DR. JACK J 'BUDDY' GLISSON (NPI# 1184611923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184611923 |
| Entity Type | Individual |
| Full Name | DR. JACK J 'BUDDY' GLISSON |
| Credential | M.D. |
| Practice Address |
130 E Locust St Dresden TN 38225-1467 |
| Practice Telephone | 7313643196 |
| Practice Fax Number | 7313645359 |
| Mailing Telephone | 7313643196 |
| Mailing Fax Number | 7313645359 |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 21707 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3065945 | 05 |
| Street Address |
130 E LOCUST ST |
| City | DRESDEN |
| State | TN |
| Zip Code | 38225-1467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407247935 | Allergy Treatment and Diagnostic Center, LLC | Nurse Practitioner | 130 E Locust St, Dresden, TN 38225-1467 | 2015-02-05 |
| 1881025997 | Dresden Chiropractic and Physical Therapy, Pllc | Physical Therapist | 130 E Locust St, Dresden, TN 38225-1467 | 2013-11-29 |
| 1306271994 | Dresden Family Clinic LLC | Clinic/Center | 130 E Locust St, Dresden, TN 38225-1467 | 2013-09-13 |
| 1194098145 | Kelly Smith Barnes | Nurse Practitioner | 130 E Locust St, Dresden, TN 38225-1467 | 2012-02-21 |
| 1750572210 | Kenneth Wayne Springer | Physical Therapist | 130 E Locust St, Dresden, TN 38225-1467 | 2007-08-08 |
| 1366430993 | Kumar P Yogesh | Internal Medicine | 130 E Locust St, Dresden, TN 38225-1467 | 2005-10-07 |
| 1255328035 | Dresden Medical Associates, P. C. | Internal Medicine | 130 E Locust St, Dresden, TN 38225-1467 | 2005-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164572327 | State of Tennessee | Public Health or Welfare | 9852 Hwy 22, Dresden, TN 38225 | 2007-01-11 |
| 1174626899 | Tennessee Cvs Pharmacy LLC | Pharmacy | 6616 Greenfield Hwy 54, Dresden, TN 38225 | 2006-09-07 |
| 1629284294 | Freds Stores of Tennessee Inc | Pharmacy | 8487 Highway 22, Dresden, TN 38225 | 2007-05-14 |
| 1790075281 | Mckenzie Medical Center | Pharmacy | 136 S Wilson St # B, Dresden, TN 38225-1133 | 2011-04-18 |
| 1720075633 | Elizabeth A Riddle | Nurse Practitioner | 136 S Wilson St, Dresden, TN 38225-1133 | 2005-10-05 |
| 1134689920 | Mary Rebecca Wall | Nurse Practitioner | 136 S Wilson St, Dresden, TN 38225-1133 | 2019-03-20 |
| 1326430620 | Erin Nicole Legens | Nurse Practitioner | 136 S Wilson St, Dresden, TN 38225-1133 | 2015-02-23 |
| 1497178693 | Ccc Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 136 S Wilson St, Dresden, TN 38225-1133 | 2014-01-24 |
| 1497069603 | Farrah Rae Vernon | Family Medicine | 136 S Wilson St, Dresden, TN 38225-1133 | 2010-07-29 |
| 1881681666 | Mark A Cooper | Internal Medicine | 136 S Wilson St, Dresden, TN 38225-1133 | 2005-10-05 |
| Find all providers in zip 38225 | ||||
| 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 |
|---|---|---|---|---|
| 1295768570 | Alfred Shoman | Internal Medicine | 101 W Dave Longaberger Ave, Ste. 102b, Dresden, OH 43821-9687 | 2006-07-09 |
| 1407889785 | Medical Services of Coshocton, Inc | Internal Medicine | 101 W Dave Longaberger Ave, Dresden, OH 43821-9687 | 2006-07-09 |
| 1255328035 | Dresden Medical Associates, P. C. | Internal Medicine | 130 E Locust St, Dresden, TN 38225-1467 | 2005-10-05 |
| 1881681666 | Mark A Cooper | Internal Medicine | 136 S Wilson St, Dresden, TN 38225-1133 | 2005-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841816485 | Bulls Gap Medical and Walk In Clinic | Internal Medicine | 273 Highway 11 E Ste A, Bulls Gap, TN 37711-3434 | 2020-06-19 |
| 1043856677 | Pac of Tennessee PC | Internal Medicine | 1958 West State Street, Suite 2, Bristol, TN 37620-2257 | 2019-11-19 |
| 1730739442 | Megan Elizabeth Wagner | Internal Medicine | 220 Eauclair St, Kingsport, TN 37664-4840 | 2019-09-14 |
| 1649825258 | Daniel Cusator | Internal Medicine | 9258 Wardley Park Ln, Brentwood, TN 37027-4465 | 2019-08-09 |
| 1508423799 | Priority Health, Pllc | Internal Medicine | 486 Bells Chapel Rd, Dyer, TN 38330-3028 | 2019-05-22 |
| 1326603911 | Tennessee Health Partners LLC | Internal Medicine | 5300 Maryland Way Ste 103, Brentwood, TN 37027-5074 | 2019-05-08 |
| 1740757764 | Advanced Diagnostic Imaging, PC | Internal Medicine | 2340 Fairview Boulevard, Suite 600d, Fairview, TN 37062 | 2018-10-29 |
| 1881179844 | Mtn Care, Pllc | Internal Medicine | 5543 Edmondson Pike # 231, Nashville, TN 37211-5808 | 2018-09-26 |
| 1427546415 | Christopher Nelson | Internal Medicine | 5100 Poplar Ave Ste 512, Memphis, TN 38137-0500 | 2018-04-25 |
| 1053810457 | Noi Nuyen Md, Pllc | Internal Medicine | 214 Prosperity Dr, Knoxville, TN 37923-4702 | 2018-02-12 |
| Find all providers with the same taxonomy | ||||
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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.