DR. JOSEPH RAOUL MORIN JR. (NPI# 1922190875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922190875 |
Entity Type | Individual |
Full Name | DR. JOSEPH RAOUL MORIN JR. |
Credential | MD |
Practice Address |
698 Clinchfield St Kingsport TN 37660-3630 |
Mailing Address |
517 Lakewood Rd Kingsport TN 37660-3453 |
Practice Telephone | 4233786202 |
Practice Fax Number | 4232468907 |
Mailing Telephone | 4233784708 |
Enumeration Date | 2006-09-29 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
MD11946 | TN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | 3179615 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598775439 | Joseph A Morin | Counselor | 7 Haviland St, Fenway Community Health Center, Boston, MA 02115-2683 | 2006-08-09 |
Street Address |
698 CLINCHFIELD ST |
City | KINGSPORT |
State | TN |
Zip Code | 37660-3630 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285723585 | Holston Pediatric and Adolescent Care | Pediatrics | 698 Clinchfield St, Kingsport, TN 37660-3630 | 2006-10-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750909891 | Nancy Gober | Pharmacist | Holston Valley Medical Center Inpatient Pharmacy, 130 W Ravine, Kingsport, TN 37660 | 2020-07-06 |
1700437621 | Tammy Denise Leblanc | Technician | 125 Lancer Rd, Kingsport, TN 37660 | 2019-09-23 |
1831743392 | Independent Physical Therapy | Occupational Therapist | 1704 E. Stone Dr. Ste 120, Kingsport, TN 37660 | 2019-08-01 |
1871095315 | Macie Anderson | Nurse Practitioner | 411 Clay St, Kingsport, TN 37660 | 2018-03-01 |
1053813527 | Pulitzer Orthodontics, LLC | Dentist | 1200 Pulitzer Place, Kingsport, TN 37660 | 2018-03-01 |
1174038749 | Sbh-kingsport | Psychiatric Hospital | 1025 Executive Park Blvd, Kingsport, TN 37660 | 2017-12-05 |
1548771447 | Sara B Ball | Registered Nurse | 111 W Stone Dr Ste 240, Kingsport, TN 37660 | 2017-10-18 |
1821525361 | Ashley Brook Weems | Nurse Practitioner | Six Sheridan Square Suite 100, Kingsport, TN 37660 | 2017-05-15 |
1639625643 | Stephanie H Garris | Nurse Practitioner | 117 W Sevier Ave Ste 120, Kingsport, TN 37660 | 2016-08-30 |
1073965679 | Teresa Anne Starke | Physician Assistant | 8 Sheridan Square, Suite 110, Kingsport, TN 37660 | 2016-07-07 |
Find all providers in zip 37660 |
Taxonomy Code | 2080A0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Adolescent Medicine |
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285723585 | Holston Pediatric and Adolescent Care | Pediatrics | 698 Clinchfield St, Kingsport, TN 37660-3630 | 2006-10-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033516109 | Comprehensive Pediatrics | Pediatrics | 4250 Faronia Road, Suite 3, Memphis, TN 38116 | 2014-12-04 |
1063597979 | James Langston Cowan IIi | Pediatrics | 6073 Mt. Moriah Ext., Suite 2, Memphis, TN 38115 | 2006-10-26 |
1164511085 | Svetlana Yanishevski | Pediatrics | 5050 Sanderlin, Memphis, TN 38117 | 2006-10-11 |
1518073550 | Lea Ann Lund | Pediatrics | 100 Springhouse Ct, Suite 100, Hendersonville, TN 37075-1609 | 2006-08-22 |
1790710168 | Kristin Michele Rager | Pediatrics | 801 Woodland St, Nashville, TN 37206 | 2006-07-12 |
1376596452 | Susan C Brewer | Pediatrics | 142 Mount Pelia Rd, Martin, TN 38237-3812 | 2006-05-18 |
1790735124 | Tamara P Folz | Pediatrics | 1102 Brookfield Road, 2nd Floor, Memphis, TN 38119 | 2006-05-10 |
1376513721 | Landon S Combs | Pediatrics | 115 Judge Gresham Rd, Suite B, Gray, TN 37615-6213 | 2006-01-26 |
1871575340 | Eric R Prenshaw | Pediatrics | 1800 Volunteer Blvd, Knoxville, TN 37996-3102 | 2005-11-18 |
1093700833 | Goodlettsville Pediatrics PC | Pediatrics | 3103 Business Park Cir Ste 100, Goodlettsville, TN 37072-3676 | 2005-09-19 |
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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.