CLARKSVILLE PHYSICIAN SERVICES GP (NPI# 1992077077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992077077 |
| Entity Type | Organization |
| Organization Name | CLARKSVILLE PHYSICIAN SERVICES GP |
| Other Organization Name | DOVER MEDICAL CLINIC |
| Practice Address |
133 Dr Robert H Lee Drive Dover TN 37058-3750 |
| Mailing Address |
Po Box 8574 Belfast ME 04915-8574 |
| Practice Telephone | 8883041079 |
| Practice Fax Number | 6154696629 |
| Mailing Telephone | 8778481463 |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2012-07-18 |
| Authorized Official Name | BRIAN PEOPLES (DIRECTOR) |
| Authorized Official Telephone | 6154657000 |
| Is Organization Subpart | Y |
| Parent Organization Name | CLARKSVILLE PHYSICIAN SERVICES GP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | TN-MEDICARE PART A | 44-8914 | 01 |
| Other Name | Type Code |
|---|---|
| Dover Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083657829 | Clarksville Physician Services Gp | Internal Medicine | 1020 Moore Rd, Dover, TN 37058-3750 | 2006-06-13 |
| Street Address |
133 DR ROBERT H LEE DRIVE |
| City | DOVER |
| State | TN |
| Zip Code | 37058-3750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023474681 | Rebecca Cravens | Nurse Practitioner | 1511 Donelson Parkway, Dover, TN 37058 | 2016-01-12 |
| 1487894028 | Joselito A Pasaol | Physical Therapist | 402 C Church Street, Dover, TN 37058 | 2009-02-23 |
| 1588809461 | Lakeway Physical Therapy Outpatient, Pllc | Clinic/Center | 402-c Church St., Dover, TN 37058 | 2008-12-08 |
| 1225212350 | Dana M. Earhart | Licensed Practical Nurse | 723 Spring Street, Attn. Dana Earhart, School Nurse, Dover, TN 37058 | 2007-12-26 |
| 1437333614 | Tammy Lagan | Occupational Therapist | 949 Hwy 79, Dover, TN 37058 | 2007-12-24 |
| 1649390956 | Beverly Lynn Lewis | Audiologist | Lewis Hearing Services, 407 A Hwy. 79, Dover, TN 37058 | 2007-03-30 |
| 1689640898 | Price Edwin Hopson Jr. | Dentist | 1021 Spring St, Dover, TN 37058 | 2006-02-27 |
| 1154801207 | Crystal Lynn Shaw | Nurse Practitioner | 1511 Donelson Pkwy, Dover, TN 37058 | 2018-08-17 |
| 1235630112 | Elizabeth Amelia Estock | Registered Nurse | 1021 Spring St, Dover, TN 37058 | 2018-02-26 |
| 1740793736 | Mei-suey Chen | Internal Medicine | 314 Cedar St, Dover, TN 37058 | 2017-11-13 |
| Find all providers in zip 37058 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346203122 | Tuscarawas County Auditor | Clinic/Center | 897 E Iron Ave, Dover, OH 44622-2030 | 2006-04-11 |
| 1477150308 | Orrville Hospital Foundation | Clinic/Center | 603 Monroe St, Dover, OH 44622-2046 | 2020-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588275317 | Henry County Medical Center | Clinic/Center | 300 Hospital Cir Ste 204, Paris, TN 38242-4597 | 2020-08-14 |
| 1447861562 | Henry County Medical Center | Clinic/Center | 14201 Highway 79 N Unit 4, Buchanan, TN 38222-4183 | 2020-08-12 |
| 1003425224 | Dickson Medical Associate, PC | Clinic/Center | 127 Crestview Park Dr Ste 205, Dickson, TN 37055-2856 | 2020-07-23 |
| 1023631454 | Spring City Family Clinic Pllc | Clinic/Center | 126 Lavender St Ste 2, Spring City, TN 37381-5102 | 2020-05-20 |
| 1871001271 | Shelbyville Hospital Company LLC | Clinic/Center | 1330 Cedar Ln Ste 100, Tullahoma, TN 37388-2284 | 2018-01-19 |
| 1720596125 | Shelbyville Hospital Company LLC | Clinic/Center | 1440 Cedar Ln Unit 100, Tullahoma, TN 37388-2262 | 2018-01-19 |
| 1548788458 | Shelbyville Hospital Company LLC | Clinic/Center | 1612 N Main St Ste A, Shelbyville, TN 37160-2392 | 2017-08-31 |
| 1063938520 | Mid-south Convenient Care, Pllc | Clinic/Center | 1445 Us Highway 51 Byp E Ste B, Dyersburg, TN 38024-2127 | 2017-08-16 |
| 1871034462 | Martin Health | Clinic/Center | 143 Kennedy Drive, Martin, TN 38237-3309 | 2017-03-15 |
| 1881135895 | Humboldt Family Walk-in Clinic LLC | Clinic/Center | 1600 Coleman Dr, Humboldt, TN 38343-1756 | 2017-03-10 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CLARKSVILLE PHYSICIAN SERVICES GP.
| 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.