TENNESSEE ELECTRO NEURO DIAGNOSTICS (NPI# 1083650659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083650659 |
| Entity Type | Organization |
| Organization Name | TENNESSEE ELECTRO NEURO DIAGNOSTICS |
| Practice Address |
3224 Newington Cv Antioch TN 37013-2537 |
| Mailing Address |
Po Box 293296 Nashville TN 37229-3296 |
| Practice Telephone | 6153972456 |
| Practice Fax Number | 6158853691 |
| Mailing Telephone | 6153972456 |
| Mailing Fax Number | 6158853691 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. STEVEN A ROSS (OWNER/CLINICAL MANAGER) |
| Authorized Official Telephone | 6153972456 |
| Authorized Official Credential | CNIM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
380 | TN | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
3224 NEWINGTON CV |
| City | ANTIOCH |
| State | TN |
| Zip Code | 37013-2537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538706155 | Aisha Lbhalla | In Home Supportive Care | 324 Schoolhouse Ct, Antioch, TN 37013 | 2019-12-02 |
| 1023516580 | Aida Attia Faltas | Pharmacist | 608 Copper Rideg Trail, Antioch, TN 37013 | 2018-01-30 |
| 1700304839 | Good Shepherd Pharmacy LLC | Pharmacy | 2717 B Murfreesboro Pike, Antioch, TN 37013 | 2017-09-08 |
| 1053836593 | Inspired By Love Home Care, Inc. | In Home Supportive Care | 257 Maxwell Pl, Antioch, TN 37013 | 2017-08-05 |
| 1003354614 | Bridgestone Pharmacy LLC | Pharmacy | 825 Hamilton Crossings, Antioch, TN 37013 | 2017-02-02 |
| 1215388947 | Stattee Medical Transpoprtation Inc | Non-emergency Medical Transport (VAN) | 340 Schoolhouse Ct, Antioch, TN 37013 | 2016-06-23 |
| 1518313055 | Alisha Lampley | Counselor | 804 Thomas Bay Court, Antioch, TN 37013 | 2016-05-13 |
| 1467821835 | Clifton Mcdaniel | Respiratory Therapist, Certified | 3165 Skinner Dr, Antioch, TN 37013 | 2015-09-16 |
| 1497149884 | Frank Hamilton Anderson Iv | Family Medicine | 2572 Treetop Dr, Antioch, TN 37013 | 2015-03-24 |
| 1013356757 | Kevin Eugene Groh | Physician Assistant | 5380 Hickory Hollow Pkwy Ste 201, Antioch, TN 37013 | 2013-06-16 |
| Find all providers in zip 37013 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326668757 | Ashraf Rasoul | Specialist/Technologist, Other | 419 Fairfield Cir W, Memphis, TN 38117-4119 | 2020-04-27 |
| 1619597044 | Global Medical Holdings, LLC | Specialist/Technologist, Other | 516 Tennessee St Ste 233, Memphis, TN 38103-4717 | 2020-04-27 |
| 1558918854 | Phillip Don Parkinson | Specialist/Technologist, Other | 1357 Saybrook Xing, Thompsons Station, TN 37179-5343 | 2019-08-21 |
| 1649778028 | Elizabeth Flowers | Specialist/Technologist, Other | 1801 W End Ave Ste 920, Nashville, TN 37203-2526 | 2018-01-31 |
| 1205195336 | Sidakpal Hans | Specialist/Technologist, Other | 1801 W End Ave Ste 1610, Nashville, TN 37203-2532 | 2012-05-09 |
| 1316277361 | Joseph Edward Butler | Specialist/Technologist, Other | 700 12th Ave S Unit 306, Nashville, TN 37203-3367 | 2010-01-13 |
| 1619935780 | Stephanie M Schenk | Specialist/Technologist, Other | 1801 W End Ave, Suite 1610, Nashville, TN 37203-2526 | 2006-05-01 |
| 1558346668 | Gregory Vaden Hedgepeth | Specialist/Technologist, Other | 700 12th Ave S, Ste 306, Nashville, TN 37203-3304 | 2005-12-12 |
| 1174144059 | Lindsey O'neal | Specialist/Technologist, Other | 516 Tennessee St Ste 233, Memphis, TN 38103-4717 | 2020-05-01 |
| 1417578394 | Garner Price | Specialist/Technologist, Other | 516 Tennessee St Ste 233, Memphis, TN 38103-4717 | 2020-05-01 |
| Find all providers with the same taxonomy | ||||
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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.