DR. THOMAS JOSEPH THEKKEKANDAM (NPI# 1962637926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962637926 |
| Entity Type | Individual |
| Full Name | DR. THOMAS JOSEPH THEKKEKANDAM |
| Credential | M.D., ABFM, CAQSM |
| Practice Address |
1635 Nc Highway 66 S Suite 210 Kernersville NC 27284-3854 |
| Mailing Address |
1200 N Elm St Greensboro NC 27401-1004 |
| Practice Telephone | 3369921770 |
| Practice Fax Number | 3369921776 |
| Mailing Telephone | 3368327000 |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2014-02-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
2012-01709 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
1635 NC HIGHWAY 66 S SUITE 210 |
| City | KERNERSVILLE |
| State | NC |
| Zip Code | 27284-3854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710351838 | Karen Donawerth | Physical Therapist | 1635 Nc Highway 66 S, Suite 255, Kernersville, NC 27284-3854 | 2015-12-01 |
| 1528481553 | Erin O'malley Phelps | Physician Assistant | 1635 Nc Highway 66 S, Ste 125, Kernersville, NC 27284-3854 | 2014-01-28 |
| 1598187007 | Sheila Wenzel | Physical Therapy Assistant | 1635 Nc Highway 66 S, Suite 255, Kernersville, NC 27284-3854 | 2014-01-17 |
| 1982026498 | Susan Shaver | Physical Therapist | 1635 Nc Highway 66 S, Suite 255, Kernersville, NC 27284-3854 | 2014-01-17 |
| 1679995187 | Christina Dunford | Physical Therapy Assistant | 1635 Nc Highway 66 S, Suite 255, Kernersville, NC 27284-3854 | 2014-01-17 |
| 1548682040 | Julie Riddles | Physical Therapist | 1635 Nc Highway 66 S, Suite 255, Kernersville, NC 27284-3854 | 2014-01-17 |
| 1467893776 | The Moses H Cone Memorial Hospital Operating Corporation | Clinic/Center | 1635 Nc Highway 66 S, Suite 255, Kernersville, NC 27284-3854 | 2013-07-15 |
| 1528405412 | The Moses H. Cone Memorial Hospital Operating Corporation | Clinic/Center | 1635 Nc Highway 66 S, Suite 110, Kernersville, NC 27284-3854 | 2013-05-31 |
| 1922351188 | Jade Leigh Breeback | Physician Assistant | 1635 Nc Highway 66 S, 155, Kernersville, NC 27284-3854 | 2012-10-24 |
| 1144511460 | The Moses H. Cone Memorial Hospital Operating Corporation | Family Medicine | 1635 Nc Highway 66 S, Suite 145, Kernersville, NC 27284-3854 | 2011-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013549047 | Katie Lee Sherman | Student in an Organized Health Care Education/Training Program | 9372 Pumpkin Ridge Rd, Kernersville, NC 27284 | 2020-02-07 |
| 1861049231 | Bethany Medical Center | Internal Medicine | 975 Hwy 66 S, Kernersville, NC 27284 | 2019-08-21 |
| 1114490810 | Lindsey Sarvis | Social Worker | 2301 Lake Shore Reserve Court, Kernersville, NC 27284 | 2019-01-04 |
| 1073091088 | Gastroenterology Associates of The Piedmont, P.a. | Internal Medicine | 445 Pineview Dr Ste 200b, Kernersville, NC 27284 | 2018-08-01 |
| 1942786629 | Brea Anjanee' Washington | Nurse Practitioner | 1635 Nc 66 South, Suite 145, Kernersville, NC 27284 | 2018-07-16 |
| 1992216246 | Charley Elizabeth Cummings | Physician Assistant | 1635 Nc-66, Kernersville, NC 27284 | 2017-10-13 |
| 1902324304 | Susan Marie Garcia | Counselor | 822 Old Winston Road, Suite 5, Kernersville, NC 27284 | 2017-09-06 |
| 1871034603 | Ljp Lab LLC | Clinical Medical Laboratory | 495 Arbor Hill Rd Ste S, Kernersville, NC 27284 | 2017-03-13 |
| 1912446253 | Knew Era Consulting | Counselor | 335 Creekview Drive, Kernersville, NC 27284 | 2017-02-20 |
| 1144686593 | Amber Moore | Counselor | 822 Old Winston Rd, Suite 5, Kernersville, NC 27284 | 2016-01-14 |
| Find all providers in zip 27284 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144511460 | The Moses H. Cone Memorial Hospital Operating Corporation | Family Medicine | 1635 Nc Highway 66 S, Suite 145, Kernersville, NC 27284-3854 | 2011-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255825410 | Novant Medical Group Inc. | Family Medicine | 15033 Balloncroft Parkway, Suite 200, Charlotte, NC 28277 | 2018-06-20 |
| 1760831028 | William M Sykes | Family Medicine | 129 T.t. Lanier St., Buies Creek, NC 27506 | 2016-06-08 |
| 1730561655 | Brendan Jay Michel | Family Medicine | 437 Little Fisher Trl, Mount Airy, NC 27030-6900 | 2015-06-27 |
| 1699179804 | Carolinas Physicians Network Inc | Family Medicine | 48380 Us Highway 52 N, Misenheimer, NC 28109 | 2014-10-17 |
| 1548509805 | Carolinas Physician Network, Inc. | Family Medicine | 332 North Trade Street, Suite 1200, Matthews, NC 28105-6566 | 2013-02-06 |
| 1699903211 | Robert Alcott | Family Medicine | 6050 W Highway 74, Ste D, Indian Trail, NC 28079-3591 | 2009-06-23 |
| 1477738714 | Forsyth Medical Group, LLC. | Family Medicine | 1900 S Hawthorne Rd Ste 480, Dba Sports Medicine Associates, Winston Salem, NC 27103-3913 | 2008-01-07 |
| 1396938171 | Lawrence M Linett, Md, Pllc | Family Medicine | 431 Western Blvd Ste E, Jacksonville, NC 28546-6823 | 2007-08-24 |
| 1962536516 | Richard T. Ferro | Family Medicine | 6832 Market St, Suite A, Wilmington, NC 28405-9723 | 2007-03-15 |
| 1700933884 | John Edward Siegel | Family Medicine | 1001 E. Fifth St., East Carolina Univ., Greenville, NC 27858 | 2007-01-04 |
| Find all providers with the same taxonomy | ||||
| City | KERNERSVILLE |
| Zip Code | 27284 |
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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.