SWEETWATER HOSPITAL ER PHYSICIAN GROUP (NPI# 1083613905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083613905 |
| Entity Type | Organization |
| Organization Name | SWEETWATER HOSPITAL ER PHYSICIAN GROUP |
| Practice Address |
304 Wright St Sweetwater TN 37874 |
| Mailing Address |
304 Wright St Sweetwater TN 37874-1181 |
| Practice Telephone | 8652138200 |
| Practice Fax Number | 8652138596 |
| Mailing Telephone | 8652138200 |
| Mailing Fax Number | 8652138596 |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2018-06-06 |
| Authorized Official Name | DEBBIE THOMPSON (CFO) |
| Authorized Official Telephone | 8652138336 |
| Is Organization Subpart | Y |
| Parent Organization Name | SWEETWATER HOSPITAL ASSOCIATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 0000000089 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3280256 | 05 | |
| BLUE CROSS OF TN | 1000280 | 01 |
| Street Address |
304 WRIGHT ST |
| City | SWEETWATER |
| State | TN |
| Zip Code | 37874 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568460525 | Kenya Kozawa | Internal Medicine | 304 Wright St, Sweetwater, TN 37874-1181 | 2005-07-13 |
| 1558995399 | Sweetwater Hospital Physician Group | Obstetrics & Gynecology | 304 Wright St, Sweetwater, TN 37874-1181 | 2020-03-02 |
| 1376192286 | Allison Kellie Collins | Registered Nurse | 304 Wright St, Sweetwater, TN 37874-1181 | 2019-09-04 |
| 1932607793 | Tennessee Cancer Specialists Pllc | Internal Medicine | 304 Wright St, Sweetwater, TN 37874-1181 | 2018-01-26 |
| 1154829265 | Tennessee Cancer Specialists Pllc | Internal Medicine | 304 Wright St, Sweetwater, TN 37874-1181 | 2018-01-24 |
| 1134640675 | Christal Dawn Frerichs | Nurse Practitioner | 304 Wright St, Sweetwater, TN 37874-1181 | 2017-07-06 |
| 1306206081 | Ashlin Martin Paz | Obstetrics & Gynecology | 304 Wright St, Sweetwater, TN 37874-1181 | 2016-02-24 |
| 1649654385 | Thomas Vance | Nurse Practitioner | 304 Wright St, Sweetwater, TN 37874-1181 | 2015-07-13 |
| 1932587342 | Laurence Oliver James | Internal Medicine | 304 Wright St, Sweetwater, TN 37874-1181 | 2015-05-18 |
| 1194127290 | Frederick A. Klein, Md., PC | Urology | 304 Wright St, Sweetwater, TN 37874-1181 | 2014-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588109003 | Tammy Allen | Speech-Language Pathologist | 120 Clover Hill Drive, Sweetwater, TN 37874 | 2016-12-20 |
| 1194164996 | Wal-mart Stores East, Lp | Technician/Technologist | 935 State Hwy 11 South, Sweetwater, TN 37874 | 2013-06-14 |
| 1609117720 | Wal-mart Stores East Lp | Pharmacy | 935 State Highway 11 South, Sweetwater, TN 37874 | 2013-03-14 |
| 1568537868 | Joe Allen Moore | Dentist | 206 Mayes Ave, Sweetwater, TN 37874 | 2006-11-21 |
| 1699880518 | John Michael Fox | Dentist | 201 S High St, Sweetwater, TN 37874 | 2006-08-20 |
| 1114931516 | Thomas Alan Foster | Optometrist | 689a Hwy 68, Sweetwater, TN 37874 | 2006-07-28 |
| 1962486183 | Sweetwater Nursing Center Inc | Nursing Facility/Intermediate Care Facility | 978 Highway 11 South, Sweetwater, TN 37874 | 2005-12-01 |
| 1518953777 | John G Richeson | Dentist | 745 New Highway 68, Sweetwater, TN 37874 | 2005-09-23 |
| 1861973737 | Shannon Dale Massingale | Pharmacist | 205 North Main Street, Sweetwater, TN 37874 | 2018-08-28 |
| 1962833913 | Bridgette Vestal | Pharmacist | 935 State Hwy 11 South, Sweetwater, TN 37874 | 2013-12-02 |
| Find all providers in zip 37874 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598710915 | Lufkin R Moses | Emergency Medicine | 200 E Arizona, #5, Sweetwater, TX 79566-7120 | 2006-05-24 |
| 1417407453 | Hubbard Creek Two | Emergency Medicine | 200 E Arizona Ave, Sweetwater, TX 79556-7120 | 2016-10-13 |
| 1316491715 | Hubbard Creek Emergency Physicians Pllc | Emergency Medicine | 200 E Arizona Ave, Sweetwater, TX 79556-7120 | 2016-08-15 |
| 1205084324 | Arizona Ave Emergency Physicians | Emergency Medicine | 200 E Arizona Ave, Sweetwater, TX 79556-7120 | 2008-09-03 |
| 1174694707 | Ellen D. Walthall | Emergency Medicine | 301 Jenny George Ln, Sweetwater, TX 79556-7152 | 2006-11-13 |
| 1831299122 | Southwest Medical Associates, Inc. | Emergency Medicine | 200 E Arizona Ave, Sweetwater, TX 79556-7120 | 2006-09-25 |
| 1326079898 | Celia Harrison | Emergency Medicine | 304 Church St, Sweetwater, TN 37874-1181 | 2006-07-05 |
| 1679518104 | Robert Eaker | Emergency Medicine | 301 Jenny George Ln, Sweetwater, TX 79556-7152 | 2006-06-18 |
| 1174560775 | George Crockett Lindsey | Emergency Medicine | 201 E Arizona Ave, Sweetwater, TX 79556-7119 | 2006-06-01 |
| 1922053412 | Jeremy Ray Smola | Emergency Medicine | 201 E Arizona Ave, Sweetwater, TX 79556-7119 | 2006-05-23 |
| Find all providers in SWEETWATER | ||||
| City | SWEETWATER |
| Zip Code | 37874 |
Please comment or provide details below to improve the information on SWEETWATER HOSPITAL ER PHYSICIAN GROUP.
| 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.