MISS TAMARA LEA MUSGRAVE (NPI# 1922018605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922018605 |
| Entity Type | Individual |
| Full Name | MISS TAMARA LEA MUSGRAVE |
| Credential | MD |
| Practice Address |
349 Island Rd Bristol VA 24201-7009 |
| Practice Telephone | 2764694200 |
| Practice Fax Number | 2764694249 |
| Mailing Telephone | 2764694200 |
| Mailing Fax Number | 2764694249 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2017-04-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 32715 | KY | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
17425 | TN | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
32715 | KY | Allopathic & Osteopathic Physicians |
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
17425 | TN | Allopathic & Osteopathic Physicians |
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
32715 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64327158 | 05 | |
| UMWA | 1517916 | 01 |
| Street Address |
349 ISLAND RD |
| City | BRISTOL |
| State | VA |
| Zip Code | 24201-7009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902801228 | Suzanne E Patton | Specialist | 349 Island Rd, Bristol, VA 24201-7009 | 2005-06-14 |
| 1649406190 | Ryan W Shao | Internal Medicine | 349 Island Rd, Bristol, VA 24201-7009 | 2009-06-10 |
| 1225021199 | Kathy Lynne Sharp | Nurse Practitioner | 349 Island Rd, Bristol, VA 24201-7009 | 2005-08-25 |
| 1922091826 | Alton Joseph Blow | Internal Medicine | 349 Island Rd, Bristol, VA 24201-7009 | 2005-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699234716 | Vanessa Ruiz Sutherland | Speech-Language Pathologist | Stonewall Jackson Elementary School, 2045 Euclid Ave, Bristol, VA 24201 | 2019-03-18 |
| 1003394693 | Cplace Bristol Snf, LLC | Clinic/Center | 109 Village Circle, Bristol, VA 24201 | 2018-08-06 |
| 1871001420 | Karen Lavonne Ford | Case Manager/Care Coordinator | 727 Portsmouth Avenue, Bristol, VA 24201 | 2018-01-17 |
| 1558872176 | City of Bristol Va | Ambulance | 211 Lee St, Bristol, VA 24201 | 2017-10-23 |
| 1639396989 | Barry Robert Matheson | Dentist | 817 Gate City Highway, Bristol, VA 24201 | 2007-04-19 |
| 1942338082 | Joann Wolfe Vaughn | Nurse Practitioner | 103 North Street, Ridgeview Pavilion, Bristol, VA 24201 | 2007-03-01 |
| 1003982968 | American Medical Devices, Inc. | Durable Medical Equipment & Medical Supplies | 1788 Island Rd, Bristol, VA 24201 | 2006-11-24 |
| 1134224827 | Theresa D Morris | Licensed Practical Nurse | 510 Cumberland St, Executive Plaza 4th Floor, Bristol, VA 24201 | 2006-09-14 |
| 1083718605 | Tomhave Olson Dental Associates | Dentist | 510 Cumberland St., Executive Plaza, 4th Floor, Bristol, VA 24201 | 2006-09-12 |
| 1972606408 | Terry H Gillenwater | Chiropractor | 2110 Euclid Ave, Bristol, VA 24201 | 2006-09-07 |
| Find all providers in zip 24201 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902899818 | Karen S Prill | Internal Medicine | 271 Medical Park Blvd, Bristol, TN 37620-7455 | 2005-08-25 |
| 1457644668 | Robert Black | Internal Medicine | 41 Brewster Rd, Bristol, CT 06010-5161 | 2011-05-20 |
| 1285880088 | Grace Center for Hematology & Oncology Care LLC | Internal Medicine | 45 N Main St, Bristol, CT 06010-8105 | 2008-08-12 |
| 1619054897 | David Dobrzanski | Internal Medicine | 41 Brewster Rd, Bristol, CT 06010-5161 | 2006-11-01 |
| 1235214826 | The Hope Clinic, LLC | Internal Medicine | 10 N Main St, Suite 210, Bristol, CT 06010-8102 | 2006-10-25 |
| 1245348929 | Jane M Kanowitz | Internal Medicine | 41 Brewster Rd, Bristol, CT 06010-5161 | 2006-08-25 |
| 1255383907 | The Hope Clinic, LLC | Internal Medicine | 10 N Main St, Suite 210, Bristol, CT 06010-8102 | 2006-05-17 |
| 1649263500 | Bennett Y Cowan Jr. | Internal Medicine | 271 Medical Park Blvd, Bristol, TN 37620-7455 | 2005-08-25 |
| 1922091826 | Alton Joseph Blow | Internal Medicine | 349 Island Rd, Bristol, VA 24201-7009 | 2005-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093339764 | Loudoun Medical Group . P.c | Internal Medicine | 19500 Sandridge Way Ste 400, Leesburg, VA 20176-3691 | 2020-05-29 |
| 1316566839 | Stephen Smith Kennedy | Internal Medicine | 1108 Doe Mountain Rd, Goodview, VA 24095-2496 | 2020-04-14 |
| 1740640804 | Virginia Hematology Oncology Physicians Inc | Internal Medicine | 2556 Fox Hound Ct, Herndon, VA 20171-2996 | 2016-03-02 |
| 1326423260 | John J Welch | Internal Medicine | 2040 Antananarivo Pl, Dulles, VA 20189-2039 | 2015-07-21 |
| 1144637786 | Toshihisa Satta | Internal Medicine | 1250 E Marshall St # 980509, Richmond, VA 23298-5051 | 2014-07-15 |
| 1366860496 | Krista Isaac | Internal Medicine | 1215 Lee St - Box Number 800716, Charlottesville, VA 22908-0001 | 2014-04-05 |
| 1760800858 | Sonia Esparza Hepburn | Internal Medicine | 500 Sentara Cir Ste 203, Williamsburg, VA 23188-5727 | 2014-04-04 |
| 1326485202 | Kristopher Joel Hansen | Internal Medicine | 2600 Research Center Dr Ste A, Blacksburg, VA 24060 | 2013-05-31 |
| 1528326329 | Rahul Singh | Internal Medicine | 8101 Hinson Farm Rd Ste 211, Alexandria, VA 22306 | 2012-04-30 |
| 1821363219 | Oliver Alabaster | Internal Medicine | 4318 Adrienne Dr, Alexandria, VA 22309-2803 | 2012-03-19 |
| Find all providers with the same taxonomy | ||||
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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.