DR. PETER MICHAEL LITCHFIELD (NPI# 1134309990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134309990 |
| Entity Type | Individual |
| Full Name | DR. PETER MICHAEL LITCHFIELD |
| Credential | MD |
| Practice Address |
1019 W Oakland Ave Suite 1 Johnson City TN 37604-2357 |
| Practice Telephone | 4239155000 |
| Practice Fax Number | 4239155045 |
| Mailing Telephone | 4239155000 |
| Mailing Fax Number | 4239155045 |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2017-02-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 065367 | GA | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 2013-00015 | NC | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 45503 | TN | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 30027 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1134309990 | 05 | |
| TN | 1516619 | 05 |
| Street Address |
1019 W OAKLAND AVE SUITE 1 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604-2357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992709679 | Sonya S Saadati | Family Medicine | 1019 W Oakland Ave, Suite 1, Johnson City, TN 37604-2357 | 2005-06-09 |
| 1679768204 | Farshad Karimpour | Emergency Medicine | 1019 W Oakland Ave, Suite 1, Johnson City, TN 37604 | 2007-09-06 |
| 1962617126 | Tlc The Laser Center (tri-cities) Inc | Clinic/Center | 1019 W Oakland Ave, Ste. 2, Johnson City, TN 37604-2357 | 2007-05-11 |
| 1003827205 | Whitaker Michael Smith | Family Medicine | 1019 W Oakland Ave, Suite 1, Johnson City, TN 37604-2357 | 2006-08-11 |
| 1851301303 | Cynthia M Coletti | Family Medicine | 1019 W Oakland Ave, Suite 1, Johnson City, TN 37604-2357 | 2006-08-08 |
| 1437186368 | Blue Ridge Medical Management Corporation | Clinic/Center | 1019 W Oakland Ave, Suite 1, Johnson City, TN 37604-2357 | 2006-06-27 |
| 1609819291 | Gregory F Vines | Family Medicine | 1019 W Oakland Ave, Suite 1, Johnson City, TN 37604 | 2006-06-13 |
| 1447208129 | Linden C Fernando | Family Medicine | 1019 W Oakland Ave, Suite 1, Johnson City, TN 37604-2357 | 2006-05-04 |
| 1487611018 | Margaret Elaine Flynn | Nurse Practitioner | 1019 W Oakland Ave, Suite 1, Johnson City, TN 37604-2357 | 2006-04-27 |
| 1932165040 | Michael H Anders | Family Medicine | 1019 W Oakland Ave, Suite 1, Johnson City, TN 37604-2357 | 2006-04-26 |
| Find all providers in the same location | ||||
| 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 | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952953648 | Balanced Medical Center Pllc | General Practice | 501 W Oakland Ave Ste 3, Johnson City, TN 37604-1667 | 2019-07-12 |
| 1639447303 | Circe Medical Services LLC | General Practice | 411 Princeton Rd., Suite 101, Johnson City, TN 37601 | 2011-12-08 |
| 1952626293 | Breehan Summer Dean | General Practice | 325 N. State of Franklin, Johnson City, TN 37614 | 2010-03-30 |
| 1285793174 | Donald Brett Wyche | General Practice | 2406 Susannah Street, Johnson City, TN 37601 | 2006-12-06 |
| 1811420656 | Thabit Al-khateeb | General Practice | 2109 W Market St, Johnson City, TN 37604-6024 | 2017-04-08 |
| 1700222585 | Mark David Linville Jr. | General Practice | 807 University Pkwy, Johnson City, TN 37614-6500 | 2013-05-20 |
| 1023131281 | Wyche & Wyche, M.d., P.C. | General Practice | 2406 Susannah St, Johnson City, TN 37601-1725 | 2007-04-10 |
| 1528060720 | Craig M Haire | General Practice | 401 E Main St, Johnson City, TN 37601-4877 | 2005-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740807601 | The Point Surgical Pllc | General Practice | 1636 Madison St Ste C, Clarksville, TN 37043-4934 | 2020-06-26 |
| 1235754094 | Wound Pros Tennessee | General Practice | 3102 West End Avenue, Suite 400, Nashville, TN 37203-1623 | 2020-06-08 |
| 1528681194 | Lt360 Health Center P.a. | General Practice | 522 Brandies Cir Ste 2-b, Murfreesboro, TN 37128-7687 | 2020-05-18 |
| 1982243093 | The Franklin Clinic, LLC | General Practice | 1311 W Main St # 7, Franklin, TN 37064-3300 | 2020-01-06 |
| 1992342307 | Tennessee Spine Wellness & Medical Group LLC | General Practice | 470 Collier Dr, Sevierville, TN 37862-6931 | 2019-12-04 |
| 1326511676 | All About Health Medical, Pllc | General Practice | 2759 Highway 31 W Ste 2, White House, TN 37188-5246 | 2019-01-09 |
| 1912481870 | Kendall Elizabeth Bush | General Practice | 2416 21st Ave S Ste 101, Nashville, TN 37212-5310 | 2018-09-18 |
| 1891202941 | One To One Health | General Practice | 1413 Mccallie Ave, Chattanooga, TN 37404-2936 | 2018-01-10 |
| 1396269072 | Solutions Medical Centers Pllc | General Practice | Solutions Medical Centers, 851 W Elk Ave, Elizabethton, TN 37643 | 2017-08-03 |
| 1417470501 | True Wellness Medical | General Practice | 6102 Shallowford Rd Ste 103, Chattanooga, TN 37421-1684 | 2017-07-20 |
| 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.