DR. THOMAS EDWIN BISHOFBERGER (NPI# 1174681639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174681639 |
| Entity Type | Individual |
| Full Name | DR. THOMAS EDWIN BISHOFBERGER |
| Credential | MD |
| Practice Address |
923 E Central Ave La Follette TN 37766-2768 |
| Mailing Address |
1431 Centerpoint Blvd Suite 100 Knoxville TN 37932-1984 |
| Practice Telephone | 4239071200 |
| Practice Fax Number | 8656934064 |
| Mailing Telephone | 8005777707 |
| Mailing Fax Number | 8656907868 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2007-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 41757 | TN | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 41757 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | TN LICENSE | 41757 | 01 |
| Street Address |
923 E CENTRAL AVE |
| City | LA FOLLETTE |
| State | TN |
| Zip Code | 37766-2768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548241953 | Campbell County Hma, LLC | Psychiatric Unit | 923 E Central Ave, La Follette, TN 37766-2768 | 2005-11-11 |
| 1194354092 | Greg Duane Edwards | Pharmacist | 923 E Central Ave, La Follette, TN 37766-2768 | 2020-04-03 |
| 1124657960 | Krista Jo Shouse | Pharmacist | 923 E Central Ave, La Follette, TN 37766-2768 | 2020-04-03 |
| 1689223489 | Ivy Lee Massengale | Emergency Medicine | 923 E Central Ave, La Follette, TN 37766-2768 | 2019-09-05 |
| 1841790177 | Lee Seargeant IIi | Pharmacist | 923 E Central Ave, La Follette, TN 37766-2768 | 2018-02-13 |
| 1457899882 | Tennessee Cancer Specialists, Pllc | Internal Medicine | 923 E Central Ave, La Follette, TN 37766-2768 | 2017-02-06 |
| 1427591999 | Douglas Roberts | Physical Therapist | 923 E Central Ave, La Follette, TN 37766-2768 | 2016-11-30 |
| 1851610356 | Kimberly Jean Rose | Physician Assistant | 923 E Central Ave, La Follette, TN 37766-2768 | 2010-05-24 |
| 1508196924 | Melissa Elaine Welden | Nurse Practitioner | 923 E Central Ave, La Follette, TN 37766-2768 | 2010-01-07 |
| 1245499581 | Roseann Michelle Basarich | Physical Therapist | 923 E Central Ave, La Follette, TN 37766-2768 | 2008-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457819914 | Legal Medicine | Nurse Practitioner | 100 South 5th Street, Lafollette, TN 37766 | 2019-03-04 |
| 1306329818 | Kayla Ward | Nurse Practitioner | 617 E Central Ave, La Follette, TN 37766 | 2018-09-11 |
| 1740588920 | Campbell County Walk In Clinic LLC | Family Medicine | 2301 Jacksboro Pkie, Lafollette, TN 37766 | 2011-03-11 |
| 1992001853 | Complete Rural Healthcare and Medical Center Pllc | Specialist | 2146 Jacksboro Pike Suite C, Lafollette, TN 37766 | 2011-02-09 |
| 1821211582 | Bill R Fannon Jr. | Pharmacist | 502 West Central Ave, La Follette, TN 37766 | 2007-04-11 |
| 1437272606 | Kelly B Wells | Pharmacist | 502 West Central Avenue, La Follette, TN 37766 | 2007-04-10 |
| 1548386899 | Gerald A Troutman | Dentist | 109 East Beech Street, Lafollette, TN 37766 | 2007-03-21 |
| 1437280815 | Susan Rebecca Mills | Nurse Practitioner | 2221 Jacksboro Pike Ste C4, La Follette, TN 37766 | 2007-03-08 |
| 1699844399 | County of Campbell | Ambulance | 136 North Massachusetts Ave, Lafollette, TN 37766 | 2006-11-07 |
| 1336230465 | George O'neal Vinsant | Surgery | 919 E. Central Avenue, Suite 201, Lafollette, TN 37766 | 2006-09-27 |
| Find all providers in zip 37766 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689223489 | Ivy Lee Massengale | Emergency Medicine | 923 E Central Ave, La Follette, TN 37766-2768 | 2019-09-05 |
| 1851490551 | Barry A Stewart | Emergency Medicine | 923 E Central Ave, La Follette, TN 37766-2768 | 2006-09-21 |
| 1134141880 | Charles T Baker Jr. | Emergency Medicine | 923 E Central Ave, La Follette, TN 37766-2768 | 2006-07-24 |
| 1548215742 | Reginald Wortman | Emergency Medicine | 923 E Central Ave, La Follette, TN 37766-2768 | 2006-05-24 |
| 1629023890 | Elijah G Cline | Emergency Medicine | 923 E Central Ave, La Follette, TN 37766-2768 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801418710 | Tn Tele Md PC | Emergency Medicine | 578 Ivy Dr, Oakland, TN 38060-3132 | 2020-05-13 |
| 1891287090 | Shelby Linwood Gillette Jr. | Emergency Medicine | 170 S Goodlett St Ste A, Memphis, TN 38117-2914 | 2018-06-04 |
| 1225529621 | Hometown Family Medical | Emergency Medicine | 909 Hillsboro Blvd, Manchester, TN 37355-2025 | 2018-05-22 |
| 1780181016 | Jacob Wilson | Emergency Medicine | 1313 21st Avenue, South, 703 Oxford House, Nashville, TN 37232-4700 | 2018-04-12 |
| 1285155531 | Terry Curtis Fultz | Emergency Medicine | 2807 Wallace Ct, Kingsport, TN 37664-5832 | 2017-06-27 |
| 1194255216 | Front Door Medicine Pllc | Emergency Medicine | 3276 Chestnut Cir Nw, Cleveland, TN 37312-2113 | 2017-06-13 |
| 1710413885 | Michael Sidney Reich | Emergency Medicine | 665 Tennessee St, Memphis, TN 38103-8794 | 2017-05-10 |
| 1669907325 | Stephen Lee | Emergency Medicine | 1005 Dr. D B Todd Jr. Blvd., Old Hosp. Bldg., 3rd Floor, Nashville, TN 37208-1224 | 2017-05-01 |
| 1215468277 | Jarrett Woock | Emergency Medicine | 7402 Lee Hwy, Chattanooga, TN 37421-1405 | 2017-03-22 |
| 1871049023 | Keystone Medical Services of West Point Inc | Emergency Medicine | 6075 Poplar Avenue, Suite 401, Memphis, TN 38119-0114 | 2016-08-28 |
| Find all providers with the same taxonomy | ||||
| City | LA FOLLETTE |
| Zip Code | 37766 |
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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.