HERMITAGE INPATIENT SERVICES PLLC (NPI# 1104295070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104295070 |
| Entity Type | Organization |
| Organization Name | HERMITAGE INPATIENT SERVICES PLLC |
| Practice Address |
5655 Frist Blvd Hermitage TN 37076-2053 |
| Mailing Address |
13737 Noel Rd Ste 1600 Dallas TX 75240-1331 |
| Practice Telephone | 4694012386 |
| Mailing Telephone | 9548382371 |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2020-07-06 |
| Authorized Official Name | GREGORY J BYRNE (PRESIDENT) |
| Authorized Official Telephone | 9548382371 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
5655 FRIST BLVD |
| City | HERMITAGE |
| State | TN |
| Zip Code | 37076-2053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679534309 | Mack Adam Jenkins | Emergency Medicine | 5655 Frist Blvd, Hermitage, TN 37076-2053 | 2006-03-31 |
| 1215589635 | Nicholas Colt Winchester | Nurse Practitioner | 5655 Frist Blvd, Hermitage, TN 37076-2053 | 2019-07-16 |
| 1902369150 | Sarah Ricafrente | Physical Therapist | 5655 Frist Blvd, Hermitage, TN 37076-2053 | 2019-04-12 |
| 1972007201 | April O. Swoner | Nurse Practitioner | 5655 Frist Blvd, Hermitage, TN 37076-2053 | 2018-03-21 |
| 1003340720 | Annie Walker | Nurse Practitioner | 5655 Frist Blvd, Hermitage, TN 37076-2053 | 2017-04-19 |
| 1245699040 | Amy Jessica Harvey | Pharmacist | 5655 Frist Blvd, Hermitage, TN 37076-2053 | 2016-02-22 |
| 1053784835 | Affinity Emergency Physicians, Pllc | Physician Assistant | 5655 Frist Blvd, Hermitage, TN 37076-2053 | 2015-11-03 |
| 1962830190 | Two Rivers Emergency Physicians Pllc | Physician Assistant | 5655 Frist Blvd, Hermitage, TN 37076-2053 | 2013-10-25 |
| 1316379738 | Hca Health Services of Tennessee, Inc. | Rehabilitation Unit | 5655 Frist Blvd, Hermitage, TN 37076-2053 | 2013-08-08 |
| 1144664376 | Gurbans Singh Deol | Internal Medicine | 5655 Frist Blvd, Hermitage, TN 37076-2053 | 2013-04-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255996583 | Cassandra Renea Brown | Dietitian, Registered | 5653 Frist Blvd Suite 530, Hermitage, TN 37076 | 2019-05-02 |
| 1164979753 | Chelsea Douglas | Nurse Practitioner | 5565 Frist Boulevard, Hermitage, TN 37076 | 2016-09-01 |
| 1417333568 | Middle Tennessee Homes | Intermediate Care Facility, Mentally Retarded | 3207 Earhart Road, Hermitage, TN 37076 | 2015-07-30 |
| 1578944187 | Middle Tennesse Homes | Intermediate Care Facility, Mentally Retarded | 3209 Earhart Road, Hermitage, TN 37076 | 2015-06-10 |
| 1063835585 | Rachel Jane Morris | Occupational Therapist | 1621 Robindale Dr, Hermitage, TN 37076 | 2014-02-04 |
| 1427488154 | Earhart 1 | Intermediate Care Facility, Mentally Retarded | 3156 Earhart Rd, Nashville, TN 37076 | 2013-11-15 |
| 1669802393 | Tulip Grove #2 | Intermediate Care Facility, Mentally Retarded | 877 Tulip Grove Rd, Nashville, TN 37076 | 2013-11-15 |
| 1780014514 | Tulip Grove Road #1 | Intermediate Care Facility, Mentally Retarded | 869 Tulip Grove Rd, Nashville, TN 37076 | 2013-11-14 |
| 1215365440 | Hospital Based Medical Services of Tennessee-i PC | Physician Assistant | 5655 First Blvd, Hermitage, TN 37076 | 2013-10-25 |
| 1942545686 | Helping Hands Support Center, Inc. | Home Health | 4060 Andrew Jackson Pkwy #907, Hermitage, TN 37076 | 2012-12-06 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1568986073 | Upmc Community Medicine, Inc. | Internal Medicine | 875 N Hermitage Rd Ste 4, Hermitage, PA 16148-3278 | 2017-07-27 |
| 1750796447 | Ronak Navin Shah | Internal Medicine | 5653 Frist Blvd Ste 236, Hermitage, TN 37076-2063 | 2014-06-22 |
| 1336431105 | Wasko Chiropractic Health Center Inc | Internal Medicine | 3881 Innovation Way, Hermitage, PA 16148-7905 | 2011-05-11 |
| 1790886059 | Alacia L. Bigham | Internal Medicine | 5114 Old Hickory Blvd., Ste. 201, Hermitage, TN 37076-2590 | 2006-09-26 |
| 1295764173 | Joseph T. Joseph | Internal Medicine | 1466 N Hermitage Rd, Hermitage, PA 16148-3105 | 2006-07-02 |
| 1932190360 | Toby Ray Smith | Internal Medicine | 5651 Frist Blvd Ste 309, Hermitage, TN 37076 | 2005-11-03 |
| 1417949173 | Joseph T Joseph | Internal Medicine | 1466 North Hermitage Road, Hermitage, PA 16148-3105 | 2005-08-18 |
| 1053303248 | Michael Thomas Beckham | Internal Medicine | 3901 Central Pike, Suite 352, Hermitage, TN 37076-3419 | 2005-08-16 |
| 1225498108 | Upmc Community Medicine, Inc. | Internal Medicine | 2151 Shenango Valley Fwy, Hermitage, PA 16148-2586 | 2016-03-04 |
| 1770928129 | Kristen Elizabeth Kerr | Internal Medicine | 5651 Frist Blvd Ste 603, Hermitage, TN 37076 | 2013-04-29 |
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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.