SPECIALTY MEDICAL SERVICES, INC (NPI# 1215056171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215056171 |
| Entity Type | Organization |
| Organization Name | SPECIALTY MEDICAL SERVICES, INC |
| Practice Address |
188 16th Ave Ste 104 Dayton TN 37321-1038 |
| Practice Telephone | 4235700097 |
| Practice Fax Number | 4235700808 |
| Mailing Telephone | 4235700097 |
| Mailing Fax Number | 4235700808 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. EDWARD D JOHNSON (DOCTOR) |
| Authorized Official Telephone | 4235700097 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD13288 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BC BS | 4053237 | 01 |
| TN | 3376010 | 05 |
| Street Address |
188 16TH AVE STE 104 |
| City | DAYTON |
| State | TN |
| Zip Code | 37321-1038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730745019 | Nicole J. Kammeyer, O.d. | Optometrist | 1286 Market Street, Dayton, TN 37321 | 2019-05-13 |
| 1124508429 | L M Smith Center for Dental Health | Dentist | 180 Walnut Grove Road, Dayton, TN 37321 | 2018-08-16 |
| 1750813986 | Jared Arthur | Counselor | 1365b Maley Hollow Rd, Dayton, TN 37321 | 2017-03-28 |
| 1386193068 | Richland Creek Dental LLC | Dentist | 1272 Market St, Dayton, TN 37321 | 2016-09-23 |
| 1427505999 | Sport & Spine | Physical Therapist | 445 Chicamagua Drive, Suite 101, Dayton, TN 37321 | 2016-09-01 |
| 1104175025 | Stephanie Ann Sharp | Chore Provider | 701 Belmont Farms Road, Dayton, TN 37321 | 2012-09-06 |
| 1841438579 | Voytik Center for Orthopedic Care, PC | Physician Assistant | 164 Walnut Grove Church Rd, Dayton, TN 37321 | 2009-02-03 |
| 1558581140 | James Morgan Freuler | Physician Assistant | 149 Walnut Grove Church Road, Dayton, TN 37321 | 2007-04-26 |
| 1215004908 | Margaret Ruth Ulrich | Audiologist-Hearing Aid Fitter | 211 Dayton Mtn Hwy, Dayton, TN 37321 | 2006-11-29 |
| 1053490417 | Craig Steven Swafford | Surgery | 9390 Rhea County Highway, Dayton, TN 37321 | 2006-11-04 |
| Find all providers in zip 37321 | ||||
| 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 |
|---|---|---|---|---|
| 1629616891 | Nicole Elizabeth Miller | Family Medicine | 7282 Chateauroux Dr Apt A, Dayton, OH 45459-5382 | 2019-12-18 |
| 1770095382 | Nancy Louise Hall | Family Medicine | 1 Elizabeth Pl Ste 260, Dayton, OH 45417-3445 | 2017-11-05 |
| 1487181574 | Caitlyn Anne Frantz | Family Medicine | 6255 Chambersburg Rd Ste 2, Dayton, OH 45424 | 2017-05-19 |
| 1689054223 | Jessica Ezinne Ugwu | Family Medicine | 30 E Apple St., Suite Nw 3300, Dayton, OH 45409 | 2015-06-08 |
| 1215314125 | Tracy Fong | Family Medicine | 2261 Philadelphia Drive, Dayton, OH 45406 | 2015-04-29 |
| 1730519059 | Medstaffpc | Family Medicine | 119 1/2 Bryan St, Dayton, TX 77535-2661 | 2013-11-22 |
| 1962844480 | Claire Eleanore Cappel | Family Medicine | 4266 Upham Rd, Dayton, OH 45429-1620 | 2013-07-25 |
| 1851662092 | New Phoenix | Family Medicine | 11161 Ashbury Meadows Dr, Dayton, OH 45458-6403 | 2012-01-19 |
| 1700165081 | Torben Svendsen | Family Medicine | 7794 Rhea County Hwy Ste 102, Dayton, TN 37321-5981 | 2011-08-04 |
| 1104124221 | Kerri Lyn Gibson | Family Medicine | 4100 W 3rd St Bldg 340, Dayton, OH 45428-9000 | 2011-03-14 |
| Find all providers in DAYTON | ||||
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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.