STANLEY THOMAS KING (NPI# 1154324945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154324945 |
| Entity Type | Individual |
| Full Name | STANLEY THOMAS KING |
| Credential | PA |
| Practice Address |
205 Hospital Dr Ste A Mc Kenzie TN 38201-1649 |
| Practice Telephone | 7313527907 |
| Practice Fax Number | 7313524459 |
| Mailing Telephone | 7313527907 |
| Mailing Fax Number | 7313524459 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2013-04-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA88 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1510135 | 05 | |
| TN | PHYSICIAN ASSISTANT LICEN | PA88 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164985230 | Stanley King | Non-emergency Medical Transport (VAN) | 11747 Pettit St, Moreno Valley, CA 92555-5306 | 2019-04-07 |
| Street Address |
205 HOSPITAL DR STE A |
| City | MC KENZIE |
| State | TN |
| Zip Code | 38201-1649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467455287 | Bryan Hale Merrick | Internal Medicine | 205 Hospital Dr, Ste A, Mc Kenzie, TN 38201-1649 | 2005-05-24 |
| 1588111850 | Christy Michelle Dougherty | Nurse Practitioner | 205 Hospital Dr, Ste A, Mc Kenzie, TN 38201-1649 | 2016-09-05 |
| 1083079487 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 205 Hospital Dr, Suite Q, Mc Kenzie, TN 38201-1649 | 2015-12-30 |
| 1225400484 | Beth Mitchell Graves | Nurse Practitioner | 205 Hospital Dr, Suite A, Mc Kenzie, TN 38201-1649 | 2015-10-28 |
| 1609253509 | Home Medical Products, Inc | Durable Medical Equipment & Medical Supplies | 205 Hospital Dr, Suite A, Mc Kenzie, TN 38201-1649 | 2015-04-29 |
| 1164814158 | Laura Baker | Nurse Practitioner | 205 Hospital Dr, Suite A, Mc Kenzie, TN 38201-1649 | 2015-02-27 |
| 1841696192 | Mckenzie Medical Center | Internal Medicine | 205 Hospital Dr, Suite A, Mc Kenzie, TN 38201-1649 | 2014-11-14 |
| 1144644246 | Lori Beth Holladay | Nurse Practitioner | 205 Hospital Dr, Suite A, Mc Kenzie, TN 38201-1649 | 2014-02-10 |
| 1750710331 | Ccc Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 205 Hospital Dr, Mc Kenzie, TN 38201-1649 | 2013-11-05 |
| 1013359538 | Kelly E Rawls | Physician Assistant | 205 Hospital Dr, Suite A, Mc Kenzie, TN 38201-1649 | 2013-07-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912410887 | Tester Chiropractic, Pllc | Chiropractor | 62 Hospital Dr, Mc Kenzie, TN 38201 | 2017-11-14 |
| 1669910907 | Sherry Denise Connell | Behavioral Analyst | 145 Bethel Court, Bethel Autism Institute, Mckenzie, TN 38201 | 2017-02-07 |
| 1891249645 | Jennifer Rene Jennings | Nurse Practitioner | 205 Hospital Drive, Suite A, Mckenzie, TN 38201 | 2016-08-10 |
| 1336525211 | One Chiropractic, Pllc | Chiropractor | 62 Hospital Dr., Mckenzie, TN 38201 | 2015-08-03 |
| 1538567367 | Ashley Tester | Chiropractor | One Chiropractic, 62 Hospital Drive, Mckenzie, TN 38201 | 2014-12-10 |
| 1407996762 | Trent Wade Borders | Radiology | 205 Hospital Drvie, Suite A, Mckenzie, TN 38201 | 2007-02-07 |
| 1740382944 | James D Padgett | Dentist | 1934 Cedar Sta, Mckenzie, TN 38201 | 2006-09-01 |
| 1164533733 | Ambulance Services of Mckenzie, Inc. | Ambulance | 161 Hospital Drive, Mckenzie, TN 38201 | 2006-08-31 |
| 1245894724 | Gyu Chang Jo | Nurse Practitioner | 205 Hospital Dr Ste A, Mc Kenzie, TN 38201 | 2019-04-30 |
| 1194244772 | Christian Care Center of Mckenzie LLC | Nursing Facility/Intermediate Care Facility | 150 Oak Manor Rd, Mc Kenzie, TN 38201 | 2017-09-14 |
| Find all providers in zip 38201 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114211372 | Rustin Forest Cameron | Physician Assistant | 763 Main St N, Mc Kenzie, TN 38201-1723 | 2011-06-06 |
| 1629308085 | Grace Clinic | Physician Assistant | 4407 Highway 140 S, Mc Kenzie, TN 38201-5121 | 2010-01-07 |
| 1184878290 | Sean Leonard Kyle | Physician Assistant | 1867 Carroll Lake Rd, Mc Kenzie, TN 38201-8924 | 2008-11-17 |
| 1386148211 | Shelby Jo Priddy Chapman | Physician Assistant | 205 Hospital Dr Ste A, Mc Kenzie, TN 38201-1649 | 2018-03-23 |
| 1003353699 | Keliea Ann Winstead | Physician Assistant | 205 Hospital Dr Ste A, Mc Kenzie, TN 38201-1649 | 2017-01-21 |
| 1063867950 | Daniel Patrick Brown | Physician Assistant | 205 Hospital Dr Ste A, Mc Kenzie, TN 38201-1649 | 2016-04-28 |
| 1083087795 | Botanical Emergency Physicians, LLC | Physician Assistant | 161 Hospital Dr, Mc Kenzie, TN 38201-1636 | 2015-11-03 |
| 1225452550 | Jesse Gulish | Physician Assistant | 205 Hospital Dr Ste A, Mc Kenzie, TN 38201-1649 | 2014-02-06 |
| 1013359538 | Kelly E Rawls | Physician Assistant | 205 Hospital Dr, Suite A, Mc Kenzie, TN 38201-1649 | 2013-07-25 |
| 1417203217 | Cynthia H Laux | Physician Assistant | 205 Hospital Dr Ste A, Mc Kenzie, TN 38201-1649 | 2012-07-30 |
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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.