MEDICAL EDUCATION ASSISTANCE CORPORATION (NPI# 1093253619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093253619 |
| Entity Type | Organization |
| Organization Name | MEDICAL EDUCATION ASSISTANCE CORPORATION |
| Other Organization Name | ETSU PHYSICIANS & ASSOCIATES OFFICE OF INFECTIOUS DISEASE |
| Practice Address |
615 N State of Franklin Rd Johnson City TN 37604 |
| Mailing Address |
Po Box 699 Mountain Home TN 37684-0699 |
| Practice Telephone | 4239308337 |
| Practice Fax Number | 4239261049 |
| Mailing Telephone | 4234336039 |
| Mailing Fax Number | 4234336060 |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2018-08-03 |
| Authorized Official Name | RUSSELL E LEWIS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4234336050 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| ETSU PHYSICIANS & ASSOCIATES OFFICE OF INFECTIOUS DISEASE | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164062659 | Medical Education Assistance Corporation | Speech-Language Pathologist | 2423 Susannah St, Johnson City, TN 37601-1749 | 2020-01-13 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1194146894 | Medical Education Assistance Corporation | Psychiatry & Neurology | 2109 W Market St Ste 140, Johnson City, TN 37604 | 2013-12-23 |
| 1336408996 | Medical Education Assistance Corporation | Clinical Medical Laboratory | 1319 Sunset Dr Ste 103, Johnson City, TN 37604 | 2012-05-16 |
| 1013288810 | Medical Education Assistance Corporation | Family Medicine | 826 Meadow View Rd, Bristol, TN 37620 | 2012-01-25 |
| 1225309891 | Medical Education Assistance Corporation | Pediatrics | 201 E Myrtle Ave, Johnson City, TN 37601 | 2012-01-13 |
| 1518236538 | Medical Education Assistance Corporation | Psychologist | Lake Dr., Bldg. 52, Mountain Home, TN 37684-0699 | 2011-12-20 |
| 1750650875 | Medical Education Assistance Corporation | Pediatrics | 252 Sam Jenkins Rd, Attn: Dr. H. Patrick Stern, Gray, TN 37615 | 2011-12-19 |
| 1629346580 | Medical Education Assistance Corporation | Pediatrics | 2891 Highway 11 E, Attn: Dr. H. Patrick Stern, Telford, TN 37690 | 2011-12-07 |
| 1760655914 | Medical Education Assistance Corporation | Speech-Language Pathologist | 1000 Jason Witten Way, Elizabethton, TN 37643-2970 | 2008-04-09 |
| Street Address |
615 N STATE OF FRANKLIN RD |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245217504 | Parasbhai Dashrathbhai Patel | Internal Medicine | 615 N State of Franklin Rd, Johnson City, TN 37604-8209 | 2005-12-28 |
| 1134608672 | Jacob David Lines | Pharmacist | 615 N State of Franklin Rd, Johnson City, TN 37604-8209 | 2018-08-07 |
| 1972015121 | Nashville Pharmacy Services LLC | Pharmacy | 615 N State of Franklin Rd, Johnson City, TN 37604-8209 | 2017-10-27 |
| 1023549151 | Janet Williams | Nurse Practitioner | 615 N State of Franklin Rd, Johnson City, TN 37604-8209 | 2017-03-21 |
| 1982033163 | Roxanne F Underwood | Nurse Practitioner | 615 N State of Franklin Rd, Johnson City, TN 37604-8209 | 2013-11-07 |
| 1245411255 | Dima Youssef | Internal Medicine | 615 N State of Franklin Rd, Johnson City, TN 37604-8209 | 2007-11-19 |
| 1710012125 | Christine M. Rigsby | Nurse Practitioner | 615 N State of Franklin Rd, Johnson City, TN 37604 | 2007-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| Find all providers in zip 37604 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| 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 |
|---|---|---|---|---|
| 1760622971 | Vivek Vardhan Reddy Kandanati | Internal Medicine | 33-57 Harrison St, Johnson City, NY 13790-2107 | 2009-02-27 |
| 1245411255 | Dima Youssef | Internal Medicine | 615 N State of Franklin Rd, Johnson City, TN 37604-8209 | 2007-11-19 |
| 1285813741 | Zhi Qiang Yao | Internal Medicine | 325 N State of Franklin Rd, Johnson City, TN 37604 | 2007-10-31 |
| 1780872358 | Lamis Wahid Ibrahim | Internal Medicine | 329 N State of Franklin Rd, Johnson City, TN 37604 | 2007-10-09 |
| 1265420046 | Wael Shams | Internal Medicine | 329 N State of Franklin Rd, Johnson City, TN 37604-6062 | 2005-10-06 |
| 1508853367 | Felix Sarubbi | Internal Medicine | 329 N State of Franklin Rd, Johnson City, TN 37604-6062 | 2005-10-05 |
| 1730175381 | James W Myers | Internal Medicine | 329 N State of Franklin Rd, Johnson City, TN 37604-6062 | 2005-09-20 |
| 1023003936 | Jonathan P Moorman | Internal Medicine | 329 N State of Franklin Rd, Johnson City, TN 37604-6062 | 2005-09-16 |
| 1780679266 | Christine H Fenlon | Internal Medicine | 33-57 Harrison St, Johnson City, NY 13790-2107 | 2005-09-12 |
| 1699768101 | Stacey W Mckenzie | Internal Medicine | 2151 Century Ln, Johnson City, TN 37604-4469 | 2005-08-30 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
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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.