DR. MELISSA A POWELL (NPI# 1053407809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053407809 |
| Entity Type | Individual |
| Full Name | DR. MELISSA A POWELL |
| Credential | M.D. |
| Practice Address |
410 N State of Franklin Rd Suite 130 Johnson City TN 37604-6971 |
| Practice Telephone | 4234312477 |
| Practice Fax Number | 4234312478 |
| Mailing Telephone | 4234312477 |
| Mailing Fax Number | 4234312478 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2017-02-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 31797 | TN | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 16746 | WV | Allopathic & Osteopathic Physicians |
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
31797 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q002848 | 05 | |
| WV | RAILROAD MEDICARE | P00358617 | 01 |
| VA | 1053407809 | 05 | |
| NC | 1053407809 | 05 | |
| WV | 3004661000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053896068 | Melissa Frances Powell | Speech-Language Pathologist | 1945 N Garrett Ave Apt 2006, Dallas, TX 75206-8684 | 2018-09-26 |
| 1518359504 | Melissa Powell | Speech-Language Pathologist | 1910 Woodbourne Ave, Louisville, KY 40205-2127 | 2015-02-27 |
| 1457609042 | Melissa Powell | Dietitian, Registered | 727 Delaware Ave, Unit E, Grafton, WI 53024-9450 | 2012-08-29 |
| 1578873733 | Melissa Annette Powell | Social Worker | 1900 E Northern Pkwy Ste T5, Baltimore, MD 21239-2120 | 2010-10-20 |
| 1790349405 | Melissa Ann Powell | Nurse Practitioner | 3170 Linden Dr Ste 6, Bristol, VA 24202-5955 | 2019-04-28 |
| 1457817702 | Melissa Coleen Powell | Counselor | 179 S Parkside Dr, Colorado Springs, CO 80910-3130 | 2019-02-12 |
| 1437691284 | Melissa R Powell | Nurse Practitioner | 33 Beaver Dr, Ste 1, Du Bois, PA 15801-2434 | 2016-11-10 |
| 1235563628 | Melissa Marye Powell | Speech-Language Pathologist | 11360 183rd St, Cerritos, CA 90703-5419 | 2013-08-21 |
| 1386088151 | Melissa Powell | Nurse Practitioner | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2013-04-24 |
| 1548500846 | Melissa Jean Powell | Dietitian, Registered | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2013-02-22 |
| Street Address |
410 N STATE OF FRANKLIN RD SUITE 130 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604-6971 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346248028 | Brian Mason | Radiology | 410 N State of Franklin Rd, Suite 135b, Johnson City, TN 37604-6971 | 2005-07-07 |
| 1356880199 | Shriners Hospitals for Children | Orthopaedic Surgery | 410 N State of Franklin Rd, Suite 130, Johnson City, TN 37604-6971 | 2017-02-13 |
| 1043688385 | Blue Ridge Medical Management Corporation | Radiology | 410 N State of Franklin Rd, Suite 135b, Johnson City, TN 37604 | 2015-09-03 |
| 1659776375 | Blue Ridge Medical Management Corporation | Psychiatry & Neurology | 410 N State of Franklin Rd, Suite 135, Johnson City, TN 37604-6971 | 2014-10-23 |
| 1003152307 | Blue Ridge Medical Management Corporation | Neurological Surgery | 410 N State of Franklin Rd, Suite 120, Johnson City, TN 37604-6971 | 2012-12-14 |
| 1134497787 | Ted Allan White | Nurse Practitioner | 410 N State of Franklin Rd, Suite 130, Johnson City, TN 37604-6971 | 2011-12-12 |
| 1518266725 | William Andrew Crabtree | Physician Assistant | 410 N State of Franklin Rd, Suite 130, Johnson City, TN 37604-6971 | 2011-03-28 |
| 1093016024 | Blue Ridge Medical Management Corporation | Orthopaedic Surgery | 410 N State of Franklin Rd, Suite 130, Johnson City, TN 37604-6971 | 2010-11-08 |
| 1245559236 | Tanzid Shams | Psychiatry & Neurology | 410 N State of Franklin Rd, Suite 135, Johnson City, TN 37604 | 2010-05-31 |
| 1275867715 | Brandon Green | Orthopaedic Surgery | 410 N State of Franklin Rd, Suite 130, Johnson City, TN 37604-6971 | 2009-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| Find all providers in zip 37604 | ||||
| Taxonomy Code | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760563613 | Alan A Simeone | Surgery | 2525 Desales Ave Ste F1009, Chattanooga, TN 37404-1161 | 2006-10-18 |
| 1326004128 | Louis J Magnotti | Surgery | 877 Jefferson Avenue, Attn: Provider Enrollment, Memphis, TN 38103 | 2006-04-21 |
| 1376958231 | Alexander Carl Cavalea | Surgery | 1924 Alcoa Hwy # U-11, Knoxville, TN 37920-1511 | 2014-06-30 |
| 1790195014 | Dih-dih Huang | Surgery | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2014-05-08 |
| 1306189857 | Emily Katrine Lenart | Surgery | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2013-04-03 |
| 1144582180 | Michael Christopher Smith | Surgery | 3601 The Vanderbilt Clinic, Nashville, TN 37232 | 2012-06-14 |
| 1821382367 | Richard Harlow Lewis Jr. | Surgery | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2011-06-01 |
| 1992004121 | Dina Filiberto | Surgery | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2011-03-28 |
| 1366766982 | Christopher Aaron Guidry | Surgery | 1211 Medical Center Dr, Nashville, TN 37232 | 2010-03-25 |
| 1750605523 | Isaac William Howley | Surgery | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2010-03-22 |
| Find all providers with the same taxonomy | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
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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.