MIDDLE TENNESSEE ENDOCRINOLOGY CLINIC PC (NPI# 1225133036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225133036 |
| Entity Type | Organization |
| Organization Name | MIDDLE TENNESSEE ENDOCRINOLOGY CLINIC PC |
| Practice Address |
854 W James Campbell Blvd Suite 304 Columbia TN 38401 |
| Mailing Address |
854 W James Campbell Blvd Suite 303 B Columbia TN 38401-4659 |
| Practice Telephone | 9315480053 |
| Practice Fax Number | 9315480068 |
| Mailing Telephone | 9315404255 |
| Mailing Fax Number | 9314904654 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2008-04-04 |
| Authorized Official Name | ANTHONY K CRYAR (OWNER) |
| Authorized Official Telephone | 9313811111 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3735169 | 05 |
| Street Address |
854 W JAMES CAMPBELL BLVD SUITE 304 |
| City | COLUMBIA |
| State | TN |
| Zip Code | 38401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831181957 | James Grant Barr | Internal Medicine | 854 W James Campbell Blvd, Ste. 101a, Columbia, TN 38401-4659 | 2005-08-16 |
| 1528687159 | Elizabeth Brewer | Nurse Practitioner | 854 W James Campbell Blvd, Suite 201, Columbia, TN 38401-3840 | 2020-04-14 |
| 1477067429 | Laurie Elizabeth Bates | Nurse Practitioner | 854 W James Campbell Blvd, Suite 100, Columbia, TN 38401 | 2017-11-29 |
| 1689101503 | Kimberly Morrow Richardson | Nurse Practitioner | 854 W James Campbell Blvd, Suite 100, Columbia, TN 38401 | 2017-05-23 |
| 1770028656 | Ashley Victory | Nurse Practitioner | 854 W James Campbell Blvd, Ste. 101a, Columbia, TN 38401-4659 | 2016-12-30 |
| 1811343148 | Carmen Harris | Nutritionist | 854 W James Campbell Blvd, Suite 100, Columbia, TN 38401-4659 | 2016-05-05 |
| 1114384930 | Nina Elizabeth Boshers | Marriage & Family Therapist | 854 W James Campbell Blvd, Suite 201, Columbia, TN 38401-4659 | 2016-01-25 |
| 1851782486 | Jessica Fisher Oliver | Nurse Practitioner | 854 W James Campbell Blvd, Suite 101, Columbia, TN 38401-4659 | 2015-02-18 |
| 1134553878 | Family Health Group Inc | Anesthesiology | 854 W James Campbell Blvd, Columbia, TN 38401-4659 | 2013-08-29 |
| 1720326200 | Shavonne F Morgan | Nurse Practitioner | 854 W James Campbell Blvd, Suite 403, Columbia, TN 38401-4659 | 2013-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093327629 | Andrew Swensen | Pharmacist | 1202 South James Campbell Blvd, Columbia, TN 38401 | 2020-08-17 |
| 1790305522 | Milaya L Webster | Community Based Residential Treatment Facility, Mental Illness | 809 South Water Streer, Columbia, TN 38401 | 2020-04-22 |
| 1730729468 | Dania Cortez | Licensed Practical Nurse | 40 Park Plus Court, Columbia, TN 38401 | 2020-01-10 |
| 1619519683 | Agilitas Usa, Inc | Clinic/Center | 627 S. James Campbell Blvd., Suite B, Columbia, TN 38401 | 2019-10-11 |
| 1710531280 | Abby Graves | Dietitian, Registered | 1216 Trottwood Ave, Columbia, TN 38401 | 2019-08-01 |
| 1942771746 | James Brian Gregory | Marriage & Family Therapist | 497 E James Campbell Blvd, Columbia, TN 38401 | 2018-12-06 |
| 1104312255 | Sarah Miller | Social Worker | 230 E James Campbell Boulevard, Suite 113, Columbia, TN 38401 | 2018-07-02 |
| 1407343148 | Tammy Lynn James | Nurse Practitioner | 6011 Trotwood Ave Ste D, Columbia, TN 38401 | 2018-04-18 |
| 1053838276 | Tiffany Huskey | Audiologist-Hearing Aid Fitter | 1202 S James Campbell Blvd, Suite 15, Columbia, TN 38401 | 2017-08-28 |
| 1942726963 | Northland Hearing Center, Inc. | Hearing Aid Equipment | 1202 South James Campbell Blvd, Suite 15, Columbia, TN 38401 | 2017-08-22 |
| Find all providers in zip 38401 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1811467053 | Missouri Obesity Center,llc | Internal Medicine | 1601 E Broadway Ste 160, Columbia, MO 65201-5821 | 2018-11-30 |
| 1306183264 | Leonard Peter Kapcala | Internal Medicine | 7158 Rivers Edge Rd, Columbia, MD 21044-4235 | 2013-01-12 |
| 1356575229 | Javzandulam Natsag | Internal Medicine | 10710 Charter Dr Ste 410, Suite 410, Columbia, MD 21044-3276 | 2009-05-07 |
| 1558575043 | Leo Lauhon Walker | Internal Medicine | 2417 Bermuda Hills Rd, Columbia, SC 29223-6807 | 2007-05-10 |
| 1962480590 | Ambika Rao | Internal Medicine | 6439 Garners Ferry Road, Bldg 100, Rm5c100b, Columbia, SC 29209-1613 | 2006-01-04 |
| 1487655213 | Anastacio G Herrera Jr. | Internal Medicine | 40 Grant Ln, Columbia, KY 42728-2233 | 2005-08-02 |
| 1902203326 | Ronald L. Johnson, M.d., LLC | Internal Medicine | 4100 N Main St, Suite 201, Columbia, SC 29203-5800 | 2014-12-01 |
| 1033559604 | Venkata Sai B Chinnakotla | Internal Medicine | 3315 Berrywood Dr, Columbia, MO 65201-6571 | 2013-06-27 |
| 1497020564 | David Levitt | Internal Medicine | 10710 Charter Dr Ste 410, Columbia, MD 21044 | 2012-03-21 |
| 1881826832 | Ribal Al Aridi | Internal Medicine | 2 Medical Park Rd Ste 506, Columbia, SC 29203-6876 | 2009-08-10 |
| Find all providers in COLUMBIA | ||||
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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.