DR. DENNIS SAMUEL JR. (NPI# 1932102944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932102944 |
| Entity Type | Individual |
| Full Name | DR. DENNIS SAMUEL JR. |
| Credential | MD |
| Practice Address |
350 Steeles Rd Bristol TN 37620-9532 |
| Mailing Address |
Po Box 9 Kingsport TN 37662-0009 |
| Practice Telephone | 4238444925 |
| Practice Fax Number | 4238444933 |
| Mailing Telephone | 4238572066 |
| Mailing Fax Number | 4238572070 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2009-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | MD 27665 | TN | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 0101050784 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 01010057 | 05 | |
| TN | 3802922 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780188094 | Dennis John Samuel | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 | 2018-03-21 |
| Street Address |
350 STEELES RD |
| City | BRISTOL |
| State | TN |
| Zip Code | 37620-9532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740524180 | Kelley Foster Foster | Physician Assistant | 350 Steeles Rd, Ste 1, Bristol, TN 37620 | 2012-11-26 |
| 1518123447 | Parrish F Moree | Urology | 350 Steeles Rd, Ste 1, Bristol, TN 37620 | 2008-07-30 |
| 1881710333 | Dulcie A Champion | Physician Assistant | 350 Steeles Rd, Bristol, TN 37620-9532 | 2007-03-22 |
| 1558367417 | Bernard Grunstra | Internal Medicine | 350 Steeles Rd, Bristol, TN 37620-9532 | 2005-06-24 |
| 1801892765 | Harry Phillip Claybrook | Specialist | 350 Steeles Rd, Bristol, TN 37620-9532 | 2005-06-24 |
| 1205832169 | Shelby Olds | Internal Medicine | 350 Steeles Rd, Bristol, TN 37620-9532 | 2005-06-24 |
| 1477556397 | Cynthia Mcglothlin | Nurse Practitioner | 350 Steeles Rd, Bristol, TN 37620-9532 | 2005-05-24 |
| 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 Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588971998 | Rupalini Rawal-dhingra | Obstetrics & Gynecology | 25 Newell Rd Ste E31, Bristol, CT 06010-5140 | 2010-09-07 |
| 1033346648 | Sidat Michael Kumaratne | Obstetrics & Gynecology | 501 Bath Rd Ste 210, Bristol, PA 19007-3101 | 2009-06-22 |
| 1437212487 | Minu Rowther | Obstetrics & Gynecology | 41 Brewster Rd # Leveld, Bristol, CT 06010-5161 | 2006-12-19 |
| 1770696536 | Kenneth Keonwooh Rhee | Obstetrics & Gynecology | 277 West Street, Suite B, Bristol, CT 06010-5707 | 2006-08-16 |
| 1841206547 | Robert Marshall Chmieleski | Obstetrics & Gynecology | 225 North Main St, Suite 103, Bristol, CT 06010-4984 | 2006-08-01 |
| 1740283688 | Jeffrey Mcqueary | Obstetrics & Gynecology | 240 Medical Park Blvd Ste 2700, Bristol, TN 37620-7352 | 2005-05-24 |
| 1699778605 | David W. Marden | Obstetrics & Gynecology | 1 Medical Park Blvd Ste 305e, Bristol, TN 37620-7450 | 2005-05-23 |
| 1760878524 | Haley Akin | Obstetrics & Gynecology | 249 Midway Medical Park Ste 101, Bristol, TN 37620-1700 | 2015-04-08 |
| 1841685179 | Alyssa Phelps | Obstetrics & Gynecology | 320 Bristol West Blvd Ste 2c, Bristol, TN 37620 | 2015-04-03 |
| 1457694929 | Ashley Nicole Blevins | Obstetrics & Gynecology | 249 Midway Medical Park Ste 101, Bristol, TN 37620-1700 | 2013-04-02 |
| Find all providers in BRISTOL | ||||
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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.