DR. CHRISTOPHER SHEA BURRESS (NPI# 1073603411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073603411 |
| Entity Type | Individual |
| Full Name | DR. CHRISTOPHER SHEA BURRESS |
| Credential | D.O. |
| Practice Address |
10044 Highway 46 Bon Aqua TN 37025-1764 |
| Practice Telephone | 9319964247 |
| Practice Fax Number | 9319964248 |
| Mailing Telephone | 9319964247 |
| Mailing Fax Number | 9319964248 |
| Enumeration Date | 2006-10-14 |
| Last Update Date | 2018-02-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204D00000X | Neuromusculoskeletal Medicine & OMM | DO-2027 | TN | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | DO-2027 | TN | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | DO2027 | TN | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | DO-941 | AL | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | DO2027 | TN | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | DO-941 | AL | Allopathic & Osteopathic Physicians |
| N | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
DO-2027 | TN | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | DO-2027 | TN | Allopathic & Osteopathic Physicians |
| N | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
DO-2027 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | CAQH | 11777708 | 01 |
| TN | 1522546 | 05 |
| Street Address |
10044 HIGHWAY 46 |
| City | BON AQUA |
| State | TN |
| Zip Code | 37025-1764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568925329 | Optimum Medical Group | Internal Medicine | 10044 Highway 46, Bon Aqua, TN 37025-1764 | 2019-04-09 |
| 1669873113 | Christopher S. Burress, Md | Pediatrics | 10044 Highway 46, Bon Aqua, TN 37025-1764 | 2014-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003119025 | Valorie Caprice Bronstone | Counselor | 901 Eli Rd, Bon Aqua, TN 37025 | 2010-12-14 |
| 1891906699 | Geriatric Angels, Inc. | Home Health | 9600 Highway 46, Bon Aqua, TN 37025-2774 | 2007-05-24 |
| 1790201275 | Margo Elena Vander Woude | Occupational Therapy Assistant | 10875 Moss Branch Rd, Bon Aqua, TN 37025-3149 | 2017-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790201275 | Margo Elena Vander Woude | Occupational Therapy Assistant | 10875 Moss Branch Rd, Bon Aqua, TN 37025-3149 | 2017-08-16 |
| 1003119025 | Valorie Caprice Bronstone | Counselor | 901 Eli Rd, Bon Aqua, TN 37025 | 2010-12-14 |
| 1891906699 | Geriatric Angels, Inc. | Home Health | 9600 Highway 46, Bon Aqua, TN 37025-2774 | 2007-05-24 |
| 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 |
|---|---|---|---|---|
| 1568925329 | Optimum Medical Group | Internal Medicine | 10044 Highway 46, Bon Aqua, TN 37025-1764 | 2019-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841816485 | Bulls Gap Medical and Walk In Clinic | Internal Medicine | 273 Highway 11 E Ste A, Bulls Gap, TN 37711-3434 | 2020-06-19 |
| 1043856677 | Pac of Tennessee PC | Internal Medicine | 1958 West State Street, Suite 2, Bristol, TN 37620-2257 | 2019-11-19 |
| 1730739442 | Megan Elizabeth Wagner | Internal Medicine | 220 Eauclair St, Kingsport, TN 37664-4840 | 2019-09-14 |
| 1649825258 | Daniel Cusator | Internal Medicine | 9258 Wardley Park Ln, Brentwood, TN 37027-4465 | 2019-08-09 |
| 1508423799 | Priority Health, Pllc | Internal Medicine | 486 Bells Chapel Rd, Dyer, TN 38330-3028 | 2019-05-22 |
| 1326603911 | Tennessee Health Partners LLC | Internal Medicine | 5300 Maryland Way Ste 103, Brentwood, TN 37027-5074 | 2019-05-08 |
| 1740757764 | Advanced Diagnostic Imaging, PC | Internal Medicine | 2340 Fairview Boulevard, Suite 600d, Fairview, TN 37062 | 2018-10-29 |
| 1881179844 | Mtn Care, Pllc | Internal Medicine | 5543 Edmondson Pike # 231, Nashville, TN 37211-5808 | 2018-09-26 |
| 1427546415 | Christopher Nelson | Internal Medicine | 5100 Poplar Ave Ste 512, Memphis, TN 38137-0500 | 2018-04-25 |
| 1053810457 | Noi Nuyen Md, Pllc | Internal Medicine | 214 Prosperity Dr, Knoxville, TN 37923-4702 | 2018-02-12 |
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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.