DR. MARY K MCNEAL (NPI# 1235132390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235132390 |
| Entity Type | Individual |
| Full Name | DR. MARY K MCNEAL |
| Credential | MD |
| Practice Address |
125 Crestview Park Dr Dickson TN 37055-2850 |
| Mailing Address |
127 Crestview Park Dr Dickson TN 37055-2850 |
| Practice Telephone | 6154414411 |
| Practice Fax Number | 6154461357 |
| Mailing Telephone | 6154414478 |
| Mailing Fax Number | 6154461357 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2012-02-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD35415 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BLUE CROSS BLUE SHIELD TN | 4041304 | 01 |
| RAILROAD MEDICARE PIN | 370019483 | 01 | |
| TN | 3867251 | 05 |
| Street Address |
125 CRESTVIEW PARK DR |
| City | DICKSON |
| State | TN |
| Zip Code | 37055-2850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154625549 | Dickson Ear, Nose & Throat Plc | Specialist | 125 Crestview Park Dr, Suite 2, Dickson, TN 37055-2850 | 2010-12-29 |
| 1699915496 | Dickson Medical Associates, PC | Pediatrics | 125 Crestview Park Dr, Dickson, TN 37055-2850 | 2009-03-06 |
| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699915496 | Dickson Medical Associates, PC | Pediatrics | 125 Crestview Park Dr, Dickson, TN 37055-2850 | 2009-03-06 |
| 1356444699 | Dickson Medical Associates, PC | Pediatrics | 114 Highway 70 E, Dickson, TN 37055-7030 | 2006-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366040131 | Mebe Tennessee | Pediatrics | 6339 Charlotte Pike # 1035, Nashville, TN 37209-2926 | 2020-10-14 |
| 1427679208 | Susan Ashley Stallings | Pediatrics | 5115 Woodland Hills Dr, Brentwood, TN 37027-5821 | 2020-05-03 |
| 1871112375 | Pediatric Medical Urgent Care Services Pllc | Pediatrics | 2249 Medical Center Pkwy Ste C&d, Murfreesboro, TN 37129-4279 | 2020-04-14 |
| 1508412347 | Amber Michelle Steeley | Pediatrics | 2713 Stone Trace Dr, Chattanooga, TN 37421-1194 | 2019-08-16 |
| 1083189377 | Rachel Ames | Pediatrics | 537 Stonecrest Pkwy Ste 201, Smyrna, TN 37167-6895 | 2018-10-12 |
| 1205333481 | Summit Medical Group,pllc | Pediatrics | 1341 Branton Blvd Ste 102, Knoxville, TN 37922-8521 | 2018-04-12 |
| 1225566953 | Justin Wade Widner | Pediatrics | 424 N Broad St Ste B, New Tazewell, TN 37825-6606 | 2017-05-25 |
| 1952834558 | Jack Moore Whitehead | Pediatrics | 95 Seaboard Ln Ste 201, Brentwood, TN 37027-3040 | 2017-04-10 |
| 1134677818 | Dixie Swanson | Pediatrics | 2705 Daventry Dr, Maryville, TN 37804-6141 | 2016-09-12 |
| 1568817658 | Elizabeth Shawn Keiner | Pediatrics | 2200 Childrens Way # B319, Nashville, TN 37232-9760 | 2016-04-26 |
| Find all providers with the same taxonomy | ||||
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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.