WALTER EARNEST STEPHENS (NPI# 1205878220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205878220 |
| Entity Type | Individual |
| Full Name | WALTER EARNEST STEPHENS |
| Credential | M.D. |
| Practice Address |
200 Creekside Dr Dickson TN 37055-2176 |
| Mailing Address |
3024 Business Park Cir Goodlettsville TN 37072-3132 |
| Practice Telephone | 6154416140 |
| Practice Fax Number | 6154416190 |
| Mailing Telephone | 6158516033 |
| Mailing Fax Number | 6158512018 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2017-05-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 32001 | TN | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 32001 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BCBS TN | 6022403 | 01 |
| TN | 3847380 | 05 | |
| TN | 3847386 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134755051 | Walter David Stephens II | Student in an Organized Health Care Education/Training Program | 2401 S 31st St, Temple, TX 76508-0001 | 2020-03-23 |
| 1134589823 | Walter Stephens | Physical Therapist | 269 S Main St, Jellico, TN 37762-2018 | 2016-02-24 |
| Street Address |
200 CREEKSIDE DR |
| City | DICKSON |
| State | TN |
| Zip Code | 37055-2176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720081821 | Jeffrey D Kauppi | Physician Assistant | 200 Creekside Dr, Dickson, TN 37055-2176 | 2005-05-23 |
| 1124687785 | Jessica Dawn Lane | Nurse Practitioner | 200 Creekside Dr, Dickson, TN 37055-2176 | 2019-06-07 |
| 1487121703 | Advancd Diagnostic Imaging, PC | Internal Medicine | 200 Creekside Dr, Dickson, TN 37055-2176 | 2018-10-24 |
| 1518412105 | Edward Elliott IIi | Nurse Practitioner | 200 Creekside Dr, Dickson, TN 37055-2176 | 2016-08-24 |
| 1326431024 | Kerrie Baker | Nurse Practitioner | 200 Creekside Dr, Dickson, TN 37055-2176 | 2015-03-05 |
| 1023046794 | Katie Barnes | Nurse Practitioner | 200 Creekside Dr, Dickson, TN 37055-2176 | 2006-06-29 |
| 1235131202 | Amy Lynne Webb | Nurse Practitioner | 200 Creekside Dr, Dickson, TN 37055-2176 | 2005-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801406186 | Raven Julia Jackson | Dentist | 445 Tn-46 S, Dickson, TN 37055 | 2020-08-03 |
| 1336767839 | Logan Newman | Student in an Organized Health Care Education/Training Program | 102 Us70 East, Suite 2, Dickson, TN 37055 | 2020-07-10 |
| 1720575012 | Vb Tennessee I Pllc | Dentist | 2027 Thornton Dr, Dickson, TX 37055 | 2018-04-23 |
| 1376075358 | Sharon Elizabeth Sharber | Nurse Practitioner | 111 Highway 70 E Ste E, Dickson, TN 37055 | 2017-03-29 |
| 1992255921 | Karen Alonzo | Occupational Therapy Assistant | 312 N Charlotte St, Dickson, TN 37055 | 2016-10-13 |
| 1356727408 | Aurora Pharmacy Inc | Pharmacy | 318 East College Street, Suite 102, Dickson, TN 37055 | 2015-07-30 |
| 1295121820 | Jeffrey Nicholas Williams | Pharmacy Technician | 120 Brazzell Rd, Dickson, TN 37055 | 2015-04-10 |
| 1760894398 | Joshua A. Vaughn | Physical Therapist | 766 Highway 46 South, Dickson, TN 37055 | 2014-06-02 |
| 1902217292 | Keith Payton | Dentist | 217 Highway 46 Ste D, Dickson, TN 37055 | 2014-05-08 |
| 1073953840 | John Harrison | Dentist | 134 Us-70, Dickson Pediatric Dentistry, Dickson, TN 37055 | 2013-06-26 |
| Find all providers in zip 37055 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164562666 | Bobby Joel Smith | Family Medicine | 758 Highway 46 South, Dickson, TN 37055 | 2007-02-07 |
| 1487762597 | John R Manning M.d. | Family Medicine | 901 N Charlotte St, Dickson, TN 37055-1010 | 2006-08-28 |
| 1750384780 | Julie A Perrigin | Family Medicine | 219 Church St, Dickson, TN 37055-1303 | 2005-05-23 |
| 1689677619 | Robert W Orgain | Family Medicine | 758 Highway 46 S, Dickson, TN 37055-2556 | 2005-05-23 |
| 1780687897 | Milford J Huffnagle | Family Medicine | 768 Highway 46 S, Dickson, TN 37055-2556 | 2005-05-23 |
| 1891267811 | Fixx Regenerative Solutions Pllc | Family Medicine | 491 Henslee Dr, Dickson, TN 37055-2166 | 2019-01-02 |
| 1750524856 | Demond C. White | Family Medicine | 758 Highway 46 South, Dickson, TN 37055-2556 | 2009-04-20 |
| 1417079393 | Sujay Kumar Kannamangala Chandrashekar | Family Medicine | 758 Highway 46 S, Dickson, TN 37055-2556 | 2007-04-04 |
| 1629105861 | Hein Family Medicine | Family Medicine | 110 Mathis Dr, Suite 103, Dickson, TN 37055-2000 | 2007-02-27 |
| 1972606218 | Dickson Medical Associates, PC | Family Medicine | 758 Highway 46 S, Dickson, TN 37055-2556 | 2006-09-05 |
| Find all providers in DICKSON | ||||
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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.