MOUNTAIN EMPIRE MEDICAL AND SURGICAL ASSOCIATES PLLC (NPI# 1043220338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043220338 |
| Entity Type | Organization |
| Organization Name | MOUNTAIN EMPIRE MEDICAL AND SURGICAL ASSOCIATES PLLC |
| Practice Address |
1503 W Elk Ave Suite 8 Elizabethton TN 37643-2876 |
| Practice Telephone | 4235420400 |
| Practice Fax Number | 4235420201 |
| Mailing Telephone | 4235420400 |
| Mailing Fax Number | 4235420201 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2008-10-21 |
| Authorized Official Name | DAVID S HECHT (PRESIDENT) |
| Authorized Official Telephone | 4235420400 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3707825 | 05 |
| Street Address |
1503 W ELK AVE SUITE 8 |
| City | ELIZABETHTON |
| State | TN |
| Zip Code | 37643-2876 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770570772 | Scott O Caudle | Surgery | 1503 W Elk Ave, Suite 1, Elizabethton, TN 37643-2876 | 2005-10-04 |
| 1285932483 | Angela Marie Kraner | Nurse Practitioner | 1503 W Elk Ave, Suite #1, Elizabethton, TN 37643-2876 | 2011-03-11 |
| 1396043055 | Kamesh Sivagnanam | Internal Medicine | 1503 W Elk Ave, Ste 8, Elizabethton, TN 37643-2883 | 2011-03-04 |
| 1073748539 | Blue Ridge Medical Management Corporation | Specialist | 1503 W Elk Ave, Suite 8, Elizabethton, TN 37643-2876 | 2009-05-27 |
| 1083854384 | Blue Ridge Medical Management Corporation | Specialist | 1503 W Elk Ave, Suite 3b, Elizabethton, TN 37643-2876 | 2009-02-26 |
| 1396943841 | Appalachian Surgery | Nurse Practitioner | 1503 W Elk Ave, #1, Elizabethton, TN 37643 | 2007-07-06 |
| 1962506691 | Blue Ridge Medical Management Corporation | Internal Medicine | 1503 W Elk Ave, Suite 8, Elizabethton, TN 37643-2876 | 2006-09-12 |
| 1356455174 | Bobby Dean Reynolds II | Nurse Practitioner | 1503 W Elk Ave, Elizabethton, TN 37643-2876 | 2006-08-18 |
| 1831100767 | Blue Ridge Medical Management Corporation | Internal Medicine | 1503 W Elk Ave, Suite 3, Elizabethton, TN 37643-2876 | 2006-08-09 |
| 1336181239 | Jonathan Scott Bremer | Internal Medicine | 1503 W Elk Ave, Suite 8, Elizabethton, TN 37643-2876 | 2006-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558831115 | Blue Ridge Medical Management Corporation | Internal Medicine | 404 Bemberg Rd, Elizabethton, TN 37643 | 2018-11-27 |
| 1396269072 | Solutions Medical Centers Pllc | General Practice | Solutions Medical Centers, 851 W Elk Ave, Elizabethton, TN 37643 | 2017-08-03 |
| 1437533924 | Dr. Benjamin D. Parrish and Assoc Od. PC | Optometrist | 114 S. Sycamore St, Elizabethton, TN 37643 | 2015-07-14 |
| 1972980431 | Valerie Lynn Pierce | Nurse's Aide | 101 Crowe Rd, Elizabethton, TN 37643 | 2015-05-04 |
| 1679816730 | Jeremy Meyer | Surgery | 1497 W Elk Ave Ste 10, Elizabethton, TN 37643 | 2013-03-27 |
| 1649579087 | Melinda Lynn Jennings | Pharmacist | 507 West Elk Ave, Elizbethton, TN 37643 | 2011-03-24 |
| 1588987036 | Troy Kevin Covarrubias | Driver | 219 Coal Chute Rd, Elizabethton, TN 37643 | 2010-03-11 |
| 1649502048 | Derek Charles Rhoton | Physician Assistant | 1500 West Elk Ave, Elizabethton, TN 37643 | 2010-02-10 |
| 1144456047 | Peacock Medical Equipment and Home Health Care LLC | Home Health | 1201 Highway 19 E Bypass Suite 3, Elizabethton, TN 37643 | 2009-06-05 |
| 1235386434 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 1210 Militia Ct., Elizabethton, TN 37643 | 2008-08-19 |
| Find all providers in zip 37643 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043531932 | Abigail Gass | Internal Medicine | 1503 W Elk Ave Ste 5, Elizabethton, TN 37643-2883 | 2010-06-15 |
| 1124281894 | Makram Jurdi | Internal Medicine | 1501 W. Elk St, Elizabethton, TN 37643 | 2008-07-03 |
| 1497813026 | Michelle Lee Davenport | Internal Medicine | 306 Pine Hill Rd, Elizabethton, TN 37643-2920 | 2006-12-05 |
| 1457693996 | Blue Ridge Medical Management Corporation | Internal Medicine | 1505 W Elk Ave, Suite 2, Elizabethton, TN 37643-2848 | 2013-03-22 |
| 1184926719 | Blue Ridge Medical Management C Orporation | Internal Medicine | 1497 W Elk Ave, Suite 20, Elizabethton, TN 37643-2874 | 2010-12-02 |
| 1619102167 | Blue Ridge Medical Management Corporation | Internal Medicine | 314 Rogosin Dr, Suite B, Elizabethton, TN 37643-2904 | 2009-05-27 |
| 1184746869 | James Lee Davenport | Internal Medicine | 306 Pine Hill Rd, Elizabethton, TN 37643-2920 | 2007-04-04 |
| 1962506691 | Blue Ridge Medical Management Corporation | Internal Medicine | 1503 W Elk Ave, Suite 8, Elizabethton, TN 37643-2876 | 2006-09-12 |
| 1336181239 | Jonathan Scott Bremer | Internal Medicine | 1503 W Elk Ave, Suite 8, Elizabethton, TN 37643-2876 | 2006-06-12 |
| 1205889508 | Vivian M Clark | Internal Medicine | 1503 W Elk Ave, Suite 5, Elizabethton, TN 37643-2876 | 2006-05-18 |
| Find all providers in ELIZABETHTON | ||||
| City | ELIZABETHTON |
| Zip Code | 37643 |
Please comment or provide details below to improve the information on MOUNTAIN EMPIRE MEDICAL AND SURGICAL ASSOCIATES PLLC.
| 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.