MARILYN A BISHOP (NPI# 1134185739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134185739 |
| Entity Type | Individual |
| Full Name | MARILYN A BISHOP |
| Credential | MD |
| Practice Address |
200 Med Tech Pkwy Suite 108 Johnson City TN 37604-2278 |
| Practice Telephone | 4239155033 |
| Practice Fax Number | 4239523777 |
| Mailing Telephone | 4239155033 |
| Mailing Fax Number | 4239523777 |
| Enumeration Date | 2006-04-22 |
| Last Update Date | 2017-01-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
MD21539 | TN | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | MD21539 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1134185739 | 05 | |
| TN | 3062667 | 05 | |
| TN | BCBS | 3074352 | 01 |
| TN | Q003169 | 05 |
| Street Address |
200 MED TECH PKWY SUITE 108 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604-2278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942520267 | Blue Ridge Medical Management Corporation | Clinic/Center | 200 Med Tech Pkwy, Suite 108, Johnson City, TN 37604-2278 | 2010-06-09 |
| 1366761272 | Christine N Dalton | Nurse Practitioner | 200 Med Tech Pkwy, Suite 108, Johnson City, TN 37604-2278 | 2010-05-18 |
| 1033292362 | Clarence E Goulding IIi | Emergency Medicine | 200 Med Tech Pkwy, Suite 108, Johnson City, TN 37604-2278 | 2006-10-23 |
| 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 | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356706873 | Steven Serra | Preventive Medicine | 4957 Tyne Ridge Ct, Nashville, TN 37220-1531 | 2015-12-28 |
| 1811383698 | Robin Richard | Preventive Medicine | 9114 Brentmeade Blvd, Brentwood, TN 37027-8524 | 2015-04-08 |
| 1225472582 | Richard Daniel Price | Preventive Medicine | 1005 Dr. D.b.todd Blvd., Meharry Medical College, Nashville, TN 37208 | 2013-04-17 |
| 1730422031 | Saul Antonio Juliao | Preventive Medicine | 609 Granny White Pike, Brentwood, TN 37027-5732 | 2013-04-04 |
| 1720341191 | Otis Cosby Jr. | Preventive Medicine | 9818 Christi Ridge Way, Knoxville, TN 37931-3828 | 2012-06-20 |
| 1245405620 | Jorge Benitez Jr. | Preventive Medicine | 1005 Dr. D. B. Todd Jr Blvd, Nashville, TN 37208 | 2008-04-25 |
| 1356520845 | Ibrahim Heiba | Preventive Medicine | 200 S Wilcox Dr, Bldg 215, Kingsport, TN 37662 | 2007-10-31 |
| 1467640375 | Theron Blickenstaff | Preventive Medicine | 709 Clandon Dr, Kingsport, TN 37660-5036 | 2007-10-05 |
| 1063630978 | Bruce James Poitrast | Preventive Medicine | 200 S. Wilcox Dr., B-215, Kingsport, TN 37662-5431 | 2007-04-23 |
| 1932221827 | Carol J Iddins | Preventive Medicine | 1299 Bethel Valley Rd, Box 117 Reacts, Oak Ridge, TN 37830-8007 | 2007-04-04 |
| Find all providers with the same taxonomy | ||||
| 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.