CUMBERLAND SKIN SURGERY AND DERMATOLOGY (NPI# 1922138247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922138247 |
| Entity Type | Organization |
| Organization Name | CUMBERLAND SKIN SURGERY AND DERMATOLOGY |
| Practice Address |
1405 W Baddour Pkwy Suite 101 Lebanon TN 37087-2567 |
| Mailing Address |
Po Box 1172 Lebanon TN 37088-1172 |
| Practice Telephone | 6154495255 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2009-05-27 |
| Authorized Official Name | JULIE COUNTESS (PRESIDENT) |
| Authorized Official Telephone | 6154495255 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
41873 | TN | Ambulatory Health Care Facilities |
| Street Address |
1405 W BADDOUR PKWY SUITE 101 |
| City | LEBANON |
| State | TN |
| Zip Code | 37087-2567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255383766 | Larimore C Warren | Surgery | 1405 W Baddour Pkwy, Suite 100, Lebanon, TN 37087-2567 | 2006-05-16 |
| 1811597982 | Jasmine Marie Austin | Counselor | 1405 W Baddour Pkwy, Lebanon, TN 37087-2567 | 2020-10-28 |
| 1649740242 | Best Care Services | Clinic/Center | 1405 W Baddour Pkwy, Lebanon, TN 37087-2567 | 2018-11-27 |
| 1245465129 | Primary Care Plus, LLC | Internal Medicine | 1405 W Baddour Pkwy, Suite 103, Lebanon, TN 37087-2567 | 2009-05-21 |
| 1265681837 | Catherine Marie Mead | Physician Assistant | 1405 W Baddour Pkwy, Suite 101, Lebanon, TN 37087-2567 | 2008-09-18 |
| 1346440153 | Larimore C. Warren, M.d., P.C. | Surgery | 1405 W Baddour Pkwy, Suite 100, Lebanon, TN 37087-2567 | 2007-07-19 |
| 1225188501 | James W. Morris II | Surgery | 1405 W Baddour Pkwy, Suite 100, Lebanon, TN 37087-2567 | 2007-01-11 |
| 1023171576 | Barbara Elayne Wolff | Physician Assistant | 1405 W Baddour Pkwy, Suite 101, Lebanon, TN 37087-2567 | 2006-12-18 |
| 1730241084 | Jocelyne Knapp Miller | Internal Medicine | 1405 W Baddour Pkwy, Suite 104, Lebanon, TN 37087-2567 | 2006-12-14 |
| 1023198306 | Brandi Lindsey | Nurse Practitioner | 1405 W Baddour Pkwy, Ste. 101, Lebanon, TN 37087-2567 | 2006-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051698 | Results-ast Jv, LLC | Physical Therapist | 1420 West Baddour Parkway, Suite 102, Lebanon, TN 37087 | 2020-10-19 |
| 1306405725 | Angela Kurtz | Hearing Instrument Specialist | 1430 West Baddour Parkwayste D, Lebanon, TN 37087 | 2019-06-10 |
| 1164926937 | Andrea Christine Morrisett | Physical Therapist | 404 N Castle Heights Ave Ste G, Lebanon, TN 37087 | 2018-03-19 |
| 1942731492 | Rocky Mountain Holdings, LLC | Ambulance | 760d Franklin Rd, Lebanon, TN 37087 | 2017-03-27 |
| 1326409285 | Karina Lawrence | Speech-Language Pathologist | 1006 Keaton Street, Lebanon, TN 37087 | 2016-03-18 |
| 1174910491 | Yehualashet Bekele Hailemariam | Internal Medicine | 1411 W Baddour Pkwy,lebanon Tn 37087, Lebanon, TN 37087 | 2015-04-24 |
| 1043614829 | Jean Thompson | Behavioral Analyst | 1004 Hickory Hill Lane, Suite 2, Hermitage, TN 37087 | 2014-10-22 |
| 1588072771 | La Keisha Fair | Community Health Worker | 1 Cumberland Square, Lebanon, TN 37087 | 2014-07-31 |
| 1023440609 | James Martin Meadows | Specialist/Technologist | One Cumberland Square, Lebanon, TN 37087 | 2013-08-06 |
| 1336571231 | Lori Ann De Leo | Social Worker | 109 Autumn Creek, Lebanon, TN 37087 | 2013-08-01 |
| Find all providers in zip 37087 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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| 1184973828 | Grace Dermatology & Micrographic Surgery LLC | Clinic/Center | 2500 S Main Rd, Lebanon, OR 97355-2336 | 2012-09-07 |
| 1174828644 | George L. Jenkins, D.c., P.C. | Clinic/Center | 618 Cornwall Rd, Suite #1, Lebanon, PA 17042-7089 | 2011-01-14 |
| 1912048307 | Advanced Sleep Consultants of Middle Tn, Inc | Clinic/Center | 1405 W Baddour Pkwy Ste 101, Lebanon, TN 37087-2595 | 2007-02-09 |
| 1235170010 | Regional Ent Associates, P.C. | Clinic/Center | 206a Babb Dr, Lebanon, TN 37087-2508 | 2006-06-10 |
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|---|---|---|---|---|
| 1174152011 | Better Life Medical PC | Clinic/Center | 2103 Forest Dr Ste 6, Gray, TN 37615-8422 | 2020-04-03 |
| 1194362889 | Christal Joy Gammage | Clinic/Center | 435 S Front St Apt 101, Memphis, TN 38103-6403 | 2019-12-02 |
| 1609388438 | East Tennessee Children's Hospital Association, Inc. | Clinic/Center | 1060 Peerless Xing Nw Ste 100, Cleveland, TN 37312-3785 | 2017-11-02 |
| 1376095596 | Dr. Andrea's Medical & Weight Loss Clinic, Pllc | Clinic/Center | 8317 Cordova Rd, Suite 201, Cordova, TN 38016-2088 | 2016-11-04 |
| 1316304629 | Deep River Wellness Center | Clinic/Center | 314 Knox Rd, Knoxville, TN 37918-2316 | 2016-01-19 |
| 1417342973 | Sleep Disorders of Tennessee | Clinic/Center | 254 Ren Mar Dr Ste 200, Pleasant View, TN 37146-3723 | 2015-04-01 |
| 1891069555 | Hrc Medical Centers Inc | Clinic/Center | 301 14th Ave N, Nashville, TN 37203-3416 | 2012-02-28 |
| 1801177449 | Mcminn Ortopaedic Clinic, PC | Clinic/Center | 719 Cook Dr Ste 110, Athens, TN 37303-3495 | 2011-09-08 |
| 1104105873 | Swan Urogynecology, PC | Clinic/Center | 329 21st Avenue North, Suite 1, Nashville, TN 37203-1857 | 2011-08-11 |
| 1023304938 | William J Deaton | Clinic/Center | 1462 Wolf Park Rd, Germantown, TN 38138-2354 | 2011-06-20 |
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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.