Theodore D Fox (NPI# 1164815817, PAC ID# 7618284704) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1164815817 |
| PAC ID by PECOS | 7618284704 |
| Professional Enrollment ID | I20160106002356 |
| Full Name | Theodore D Fox |
| Organization Legal Name | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION |
| Address |
1744 E Andrew Jnson Hwy Greeneville TN 37745-4278 |
| Phone Number | 4237877496 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9739099441 |
| Number of Group Practice Members | 316 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440063 | JOHNSON CITY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1744 E Andrew Jnson Hwy, Greeneville, TN 37745-4278 | 4237877496 | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION |
| Organization Legal Name | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION |
| Physicians | 289 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deneene R Booth | Anesthesiology | Blue Ridge Medical Management Corporation | 601 Campus Dr, Abingdon, VA 24210-9700 |
| Shasta Nicole Bowens | Nurse Practitioner | Blue Ridge Medical Management Corporation | 2000 Brookside Dr, Suite 3, Kingsport, TN 37660-4627 |
| Luc Jasmin | Neurosurgery | Blue Ridge Medical Management Corporation | 701 Med Tech Pkwy, Suite 300, Johnson City, TN 37604-2365 |
| Sandra Michelle Sparks | Nurse Practitioner | Blue Ridge Medical Management Corporation | 310 N State of Franklin Rd, Suite 400, Johnson City, TN 37604-6529 |
| Rebecca Sacora | Family Medicine | Blue Ridge Medical Management Corporation | 2030 Temple Hill Rd, Suite B, Erwin, TN 37650-8721 |
| Leslie Renee Barlow | Nurse Practitioner | Blue Ridge Medical Management Corporation | 1201 Snider St, Marion, VA 24354-4221 |
| Sheila Ann Matherly | Nurse Practitioner | Blue Ridge Medical Management Corporation | 404 Bemberg Rd, Elizabethton, TN 37643-2938 |
| Melanie Hagerman | Nurse Practitioner | Blue Ridge Medical Management Corporation | 2 Professional Park Dr, Suite 11, Johnson City, TN 37604-6584 |
| Jessica Glasscock Mcgahey | Nurse Practitioner | Blue Ridge Medical Management Corporation | 400 N State of Franklin, Room Lk015, Johnson City, TN 37604-0000 |
| Amanda Elizabeth Loughlin | Nurse Practitioner | Blue Ridge Medical Management Corporation | 71 S Flannagan Ave, Lebanon, VA 24266 |
| Street Address |
1744 E ANDREW JNSON HWY |
| City | GREENEVILLE |
| State | TN |
| Zip | 37745-4278 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Taylor N England | Optometry | Greeneville Vision Center | 204 Emory Rd, Greeneville, TN 37745 |
| James A Yandell | Optometry | Greeneville Vision Center | 204 Emory Rd, Greeneville, TN 37745 |
| Saprina F Fender | Nurse Practitioner | 130 Serral Dr, Greeneville, TN 37745-3074 | |
| Estelle Strydom | Occupational Therapy | State of Tennessee | 4850 E Andrew Johnson Hwy, Greeneville, TN 37745-3098 |
| John K Clement | Optometry | 1539 Industrial Rd, Greeneville, TN 37745-3549 | |
| Marsi S Mullins | Physician Assistant | Health Express | 895 E Andrew Johnson Hwy, Greeneville, TN 37745-3581 |
| Charles Adam Willis | Nurse Practitioner | Health Express | 895 E Andrew Johnson Hwy, Greeneville, TN 37745-3581 |
| Charles L Backus Iii | Emergency Medicine | Health Express | 895 E Andrew Johnson Hwy, Greeneville, TN 37745-3581 |
| Michelle Diane Barefield | Physical Therapy | Greeneville Orthopaedic Clinic, P.C. | 223 N Main St, Greeneville, TN 37745-3815 |
| John Leon Freeman Jr. | Orthopedic Surgery | Greeneville Orthopaedic Clinic, P.C. | 223 N Main St, Greeneville, TN 37745-3815 |
| Find all physicians in zip 37745 | |||
| City | GREENEVILLE |
| Zip Code | 37745 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GREENEVILLE + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.