MEDICAL EDUCATION ASSISTANCE CORPORATION (NPI# 1194146894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194146894 |
| Entity Type | Organization |
| Organization Name | MEDICAL EDUCATION ASSISTANCE CORPORATION |
| Other Organization Name | INNOVATION LAB PSYCHIATRY |
| Practice Address |
2109 W Market St Ste 140 Johnson City TN 37604 |
| Mailing Address |
Po Box 699 Mountain Home TN 37684-0699 |
| Practice Telephone | 4234336050 |
| Practice Fax Number | 4234336060 |
| Mailing Telephone | 4234336050 |
| Mailing Fax Number | 4234336060 |
| Enumeration Date | 2013-12-23 |
| Last Update Date | 2018-08-22 |
| Authorized Official Name | RUSSELL E LEWIS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4234336050 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Innovation Lab Psychiatry | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164062659 | Medical Education Assistance Corporation | Speech-Language Pathologist | 2423 Susannah St, Johnson City, TN 37601-1749 | 2020-01-13 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1336408996 | Medical Education Assistance Corporation | Clinical Medical Laboratory | 1319 Sunset Dr Ste 103, Johnson City, TN 37604 | 2012-05-16 |
| 1013288810 | Medical Education Assistance Corporation | Family Medicine | 826 Meadow View Rd, Bristol, TN 37620 | 2012-01-25 |
| 1225309891 | Medical Education Assistance Corporation | Pediatrics | 201 E Myrtle Ave, Johnson City, TN 37601 | 2012-01-13 |
| 1518236538 | Medical Education Assistance Corporation | Psychologist | Lake Dr., Bldg. 52, Mountain Home, TN 37684-0699 | 2011-12-20 |
| 1750650875 | Medical Education Assistance Corporation | Pediatrics | 252 Sam Jenkins Rd, Attn: Dr. H. Patrick Stern, Gray, TN 37615 | 2011-12-19 |
| 1629346580 | Medical Education Assistance Corporation | Pediatrics | 2891 Highway 11 E, Attn: Dr. H. Patrick Stern, Telford, TN 37690 | 2011-12-07 |
| 1760655914 | Medical Education Assistance Corporation | Speech-Language Pathologist | 1000 Jason Witten Way, Elizabethton, TN 37643-2970 | 2008-04-09 |
| 1598940793 | Medical Education Assistance Corporation | Clinic/Center | Etsu Mini-dome, John Robert Bell Drive, Johnson City, TN 37614-1700 | 2008-01-07 |
| Street Address |
2109 W MARKET ST STE 140 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604 |
| 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 | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780228619 | Whidbey Island Public Hospital District | Psychiatry & Neurology | 1310 N Roan St, Johnson City, TN 37601-3942 | 2019-11-04 |
| 1942696158 | Bill Mccartt | Psychiatry & Neurology | 267 Laurel Cyn, Johnson City, TN 37615-4727 | 2015-04-14 |
| 1538450408 | Faith A Aimua | Psychiatry & Neurology | 206 Princeton Rd Ste 18, Johnson City, TN 37601-2025 | 2011-04-27 |
| 1972753663 | Marina S.l. Colombo | Psychiatry & Neurology | Lamont and Veterans Way. Mountain Home., James H Quillen Va Med Center., Johnson City, TN 37684 | 2008-09-30 |
| 1588853295 | Mountain States Health Alliance | Psychiatry & Neurology | 508 Princeton Commons, Suite 403, Johnson City, TN 37601-2060 | 2007-10-18 |
| 1639370950 | Marian Eleanor Steen | Psychiatry & Neurology | 607 E Watauga Ave Apt 3, Johnson City, TN 37601-4071 | 2007-05-31 |
| 1497967897 | David Lionel Forester | Psychiatry & Neurology | 209 E Unaka Ave, Johnson City, TN 37601-4625 | 2007-05-06 |
| 1407982762 | William Arthur Wiley Jr. | Psychiatry & Neurology | 112 E Myrtle Avenue, Suite 506, Johnson City, TN 37601-8600 | 2007-02-23 |
| 1356417661 | Jill Baron | Psychiatry & Neurology | 804 Valley Plaza, Johnson City, NY 13790 | 2006-11-28 |
| 1194829879 | James M. Turnbull | Psychiatry & Neurology | 111 West Tenth Avenue, Johnson City, TN 37604-3844 | 2006-09-12 |
| Find all providers in JOHNSON CITY | ||||
| 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.