INNOVATIVE SLEEP DIAGNOSTICS, LLC (NPI# 1205026499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205026499 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE SLEEP DIAGNOSTICS, LLC |
| Practice Address |
1104 Tusculum Blvd Ste 301 Greeneville TN 37745-4091 |
| Mailing Address |
105 Meadowview Rd Ste 2 Bristol TN 37620-1725 |
| Practice Telephone | 4237641579 |
| Mailing Telephone | 4237644480 |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2007-10-18 |
| Authorized Official Name | MR. JIMMIE ROYCE DAUGHERTY II (PRESIDENT) |
| Authorized Official Telephone | 4237644480 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
Ambulatory Health Care Facilities |
| Street Address |
1104 TUSCULUM BLVD STE 301 |
| City | GREENEVILLE |
| State | TN |
| Zip Code | 37745-4091 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912992959 | Mearle E Meyer | Nurse Anesthetist, Certified Registered | 1104 Tusculum Blvd, Ste 114, Greeneville, TN 37745-4091 | 2005-09-15 |
| 1295013746 | Pulmacare Inc | Durable Medical Equipment & Medical Supplies | 1104 Tusculum Blvd, Suite 316, Greeneville, TN 37745-4091 | 2011-08-02 |
| 1205062817 | Heather Colleen Gow | Psychologist | 1104 Tusculum Blvd, Suite 118, Greeneville, TN 37745-4091 | 2009-06-09 |
| 1699818310 | Christopher D Latham | Nurse Anesthetist, Certified Registered | 1104 Tusculum Blvd, Suite 114, Greeneville, TN 37745-4091 | 2007-02-14 |
| 1568409076 | Greeneville Anesthesia Services | Nurse Anesthetist, Certified Registered | 1104 Tusculum Blvd, Suite 114, Greeneville, TN 37745-4091 | 2006-06-01 |
| 1659334878 | William G Gerrez | Nurse Anesthetist, Certified Registered | 1104 Tusculum Blvd, Suite 114, Greeneville, TN 37745-4091 | 2006-04-10 |
| 1679536890 | James R Kennedy | Nurse Anesthetist, Certified Registered | 1104 Tusculum Blvd, Suite 114, Greeneville, TN 37745-4091 | 2006-04-10 |
| 1437112653 | John Q Westbrook IIi | Nurse Anesthetist, Certified Registered | 1104 Tusculum Blvd, Suite 114, Greeneville, TN 37745-4091 | 2006-04-10 |
| 1609839836 | John R King | Nurse Anesthetist, Certified Registered | 1104 Tusculum Blvd, Suite 114, Greeneville, TN 37745-4091 | 2006-04-10 |
| 1407819725 | Larry G Johnson | Nurse Anesthetist, Certified Registered | 1104 Tusculum Blvd, Suite 303, Greeneville, TN 37745-4091 | 2006-04-08 |
| Find all providers in the same location | ||||
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|---|---|---|---|---|
| 1619409489 | Watauga Recovery Center Greeneville | Family Medicine | 819 W Church Street, Greeneville, TN 37745 | 2017-03-31 |
| 1154862340 | Open Arms Care Corporation | Intermediate Care Facility, Mentally Retarded | 1404 East Church St, Greeneville, TN 37745 | 2017-03-20 |
| 1770024010 | Open Arms Care Corporation | Intermediate Care Facility, Mentally Retarded | 1406 East Church Street, Greeneville, TN 37745 | 2017-03-20 |
| 1336685569 | D&s Residential Services, Lp | Intermediate Care Facility, Mentally Retarded | 1010 Old Stage Rd, Greeneville, TN 37745 | 2017-01-11 |
| 1750635298 | Matthew Brandon Allen | Pharmacist | 515 Van Hill Rd, Greeneville, TN 37745 | 2012-11-06 |
| 1083963466 | Addison Dimartino | Optometrist | 204 Emory Dr, Greeneville, TN 37745 | 2012-08-31 |
| 1639443419 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2499 Buckingham Rd., Greeneville, TN 37745 | 2012-02-27 |
| 1477786168 | Mcfarland Group Inc. | Durable Medical Equipment & Medical Supplies | 1413 Tusculum Blvd, Greeneville, TN 37745 | 2009-08-27 |
| 1043458128 | Greenville Dental Associates, Pllc | Dentist | 1308 Tusculum Blvd., Greeneville, TN 37745 | 2009-01-28 |
| 1275779555 | Professional Hearing Aid Ctr | Hearing Aid Equipment | 705 Professional Plaza, #3, Greenville, TN 37745 | 2008-12-17 |
| Find all providers in zip 37745 | ||||
| Taxonomy Code | 261QS1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Sleep Disorder Diagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376189464 | Tennessee Sleep Management, LLC | Clinic/Center | 872 Willow Tree Cir, Cordova, TN 38018-8845 | 2019-11-23 |
| 1679064638 | Neurotech, LLC | Clinic/Center | 4609 Mill Branch Ln, Knoxville, TN 37938-3260 | 2018-05-25 |
| 1134617814 | Mdsleep, Inc | Clinic/Center | 2233b Stokes Rd, Clarksville, TN 37043-1818 | 2018-04-27 |
| 1043675036 | Sleep Study Clinics of West Tennessee, LLC | Clinic/Center | 7679 Hwy 51 North, Halls, TN 38063-1548 | 2015-12-18 |
| 1457778185 | Tennessee Sleep Management | Clinic/Center | 104 Stonebridge Blvd, Jackson, TN 38305-2038 | 2014-03-19 |
| 1326396029 | Tennessee Sleep Managment LLC | Clinic/Center | 1190 Hwy 51 By-pass West, Suite C, Dyersburg, TN 38024 | 2012-08-28 |
| 1417227596 | Advanced Sleep Institute | Clinic/Center | 2215 Hobbs Rd, Nashville, TN 37215-2406 | 2012-01-06 |
| 1871887638 | Amazing Sleep, LLC | Clinic/Center | 213 Lane Pkwy, Shelbyville, TN 37160-3108 | 2011-06-08 |
| 1073804241 | Sleep Unlimited Jackson | Clinic/Center | 101 Clinical Centre Drive, Jackson, TN 38305 | 2011-04-22 |
| 1548564875 | Sleep Unlimited Henderson | Clinic/Center | 1314 Hwy North Bypass, Ste F, Henderson, TN 38040 | 2010-12-30 |
| Find all providers with the same taxonomy | ||||
| City | GREENEVILLE |
| Zip Code | 37745 |
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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.