Sam W Huddleston (NPI# 1770508525, PAC ID# 9931116993) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1770508525 |
| PAC ID by PECOS | 9931116993 |
| Professional Enrollment ID | I20060315000738 |
| Full Name | Sam W Huddleston |
| Address |
2002 Brookside Dr Suite 201 Kingsport TN 37660-4634 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440017 | WELLMONT HOLSTON VALLEY MEDICAL CENTER |
| 440012 | WELLMONT BRISTOL REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2002 Brookside Dr, Suite 201, Kingsport, TN 37660-4634 |
| Street Address |
2002 BROOKSIDE DR SUITE 201 |
| City | KINGSPORT |
| State | TN |
| Zip | 37660-4634 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven C Butler | Nephrology | Regional Kidney Care PC | 2002 Brookside Dr, Suite 102, Kingsport, TN 37660-4634 |
| Jennifer Marie Crowley-rodig | Nurse Practitioner | Regional Kidney Care PC | 2002 Brookside Dr, Suite 102, Kingsport, TN 37660-4634 |
| Abrar Ahmad | Nephrology | Regional Kidney Care PC | 2002 Brookside Dr, Suite 102, Kingsport, TN 37660-4634 |
| Rosanne D Kappa | Obstetrics/gynecology | State of Franklin Healthcare Associates, Pllc | 2002 Brookside Dr, Suite 300, Kingsport, TN 37660-4634 |
| Sathiyendran Poobalasingham | Internal Medicine | Regional Kidney Care PC | 2002 Brookside Dr, Suite 102, Kingsport, TN 37660-4634 |
| Whitney Rich | Obstetrics/gynecology | Blue Ridge Medical Management Corporation | 2002 Brookside Dr, Suite 300, Kingsport, TN 37660-4634 |
| Octavio J Pinell | Obstetrics/gynecology | Blue Ridge Medical Management Corporation | 2002 Brookside Dr, Suite 300, Kingsport, TN 37660-4634 |
| Duc Q. Vu | Nephrology | Regional Kidney Care PC | 2002 Brookside Dr, Suite 102, Kingsport, TN 37660-4634 |
| Tapasi C Saha | Nephrology | Regional Kidney Care PC | 2002 Brookside Dr, Suite 102, Kingsport, TN 37660-4634 |
| Jule Michael | Nurse Practitioner | Regional Kidney Care PC | 2002 Brookside Dr, Suite 102, Kingsport, TN 37660-4634 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lucinda Miller | Critical Care (intensivists) | Wellmont Medical Associates Inc | 4485 W Stone Dr, Suite 200, Kingsport, TN 37660-1050 |
| Daniel D Carroll | Family Medicine | Wellmont Medical Associates Inc | 4485 W Stone Dr, Suite 200, Kingsport, TN 37660-1050 |
| Wendy Vogel | Nurse Practitioner | Wellmont Medical Associates Inc | 4485 W Stone Dr, Suite 200, Kingsport, TN 37660-1050 |
| Jennifer Leigh Cox | Nurse Practitioner | Wellmont Medical Associates Inc | 4485 W Stone Dr, Suite 200, Kingsport, TN 37660-1050 |
| Marsha G Rose | Clinical Social Worker | 2005 Venture Park, Kingsport, TN 37660-1098 | |
| Shelley Hilton | Nurse Practitioner | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
| Hannah Ruth Cook | Physician Assistant | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
| Carri Beth Homoky | Dermatology | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
| Joni Glavan Sago | Dermatology | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
| Darrell Ray Millsap | Physician Assistant | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
| Find all physicians in zip 37660 | |||
| City | KINGSPORT |
| Zip Code | 37660 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | KINGSPORT + PLASTIC AND RECONSTRUCTIVE SURGERY |
Please comment or provide details below to improve the information on Sam W Huddleston.
| 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.