DR. CORY V TRICKETT


Address: 3183 W State St, Bristol, TN 37620-1712
Phone: 4237647131

DR. CORY V TRICKETT (NPI# 1922158500) 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) 1922158500
Entity Type Individual
Full Name DR. CORY V TRICKETT
Credential DO
Practice Address 3183 W State St
Bristol
TN 37620-1712
Mailing Address 3551 Roger Brooke Dr
Mche-qd(creds)
San Antonio
TX 78234-4504
Practice Telephone 4237647131
Practice Fax Number 4232453136
Enumeration Date 2007-01-12
Last Update Date 2019-02-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ND0101X Dermatology
Specialization: MOHS-Micrographic Surgery
3466 TN Allopathic & Osteopathic Physicians
N 207ND0101X Dermatology
Specialization: MOHS-Micrographic Surgery
10791 ND Allopathic & Osteopathic Physicians
N 207ND0101X Dermatology
Specialization: MOHS-Micrographic Surgery
73663 GA Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
3551 Roger Brooke Dr, San Antonio, TX 782344504 2109163400

Office Location

Street Address 3183 W STATE ST
City BRISTOL
State TN
Zip Code 37620-1712

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528051208 Douglas Paul Williams Psychiatry & Neurology 3183 W State St, Suite 1201, Bristol, TN 37620-1712 2005-08-26
1538428230 Michelle L Painter Nurse Practitioner 3183 W State St, Suite 1101, Bristol, TN 37620-1712 2012-05-15
1184889115 Brenda K Friend Nurse Practitioner 3183 W State St, Suite 1101, Bristol, TN 37620-1712 2008-07-18
1063623692 Claudia F Corradino Nurse Practitioner 3183 W State St, Suite 1201, Bristol, TN 37620-1712 2007-05-25
1114042629 Mountain Empire Neurological Associates PC Specialist 3183 W State St, Suite 1201, Bristol, TN 37620-1712 2007-03-21
1730205089 Teresa Ann Martin Nurse Practitioner 3183 W State St, Suite 1201, Bristol, TN 37620-1712 2007-03-21
1962533661 William J. Schermer Pllc Dermatology 3183 W State St, Suite 1102, Bristol, TN 37620-1712 2007-03-07
1326053760 Southeastern Pain Management Center, Pllc Anesthesiology 3183 W State St, Suite 1101, Bristol, TN 37620-1712 2006-07-31
1376588996 Dennis M Aguirre Pain Medicine 3183 W State St, Suite1101, Bristol, TN 37620-1712 2006-06-18
1467430231 William John Schermer Dermatology 3183 W State St, Suite 1102, Bristol, TN 37620-1712 2006-01-03
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376180216 Firstep, LLC Psychiatry & Neurology 3183 W. State St., Suite 1201, Bristol, TN 37620 2019-12-10
1578047726 Amanda Harville Mcgrady Psychologist 105 Walnut Circle, Bristol, TN 37620 2018-09-23
1467932533 Teresa Mooney Nurse Practitioner 324 Leslie Ct, Bristol, TN 37620 2018-08-17
1992285308 Jeremy Aurbrey Blanzy Nurse Practitioner 1 Medical Park Boulevard, Suite 400e, Bristol, TN 37620 2018-08-15
1255841805 Amanda L Pillion Audiologist 225 Midway Medical Park, Bristol, VA 37620 2017-10-10
1841717717 Joel Blevins Driver 301 Webb Ct, Bristol, TN 37620 2017-08-23
1831579796 Dr. Marie Crawford, Ph.d., Pllc Psychologist 739 Bluff City Highway, Suite 5, Bristol, TN 37620 2015-06-05
1508297169 Cassandra Marie Conry Chiropractor 800 Hill St., Bristol, TN 37620 2013-12-09
1780025874 Laura Leann Lawson-renfro Nurse Practitioner 260 Midway St, Bristol, TN 37620 2013-07-17
1760822365 Ricky Bhimani Internal Medicine 208 Medical Park Boulevard, Bristol, TN 37620 2013-06-27
Find all providers in zip 37620

Taxonomy Information

Taxonomy Code 207ND0101X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology
Specialization MOHS-Micrographic Surgery

Taxonomy Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1295824415 Tricities Skin and Cancer Dermatology 1009 N State of Franklin Access Road Suite A, Johnson City, TN 37604 2006-10-12
1457448599 Brent Moody Dermatology 1900 Patterson St Ste 201, Nashville, TN 37203 2006-10-09
1942238902 East Tennessee Medical Group, PC Dermatology 266 Joule Street, Alcoa, TN 37701-2422 2006-06-29
1881658243 Adult & Pediatric Dermatology of Tullahoma PC Dermatology 100 William Northern Blvd, Ste C, Tullahoma, TN 37388 2006-04-13
1851369391 Thomas Paul Chu Dermatology 520 Trinity Creek Cv, Cordova, TN 38018-2279 2006-03-10
1770550659 Frances Beard Dermatology 1455 Union Avenue, Memphis, TN 38104-6727 2006-03-01
1275506404 Rex Allen Amonette Dermatology 1455 Union Ave, Memphis, TN 38104-6727 2006-02-08
1184608416 Julie M Pena Dermatology 200 Cool Springs Blvd, Franklin, TN 37067-2677 2005-11-30
1306849500 Steve Leroy Peterson Dermatology 1009 North State of Franklin Access Road, Johnson City, TN 37604 2005-05-23
1255938502 Uderm, Pllc Dermatology 5243 Little Debbie Pkwy Ste 111, Ooltewah, TN 37363-4515 2020-10-08
Find all providers with the same taxonomy

Competitor

Search similar providers

City BRISTOL
Zip Code 37620

Improve Information

Please comment or provide details below to improve the information on DR. CORY V TRICKETT.

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.

Trending Searches