CLARKSVILLE HEALTH SYSTEM GP (NPI# 1003823097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003823097 |
| Entity Type | Organization |
| Organization Name | CLARKSVILLE HEALTH SYSTEM GP |
| Other Organization Name | GATEWAY HEALTH SYSTEM |
| Practice Address |
1771 Madison St Clarksville TN 37043-4990 |
| Mailing Address |
Po Box 403765 Atlanta GA 30384-3765 |
| Practice Telephone | 9315526622 |
| Practice Fax Number | 9315511027 |
| Mailing Telephone | 9315526622 |
| Mailing Fax Number | 9315511027 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2007-07-24 |
| Authorized Official Name | REBECCA HURLEY (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 2144733993 |
| Is Organization Subpart | Y |
| Parent Organization Name | CLARKSVILLE HEALTH SYSTEM GP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 367H00000X | Anesthesiologist Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1003823097 | 05 |
| Other Name | Type Code |
|---|---|
| Gateway Health System | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861431652 | Clarksville Health System Gp | Durable Medical Equipment & Medical Supplies | 1760 Madison St, Clarksville, TN 37043-4913 | 2006-06-06 |
| 1427671718 | Clarksville Health System Gp | Medicare Defined Swing Bed Unit | 651 Dunlop Ln, Clarksville, TN 37040-5015 | 2020-05-21 |
| 1952581761 | Clarksville Health System Gp | Hospitalist | 1771 Madison Street, Clarksville, TN 37043-4990 | 2007-11-08 |
| 1659326700 | Clarksville Health System Gp | Rehabilitation Unit | 651 Dunlop Ln, Clarksville, TN 37040-5015 | 2006-05-24 |
| 1285689794 | Clarksville Health System Gp | Clinic/Center | 651 Dunlop Ln, Clarksville, TN 37040-5015 | 2006-05-23 |
| Street Address |
1771 MADISON ST |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37043-4990 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083601827 | Thomas Lee Ely | Family Medicine | 1771 Madison St, Clarksville, TN 37043-4990 | 2005-10-05 |
| 1083221733 | Hallie Lee | Pharmacist | 1771 Madison St, Clarksville, TN 37043-4990 | 2020-09-27 |
| 1316599434 | Nicola Elizabeth Martin | Pharmacist | 1771 Madison St, Clarksville, TN 37043-4990 | 2019-07-09 |
| 1427396993 | Teresa Edger | Pharmacist | 1771 Madison St, Clarksville, TN 37043-4990 | 2013-01-17 |
| 1710224506 | Kyle Williams | Pharmacist | 1771 Madison St, Clarksville, TN 37043-4990 | 2013-01-14 |
| 1316218894 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 1771 Madison St, Clarksville, TN 37043-4990 | 2012-01-16 |
| 1033248679 | Kara Merriam | Counselor | 1771 Madison St, Clarksville, TN 37043-4990 | 2007-03-02 |
| 1164578159 | Linda Wooten Highers | Pharmacist | 1771 Madison St, Clarksville, TN 37043-3160 | 2007-01-25 |
| 1659457224 | Amy Marie Robinson | Dietitian, Registered | 1771 Madison St, Clarksville, TN 37043-4990 | 2006-10-27 |
| 1932121316 | Charles E Drury | Physician Assistant | 1771 Madison St, Clarksville, TN 37043-4990 | 2006-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952958464 | Barbara Gallahan | Technician | 3992 Lakewood Dr., Clarksville, TN 37043 | 2019-08-20 |
| 1144874728 | Intricate Care | Registered Nurse | 2299 Raleigh Ct, Clarksville, TN 37043 | 2019-07-31 |
| 1740842145 | Caila Anne Wiblitzhouser Holm | Counselor | 755 Weatherly Drive, Clarksville, TN 37043 | 2019-07-05 |
| 1407416407 | Heartland Dental Care of Tennessee, PC | Dentist | 930 Highway 76, Clarksville, TN 37043 | 2019-06-20 |
| 1376021501 | Stephen Lawrence Rego | Case Manager/Care Coordinator | Cohen Military Family Clinic, 775 Weatherly Dr, Clarksville, TN 37043 | 2018-07-31 |
| 1366928095 | Kendra Lee | Social Worker | 775 Weatherly Dr., Clarksville, TN 37043 | 2018-07-16 |
| 1245742931 | Andrea L Edelstein | Dentist | 1818 Memorial Dr., Unit 47, Clarksville, TN 37043 | 2017-11-02 |
| 1043736119 | Megan Pritchett Landre | Behavior Technician | 990 South Ridge Trail, Clarksville, TN 37043 | 2017-08-20 |
| 1932624798 | Sandra Melissa Corral | Behavior Technician | 139e Old Trenton Rd, Suite B, Clarksville, TN 37043 | 2017-08-13 |
| 1700306032 | Sahiti Kandati | Dentist | 1777 Madison Ste Ste 100, Clarksville, TN 37043 | 2017-06-27 |
| Find all providers in zip 37043 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417114588 | Todd Michael Barbosa | Anesthesiology | 1817a Madison St, Ste 1, Clarksville, TN 37043-2930 | 2008-05-16 |
| 1164466330 | Candra A Cummings | Anesthesiology | 5741 Western Sea Run, Clarksville, MD 21029-1665 | 2006-06-16 |
| 1700237609 | Amg of Kentuckiana Medical Center LLC | Anesthesiology | 4601 Medical Plaza Way, Clarksville, IN 47129-9204 | 2016-06-22 |
| 1073748026 | Sarah Eisen Ellis | Anesthesiology | 647 Dunlop Ln, Suite 305, Clarksville, TN 37040-5165 | 2009-05-20 |
| 1972778389 | Maria Rosa Fuertes | Anesthesiology | 651 Dunlop Ln, Clarksville, TN 37040-5015 | 2008-04-26 |
| 1497795231 | Joe S Holt | Anesthesiology | 1771 Madison St, Clarksville, TN 37043-4990 | 2006-06-08 |
| 1396794525 | Johnson Regional Medical Center | Anesthesiology | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2006-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295378115 | Augustine U Tudeme | Anesthesiology | 5113 Saint Ives Dr, Murfreesboro, TN 37128-4588 | 2019-10-23 |
| 1013566991 | Arehart Enterprises Plc | Anesthesiology | 181 Matherly Street, Crossville, TN 38555 | 2019-09-04 |
| 1306319942 | Specialty Anesthesia of Tennessee | Anesthesiology | 1251 Lewisburg Pike, Franklin, TN 37064-5037 | 2019-01-07 |
| 1023464302 | Brandon Earle Pruett | Anesthesiology | 1301 Medical Center Dr # 4648, Nashville, TN 37232-0028 | 2016-05-05 |
| 1417333527 | Felipe R Edghill | Anesthesiology | 131 Tucker St Ste 2, Jackson, TN 38301-4055 | 2015-07-31 |
| 1659779445 | Integrated Medical Staff of Jackson PC | Anesthesiology | 828 N Parkway, Jackson, TN 38305-3032 | 2014-12-11 |
| 1598105363 | Mark Steven Jordon | Anesthesiology | 1837 River Shores Dr, Knoxville, TN 37914-6025 | 2013-06-26 |
| 1427496645 | Jennifer Castelbuono | Anesthesiology | 1924 Alcoa Hwy # U-109, Knoxville, TN 37920-1511 | 2013-06-10 |
| 1346683638 | Richard Sedlak | Anesthesiology | 2146 Belcourt Ave Ofc, Nashville, TN 37212 | 2013-04-17 |
| 1356784318 | Meredith Kingeter | Anesthesiology | 1215 21st Ave S., Suite 5160, Office 5175, Nashville, TN 37232 | 2013-04-09 |
| Find all providers with the same taxonomy | ||||
| City | CLARKSVILLE |
| Zip Code | 37043 |
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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.