TENNESSEE VASCULAR AND THORACIC SURGICAL ASSOCIATES, PC (NPI# 1093263055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093263055 |
| Entity Type | Organization |
| Organization Name | TENNESSEE VASCULAR AND THORACIC SURGICAL ASSOCIATES, PC |
| Practice Address |
315 Nw Atlantic St Tullahoma TN 37388 |
| Mailing Address |
Po Box 1958 Tullahoma TN 37388-1958 |
| Practice Telephone | 9318413948 |
| Practice Fax Number | 9318413906 |
| Mailing Telephone | 9312224090 |
| Mailing Fax Number | 9312224093 |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2018-07-18 |
| Authorized Official Name | DR. CHARLES STITT DRUMMOND III (OWNER) |
| Authorized Official Telephone | 9318413948 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MD39435 | TN | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 4105344 | 05 | |
| TN | Q022662 | 05 |
| Street Address |
315 NW ATLANTIC ST |
| City | TULLAHOMA |
| State | TN |
| Zip Code | 37388 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609891803 | Charles S. Drummond IIi | Surgery | 315 Nw Atlantic St, Tullahoma, TN 37388-3566 | 2006-07-12 |
| 1972150332 | Ernest Leon Bellefant Jr. | Nurse Practitioner | 315 Nw Atlantic St, Tullahoma, TN 37388-3566 | 2019-08-21 |
| 1457831471 | Jayma Marie Clark | Registered Nurse | 315 Nw Atlantic St, Tullahoma, TN 37388-3566 | 2018-08-20 |
| 1366983074 | Steven Noyce | Physician Assistant | 315 Nw Atlantic St, Tullahoma, TN 37388-3566 | 2017-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588183628 | Angela Michelle Sowers | Dietitian, Registered | 1801 North Jackson St, Tullahoma, TN 37388 | 2017-09-09 |
| 1194242669 | Haley D Stewart | Speech-Language Pathologist | Top Rehab Services, Inc, 2110 N. Jackson Street, Tullahoma, TN 37388 | 2017-08-25 |
| 1295263150 | Kelli Elaine Spencer | Nurse Practitioner | Partners for Healing, 109 West Blackwell Street, Tullahoma, TN 37388 | 2017-05-23 |
| 1932651486 | Adam Snider | Physical Therapy Assistant | 1321 Cedar Lane, Tullahoma, TN 37388 | 2016-11-01 |
| 1891240743 | Elizabeth Riddle | Nurse Practitioner | 1805 N Jackson St Ste 11, Tullahoma, TN 37388 | 2016-08-22 |
| 1720437189 | Ronda Schrimsher | Peer Specialist | 108 E Lauderdale St, Tullahoma, TN 37388 | 2016-06-07 |
| 1003298639 | Jeanetta Clark | Counselor | 1803 N. Jackson St, Centerstone of Tennessee, Tullahoma, TN 37388 | 2015-06-19 |
| 1285051698 | Ashley Mcmurtry | Physical Therapist | 2110 N. Jackson Street, Tullahoma, TN 37388 | 2014-03-24 |
| 1093150575 | Orthopedic Braces | Case Management | 206 Westside Dr, Tullahoma, TN 37388 | 2013-05-09 |
| 1427397199 | Kristina Danette Carter | Pharmacist | 104 North Jackson Street, Tullahoma, TN 37388 | 2013-01-31 |
| Find all providers in zip 37388 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336515410 | Brandy Lee Moore | Specialist | 100 Hunters Ln Ste 100, Tullahoma, TN 37388-8264 | 2015-08-12 |
| 1679743603 | William M Milam Md PC | Specialist | 1970 North Jackson Street, Tullahoma, TN 37388 | 2008-03-05 |
| 1790744456 | Jan Leslie Crean | Specialist | 603 Lake Way Pl, Suite B, Tullahoma, TN 37388-4740 | 2006-03-21 |
| 1134119142 | Suzanne Chamblee Collier | Specialist | 150 Jack Farrar Ln, Tullahoma, TN 37388-2398 | 2005-10-21 |
| 1396740718 | Richard C Weis | Specialist | 1940 N Jackson St, Suite 220, Tullahoma, TN 37388-8254 | 2005-06-14 |
| 1760487086 | Marvel Clinic P.C. | Specialist | 1821 N Washington St, Tullahoma, TN 37388-2221 | 2005-06-14 |
| 1477556959 | William M Milam | Specialist | 1970 N Jackson St, Tullahoma, TN 37388-8240 | 2005-05-27 |
| 1609235647 | Jessica Hice | Specialist | 2110 N Jackson St, Tullahoma, TN 37388-2208 | 2016-02-18 |
| 1033409545 | Function Junction | Specialist | 2106 N Jackson St, Tullahoma, TN 37388-2208 | 2011-04-18 |
| 1720305576 | Jan L Crean Md Facog Ob/gyn PC | Specialist | 603 Lake Way Pl, Suite B, Tullahoma, TN 37388-4740 | 2010-05-03 |
| Find all providers in TULLAHOMA | ||||
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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.