PULMONARY ASSOCIATES OF KINGSPORT (NPI# 1063731933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063731933 |
| Entity Type | Organization |
| Organization Name | PULMONARY ASSOCIATES OF KINGSPORT |
| Other Organization Name | PULMONARY ASSOCIATES-BIG STONE GAP |
| Practice Address |
1980 Holton Ave E Suite 202 Big Stone Gap VA 24219-3366 |
| Mailing Address |
111 W Stone Dr Suite 100 Kingsport TN 37660-6027 |
| Practice Telephone | 2765238860 |
| Practice Fax Number | 2765238862 |
| Mailing Telephone | 4232475197 |
| Mailing Fax Number | 4232475254 |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2010-06-22 |
| Authorized Official Name | MRS. SHIRLEY HAWKINS (ADMINISTRATOR) |
| Authorized Official Telephone | 4232475197 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 65906208 | 05 | |
| TN | BLUE CROSS BLUE SHEILD | 85538 | 01 |
| TN | 3700107 | 05 | |
| VA | ANTHEM | 055800 | 01 |
| Other Name | Type Code |
|---|---|
| Pulmonary Associates-Big Stone Gap | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871547794 | Pulmonary Associates of Kingsport | Clinic/Center | 2050 Meadowview Pkwy, Suite 205, Kingsport, TN 37660-7332 | 2006-05-22 |
| 1982745741 | Pulmonary Associates of Kingsport | Clinic/Center | 110 W Main St, Suite 3, Lebanon, VA 24266-4214 | 2007-02-12 |
| 1073565073 | Pulmonary Associates of Kingsport | Specialist | 111 W Stone Dr, Suite 100, Kingsport, TN 37660-6027 | 2006-05-17 |
| Street Address |
1980 HOLTON AVE E SUITE 202 |
| City | BIG STONE GAP |
| State | VA |
| Zip Code | 24219-3366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447222922 | Michael C Vacco | Pediatrics | 1980 Holton Ave E, Suite 203, Big Stone Gap, VA 24219-3366 | 2006-02-07 |
| 1457617011 | Joseph W Frye II | Physical Medicine & Rehabilitation | 1980 Holton Ave E, Suite 202, Big Stone Gap, VA 24219-3366 | 2012-04-09 |
| 1558528182 | Lawrence J. Fleenor Jr | Family Medicine | 1980 Holton Ave E, Big Stone Gap, VA 24219-3366 | 2008-05-21 |
| 1043339385 | Wellmont Physician Services Inc | Obstetrics & Gynecology | 1980 Holton Ave E, Suite 301, Big Stone Gap, VA 24219-3366 | 2007-03-28 |
| 1851419659 | Wellmont Physician Services Inc | Internal Medicine | 1980 Holton Ave E, Big Stone Gap, VA 24219-3366 | 2007-03-27 |
| 1912010166 | Mary Moore | Nurse Anesthetist, Certified Registered | 1980 Holton Ave E, Big Stone Gap, VA 24219-3366 | 2006-08-15 |
| 1033124995 | Edakandyil Manoharan | Obstetrics & Gynecology | 1980 Holton Ave E, Suite 301, Big Stone Gap, VA 24219-3366 | 2006-07-29 |
| 1134192438 | Pradipchandra Kapadia | Internal Medicine | 1980 Holton Ave E, Suite 102, Big Stone Gap, VA 24219-3366 | 2006-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609408962 | Dillon Wayne Roberts | Private Vehicle | 2101 Seterra St, Big Stone Gap, VA 24219 | 2020-02-05 |
| 1609427525 | Joan M Daniel | Technician | 800 Buffalo Ridge Road, Big Stone Gap, VA 24219 | 2019-09-23 |
| 1932634953 | Big Stone Economy Drug Inc | Pharmacy | 205 East 5th Street North, Big Stone Gap, VA 24219 | 2017-04-27 |
| 1639519655 | Family Preservation Services, Inc. | Community/Behavioral Health | Two Champions Avenue, Big Stone Gap, VA 24219 | 2013-07-05 |
| 1134464456 | Family Preservation Services, Inc | Community/Behavioral Health | 212 Monta Vista Lane, Big Stone Gap, VA 24219 | 2012-11-28 |
| 1902158892 | Tommie Jo Harding | Registered Nurse | 1508 Third Ave East, Big Stone Gap, VA 24219 | 2012-10-03 |
| 1366793002 | Rebecca Ely Johnson | Registered Nurse | 1508 3rd Ave. East, Big Stone Gap, VA 24219 | 2012-09-20 |
| 1770833238 | Melinda Dawn Hamm | Licensed Practical Nurse | 1508 3rd Ave East, Big Stone Gap, VA 24219 | 2012-09-12 |
| 1801197470 | Family Preservation Services, Inc. | Community/Behavioral Health | 170 Mountain View Circle, Big Stone Gap, VA 24219 | 2010-11-12 |
| 1245498062 | Joshua Heath Dalton | Neuromusculoskeletal Medicine & OMM | 14 East 27st N, Ste 2, Big Stone Gap, VA 24219 | 2008-05-29 |
| Find all providers in zip 24219 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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| 1285257246 | Zamjams Enterprises LLC | Specialist | 1600 N Coalter St Ste 7, Staunton, VA 24401-2500 | 2020-05-26 |
| 1427670538 | Megan Cone | Specialist | 6236 Willow Glen Rd, Midlothian, VA 23112-2230 | 2020-05-12 |
| 1033739529 | Maureen Marguerite Loftus | Specialist | 8321 Old Courthouse Rd Ste 130, Vienna, VA 22182-3817 | 2020-04-24 |
| 1972132090 | Alissa S Rexo | Specialist | 25251 Beach Place, Chantilly, VA 20152 | 2020-04-02 |
| 1821626235 | Tidewater Surgical | Specialist | 1732 S Park Ct, Chesapeake, VA 23320-8934 | 2020-03-31 |
| 1699307520 | Latia Tisdale | Specialist | 2520 Professional Rd Ste D, North Chesterfield, VA 23235-3267 | 2020-02-08 |
| 1013473081 | Whitney Matheson | Specialist | 6803 Dallas Rd, Roanoke, VA 24019-2310 | 2019-02-14 |
| Find all providers with the same taxonomy | ||||
| City | BIG STONE GAP |
| Zip Code | 24219 |
Please comment or provide details below to improve the information on PULMONARY ASSOCIATES OF KINGSPORT.
| 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.