TRENTON MEDICAL CLINIC PLLC (NPI# 1043750193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043750193 |
Entity Type | Organization |
Organization Name | TRENTON MEDICAL CLINIC PLLC |
Practice Address |
120 Davy Crockett Mall Trenton TN 38382-2934 |
Practice Telephone | 7318553719 |
Mailing Telephone | 7318553719 |
Enumeration Date | 2017-03-07 |
Last Update Date | 2017-03-07 |
Authorized Official Name | ADENIKE FATOMOH ADEDEJI (NURSE PRACTITIONER) |
Authorized Official Telephone | 7318553719 |
Authorized Official Credential | NP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
APN18036 | TN | Ambulatory Health Care Facilities |
Street Address |
120 DAVY CROCKETT MALL |
City | TRENTON |
State | TN |
Zip Code | 38382-2934 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336135201 | William C Desouza | Internal Medicine | 120 Davy Crockett Mall, Trenton, TN 38382-2934 | 2005-09-26 |
1992134597 | Adenike Adedeji | Nurse Practitioner | 120 Davy Crockett Mall, Trenton, TN 38382-2934 | 2013-11-04 |
1750410296 | Charicem Ventures Pllc | Exclusive Provider Organization | 120 Davy Crockett Mall, Trenton, TN 38382-2934 | 2007-03-02 |
1932155868 | Ayodele Adeleke Olusanya | Emergency Medicine | 120 Davy Crockett Mall, Trenton, TN 38382-2934 | 2006-05-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558998583 | Jh Pollard | Occupational Therapy Assistant | 2036 Us Hwy Byp S, Trenton, TN 38382 | 2020-03-27 |
1467829515 | Kelly Pulley | Nurse Practitioner | 2017 South College St, Trenton, TN 38382 | 2015-08-25 |
1184091332 | John Robert Barnett | Pharmacist | 2045 S. Highway 45, Trenton, TN 38382 | 2015-08-24 |
1053739193 | Lisa Schweich | Nurse Practitioner | 1250 Manufacturer's Row, Trenton, TN 38382 | 2014-04-05 |
1851641609 | Lauren Ashley Sanders | Licensed Practical Nurse | 244 Loop Rd, Trenton, TN 38382 | 2012-09-19 |
1598090920 | Rha Trenton Mr Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1130 High St, Trenton, TN 38382 | 2009-10-02 |
1053646489 | Rha Trenton Mr Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 307 E Eaton St, Trenton, TN 38382 | 2009-10-02 |
1134454564 | Rha Trenton Mr Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2202 Hwy 45 By-pass, Trenton, TN 38382 | 2009-10-02 |
1043545478 | Rha Trenton Mr Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2206 Hwy 45 By-pass, Trenton, TN 38382 | 2009-10-02 |
1316272743 | Rha Trenton Mr Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2055 Hwy 45 By-pass A, Trenton, TN 38382 | 2009-10-02 |
Find all providers in zip 38382 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245287853 | Paul Pierrot,,m.d.,p.c. | Clinic/Center | 941 White Horse Ave, Suite 1, Trenton, NJ 08610-1407 | 2006-05-28 |
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1780281527 | Braxton Medical Clinic, LLC | Clinic/Center | 1410 Kensington Square Ct Ste 103, Murfreesboro, TN 37130-6902 | 2020-10-05 |
1629689674 | Saint Thomas Medical Partners | Clinic/Center | 220 West Jefferson Pike, Murfreesboro, TN 37129 | 2020-08-13 |
1700411592 | Fentress Family Care LLC | Clinic/Center | 1010 Old Highway 127 S, Jamestown, TN 38556-5648 | 2020-03-11 |
1831724822 | Guiding Star Memphis | Clinic/Center | 2980 Poplar Ave Ste 101, Memphis, TN 38111-3527 | 2020-03-10 |
1407486764 | Elijahs Dream Compassionate Care | Clinic/Center | 134 Creekside Dr Ste 1, Ocoee, TN 37361-3653 | 2020-01-24 |
1518506542 | Faith Medical Group, Pllc | Clinic/Center | 500 Mcfarland St Ste E, Morristown, TN 37814-3992 | 2019-12-20 |
1366080582 | Matthew E. Schantz, M.d. | Clinic/Center | 206 S Military St Ste 1, Loretto, TN 38469-2101 | 2019-12-18 |
1114563749 | Step One Medical Associates PC | Clinic/Center | 4502 Bristol Hwy, Johnson City, TN 37601-2936 | 2019-11-19 |
1023665403 | Elite Healthcare, LLC | Clinic/Center | 117 N 3rd St, Kingston, TN 37763-2842 | 2019-08-21 |
1083266381 | Get Into Shape Md | Clinic/Center | 5803 Lee Hwy Ste 101, Chattanooga, TN 37421-3547 | 2019-07-16 |
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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.