AMG - SOUTHERN TENNESSEE LLC (NPI# 1962929620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962929620 |
| Entity Type | Organization |
| Organization Name | AMG - SOUTHERN TENNESSEE LLC |
| Other Organization Name | SOUTHERN TENNESSEE SURGICAL SERVICES WINCHESTER |
| Practice Address |
155 Hospital Rd Ste C Winchester TN 37398-2495 |
| Mailing Address |
330 Seven Springs Way Brentwood TN 37027-5098 |
| Practice Telephone | 9319678111 |
| Practice Fax Number | 9319678126 |
| Mailing Telephone | 6159207000 |
| Mailing Fax Number | 6159208775 |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2017-10-10 |
| Authorized Official Name | SARA L MILLER (DIRECTOR) |
| Authorized Official Telephone | 6159207514 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Southern Tennessee Surgical Services Winchester | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164789467 | Amg - Southern Tennessee LLC | General Practice | 2118 Cowan Hwy, Winchester, TN 37398-2637 | 2012-04-12 |
| Street Address |
155 HOSPITAL RD STE C |
| City | WINCHESTER |
| State | TN |
| Zip Code | 37398-2495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760802938 | David Piskorowski | Internal Medicine | 155 Hospital Rd Ste C, Winchester, TN 37398-2495 | 2014-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235738170 | Results-ast Jv, LLC | Physical Therapist | 2030 Cowan Highway, Suite 1, Winchester, TN 37398 | 2020-10-21 |
| 1902239759 | Ann C Richardson | Pharmacist | 1201 Dinah Shore Blvd, Winchester, TN 37398 | 2013-08-15 |
| 1851734230 | Gina Renee Jacobs | Ambulance | 305 N College St., Winchester, TN 37398 | 2013-04-16 |
| 1083895205 | Jill Kay Stokes | Occupational Therapy Assistant | 463 Dripping Springs Road, Winchester, TN 37398 | 2007-11-15 |
| 1962581702 | Carol H Wallace | Pharmacy | 1201 Dinah Shore Boulevard, Winchester, TN 37398 | 2006-11-03 |
| 1457459562 | Karen A Tidmore | Family Medicine | 1811 Sharp Springs Rd, Winchester, TN 37398 | 2006-09-20 |
| 1356385967 | Sherry Lee | Nurse Practitioner | 1211 Dinah Shore Blvd, Winchester, TN 37398 | 2006-06-15 |
| 1912985425 | Caresouth Hha Holdings of Winchester LLC | Durable Medical Equipment & Medical Supplies | 2068 Cowan Hwy, Winchester, TN 37398 | 2006-01-04 |
| 1215372768 | Clive Anderson Wasson | Surgery | 83 Memorial Dr, Winchester, TN 37398 | 2013-05-09 |
| 1326322967 | John Anthony O'driscoll Jr. | Physical Therapist | 2030 Cowan Hwy Ste 1, Winchester, TN 37398 | 2011-09-30 |
| Find all providers in zip 37398 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891202412 | Valley Physician Enterprise, Inc. | Surgery | 1870 Amherst St Ste 2a, Winchester, VA 22601-2841 | 2018-01-04 |
| 1073864559 | Clark Regional Physician Practices LLC | Surgery | 225 Hospital Drive Suite 200b, Winchester, KY 40391-1158 | 2012-09-25 |
| 1679736797 | Murielle Brohez | Surgery | 225 Hospital Dr Ste 315, Winchester, KY 40391-7628 | 2008-07-09 |
| 1053432856 | Shalini Rohini Reddy | Surgery | 400 Campus Blvd Ste 210, Winchester, VA 22601-6906 | 2007-04-02 |
| 1972650778 | Matthew Borkon | Surgery | 1870 Amherst St Ste 300, Winchester, VA 22601-2873 | 2007-01-04 |
| 1861403065 | Damian T Szewczyk | Surgery | 83 Memorial Dr, Winchester, TN 37398-2401 | 2006-08-11 |
| 1336174705 | Kenneth Grant Mason | Surgery | 400 Campus Blvd Ste 220, Winchester, VA 22601-6906 | 2006-07-12 |
| 1144268350 | Winchester Medical Center | Surgery | 347 Westside Station Dr, Winchester, VA 22601-2840 | 2006-06-02 |
| 1639164858 | Troy M Glembot | Surgery | 1870 Amherst St Ste F, Winchester, VA 22601-2841 | 2005-09-14 |
| 1144215609 | James S Wiedower | Surgery | 1870 Amherst St Ste C, Winchester, VA 22601-2841 | 2005-09-12 |
| Find all providers in WINCHESTER | ||||
| City | WINCHESTER |
| Zip Code | 37398 |
Please comment or provide details below to improve the information on AMG - SOUTHERN TENNESSEE LLC.
| 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.