MEDICAL SPECIALISTS OF JOHNSON CITY (NPI# 1083931539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083931539 |
| Entity Type | Organization |
| Organization Name | MEDICAL SPECIALISTS OF JOHNSON CITY |
| Practice Address |
2528 Wesley St Ste 2 Johnson City TN 37601-1766 |
| Practice Telephone | 4237942450 |
| Mailing Telephone | 4237942450 |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2010-04-23 |
| Authorized Official Name | AMANDA CLEAR (DIRECTOR OF BUSINESS SERVICES) |
| Authorized Official Telephone | 4237942450 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians |
| Street Address |
2528 WESLEY ST STE 2 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37601-1766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477015345 | Sofha Urgent Care Pllc | Clinic/Center | 2528 Wesley St Ste 2, Johnson City, TN 37601-1766 | 2019-04-01 |
| 1134681000 | Sofha Acute Care Clinic LLC | Clinic/Center | 2528 Wesley St Ste 2, Johnson City, TN 37601-1766 | 2019-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396381992 | Juan Carlos Simon Villegas Gomez | Specialist/Technologist | 1081 John Robert Bell Dr, Johnson City, TN 37601 | 2019-11-19 |
| 1629537279 | Jaima Suzanne Price | Hearing Instrument Specialist | 106 E Watauga Avenue, Johnson City, TN 37601 | 2019-03-13 |
| 1275004467 | Brittany Howell | Speech-Language Pathologist | 2114 E. Fairview Ave, Johnson City, TN 37601 | 2018-12-16 |
| 1194229948 | Heather Chantel Lester | Physical Therapist | 2114 E. Fairview Avenue, Johnson City, TN 37601 | 2018-03-19 |
| 1477061869 | Patrick Conway Reynolds | Specialist/Technologist | 1081 John Robert Bell Drive, Johnson City, TN 37601 | 2018-01-19 |
| 1790201135 | Surgical Services of East Tennessee PC | Surgery | 300 East Main St., Suite 301, Johnson City, TN 37601 | 2017-08-17 |
| 1073065694 | Davina Leah Reppond | Home Health | 1204 E Myrtle Ave, Johnsoncity, TN 37601 | 2016-10-31 |
| 1003365503 | Wendi Y Minutolo | Behavioral Analyst | 403 Princeton Rd Ste 3, Johnson City, TN 37601 | 2016-09-25 |
| 1306208798 | Rachel Anne Anderson | Nurse Practitioner | 1118 East Holston Avenue, Johnson City, TN 37601 | 2016-03-24 |
| 1932560976 | Kaydee Louise Davidson | Occupational Therapist | 3209 Bristol Highway, Johnson City, TN 37601 | 2016-03-18 |
| Find all providers in zip 37601 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1245685858 | Blue Ridge Medical Management Corporaiton | Internal Medicine | 408 N State of Franklin Rd, Ste 12, Johnson City, TN 37604-6089 | 2016-05-02 |
| 1679802805 | Saba Wasim Aziz | Internal Medicine | 325 N State of Franklin Rd, Second Floor, Johnson City, TN 37604 | 2009-12-17 |
| 1982654984 | Franklin Montenegro | Internal Medicine | 310 N State of Franklin Rd, Suite #201, Johnson City, TN 37604 | 2006-05-11 |
| 1467440289 | Charles S Stuart | Internal Medicine | 329 N State of Franklin Rd, Johnson City, TN 37604-6062 | 2005-10-06 |
| 1811980782 | Richard M Jordan | Internal Medicine | 325 N State of Franklin Rd, 2nd Floor, Johnson City, TN 37604-6062 | 2005-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255953956 | Endo 247 LLC | Internal Medicine | 5220 Park Ave Ste 202, Memphis, TN 38119-3549 | 2020-05-15 |
| 1720572209 | Sumner Physician Practices LLC | Internal Medicine | 225 Big Station Camp Blvd Ste 205, Gallatin, TN 37066-8466 | 2018-06-19 |
| 1063924280 | Hughes Endocrinology LLC | Internal Medicine | 6005 Park Ave Ste 305, Memphis, TN 38119-5213 | 2017-10-27 |
| 1134641228 | Trina Health Mtn LLC | Internal Medicine | 1195 Old Hickory Blvd Ste 202, Brentwood, TN 37027-4239 | 2017-07-11 |
| 1972953735 | William Law Sr. | Internal Medicine | 919 Shannondale Way, Maryville, TN 37803-5974 | 2016-06-13 |
| 1730449232 | Endocrinology and Diabetes Specialists, LLC | Internal Medicine | 7796 Wolf Trail Cv Ste 201, Germantown, TN 38138-1781 | 2012-05-18 |
| 1427346196 | Alan Lee Graber | Internal Medicine | 113 Westhampton Pl, Nashville, TN 37205-3438 | 2011-07-15 |
| 1124345814 | Brandon Allen Perry | Internal Medicine | 8210 Medical Center East South Tower, 1215 21st Avenue South, Nashville, TN 37232-8148 | 2010-04-21 |
| 1083859847 | Clifton Kirkpatrick Meador Sr. | Internal Medicine | 1900 Church St Ste 511, Nashville, TN 37203-2227 | 2008-12-09 |
| 1609052158 | John W Interlandi | Internal Medicine | 5651 Frist Blvd Ste 208, Hermitage, TN 37076-2056 | 2008-01-15 |
| Find all providers with the same taxonomy | ||||
| City | JOHNSON CITY |
| Zip Code | 37601 |
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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.