather Jackson | Nurse's Aide | 1103 Knoxville Hwy, Wartburg, TN 37887 | 2017-01-30 |
| 1861876534 | Tresa Vespie | Licensed Practical Nurse | 553 Heidel Rd, Wartburg, TN 37887 | 2015-07-13 |
| 1770872533 | Kalind Pradhan | Pharmacist | 926 Main Street, Rite Aid Pharmacy, Wartburg, TN 37887 | 2011-04-01 |
| 1811188030 | Ronald Dale Higgs | Family Medicine | 500 Flat Fork Road, Morgan County Correctional Comples, Wartburg, TN 37887 | 2007-08-05 |
| 1679611404 | State of Tennessee | Public Health or Welfare | 1103 Knoxville Highway, Wartburg, TN 37887 | 2007-02-02 |
| 1265588339 | Nikki P Spence | Dietitian, Registered | 1111 Knoxville Hwy, Wartburg, TN 37887 | 2007-01-25 |
| 1164486569 | Morgan County Finance Office | Ambulance | 228 Flat Fork Rd, Wartburg, TN 37887 | 2006-04-13 |
| 1568423424 | Home Comfort Medical Equipment | Durable Medical Equipment & Medical Supplies | 224 Old Mill Road, Wartburg, TN 37887 | 2006-03-30 |
| Find all providers in zip 37887 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 1003425224 | Dickson Medical Associate, PC | Clinic/Center | 127 Crestview Park Dr Ste 205, Dickson, TN 37055-2856 | 2020-07-23 |
| 1023631454 | Spring City Family Clinic Pllc | Clinic/Center | 126 Lavender St Ste 2, Spring City, TN 37381-5102 | 2020-05-20 |
| 1871001271 | Shelbyville Hospital Company LLC | Clinic/Center | 1330 Cedar Ln Ste 100, Tullahoma, TN 37388-2284 | 2018-01-19 |
| 1720596125 | Shelbyville Hospital Company LLC | Clinic/Center | 1440 Cedar Ln Unit 100, Tullahoma, TN 37388-2262 | 2018-01-19 |
| 1548788458 | Shelbyville Hospital Company LLC | Clinic/Center | 1612 N Main St Ste A, Shelbyville, TN 37160-2392 | 2017-08-31 |
| 1063938520 | Mid-south Convenient Care, Pllc | Clinic/Center | 1445 Us Highway 51 Byp E Ste B, Dyersburg, TN 38024-2127 | 2017-08-16 |
| 1871034462 | Martin Health | Clinic/Center | 143 Kennedy Drive, Martin, TN 38237-3309 | 2017-03-15 |
| 1881135895 | Humboldt Family Walk-in Clinic LLC | Clinic/Center | 1600 Coleman Dr, Humboldt, TN 38343-1756 | 2017-03-10 |
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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.