PLATEAU PEDIATRICS, PLC (NPI# 1043285729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043285729 |
| Entity Type | Organization |
| Organization Name | PLATEAU PEDIATRICS, PLC |
| Practice Address |
3234 Miller Ave Crossville TN 38555-6116 |
| Practice Telephone | 9317078700 |
| Practice Fax Number | 9314560802 |
| Mailing Telephone | 9317078700 |
| Mailing Fax Number | 9314560802 |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2011-04-25 |
| Authorized Official Name | DR. SUZANNE K BERMAN (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 9317078700 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
3899812 | TN | Ambulatory Health Care Facilities |
| Street Address |
3234 MILLER AVE |
| City | CROSSVILLE |
| State | TN |
| Zip Code | 38555-6116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245204940 | Suzanne K Berman | Pediatrics | 3234 Miller Ave, Crossville, TN 38555-6116 | 2006-02-17 |
| 1801428255 | Adaya Alexandra Bayless | Pediatrics | 3234 Miller Ave, Crossville, TN 38555-6116 | 2020-02-04 |
| 1568856854 | Lauren Elizabeth Fox-bergvin | Pediatrics | 3234 Miller Ave, Crossville, TN 38555 | 2015-03-24 |
| 1922491687 | Kristin L Daugherty | Nurse Practitioner | 3234 Miller Ave, Crossville, TN 38555-6116 | 2015-03-05 |
| 1518201581 | Lacey Mcdonough Raburn | Dietitian, Registered | 3234 Miller Ave, Crossville, TN 38555-6116 | 2012-11-15 |
| 1578612305 | Christine Reed | Pediatrics | 3234 Miller Ave, Crossville, TN 38555-6116 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679106306 | North Main Medical, LLC | Family Medicine | 3094 N Mainst, Crossville, TN 38555 | 2020-02-21 |
| 1013566991 | Arehart Enterprises Plc | Anesthesiology | 181 Matherly Street, Crossville, TN 38555 | 2019-09-04 |
| 1194220236 | William Stacy Swafford | Pain Medicine | 181 Matherly St, Crossville, TN 38555 | 2018-03-29 |
| 1871024539 | Adam Hill | Nurse Practitioner | 229 Interstate Dr Ste 103, Crossville, TN 38555 | 2017-03-24 |
| 1568862639 | Happy Hearts Home Care LLC | Home Health | 61 Birchwood Lane, Crossville, TN 38555 | 2014-08-26 |
| 1891072187 | Quality Medical Center, PC | Clinic/Center | 15 Walker Hill Cir, Crossville, TN 38555 | 2011-11-15 |
| 1306137393 | Beatrice L. Durham | Family Medicine | 421 South Main St., Crossville, TN 38555 | 2011-04-25 |
| 1881901353 | Donna Laughter | Licensed Practical Nurse | 1503 South Main St., Crossville, TN 38555 | 2010-09-07 |
| 1922311083 | Carl Thomas Duer Sr. | General Practice | 840 Holiday Dr, Crossville, TN 38555 | 2010-07-19 |
| 1295048445 | Michael Lee Hamby | Pharmacist | 85 Elmore Ave, Crossville, TN 38555 | 2010-07-16 |
| Find all providers in zip 38555 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780296863 | Upper Cumberland Rural Health Clinic Pllc | Clinic/Center | 229 Interstate Dr Ste 105, Crossville, TN 38555-2704 | 2020-08-19 |
| 1255686424 | Np Enterprises Inc | Clinic/Center | 42 Dooley St, Crossville, TN 38555-4055 | 2012-07-13 |
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| 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 | ||||
| City | CROSSVILLE |
| Zip Code | 38555 |
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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.