DR. W JAN KAZMIER (NPI# 1235197815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235197815 |
| Entity Type | Individual |
| Full Name | DR. W JAN KAZMIER |
| Credential | M.D. |
| Practice Address |
2995 Fort Henry Dr Suite 100 Kingsport TN 37664-4005 |
| Practice Telephone | 4232466445 |
| Practice Fax Number | 4232468240 |
| Mailing Telephone | 4232466445 |
| Mailing Fax Number | 4232468240 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2013-07-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MD0000016939 | TN | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | JOHN DEERE HEALTH | TN0101 | 01 |
| VA | 006036791 | 05 | |
| TN | UNITED HEALTHCARE | 01-41828 | 01 |
| TAX ID | 621482794 | 01 | |
| TN | PHP TENNESSEE | 100010179 | 01 |
| TN | MEDICARE RAILROAD | 110024502 | 01 |
| TN | BLUE CROSS/BLUE SHIELD | 0078009 | 01 |
| TN | 3038457 | 05 | |
| VA | ANTHEM BCBS | 079672 | 01 |
| Street Address |
2995 FORT HENRY DR SUITE 100 |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37664-4005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720335466 | Jordan Scott Merrill | Chiropractor | 2995 Fort Henry Dr, Suite 200, Kingsport, TN 37664-4068 | 2012-08-13 |
| 1750525853 | Brenda Arlene Bentley | Nurse Practitioner | 2995 Fort Henry Dr, Ste 100, Kingsport, TN 37664-4070 | 2009-04-21 |
| 1912965500 | Shailee A Madhok | Specialist | 2995 Fort Henry Dr, Suite 100, Kingsport, TN 37664-4005 | 2006-05-03 |
| 1619935210 | Bonnie L Messerschmidt | Nurse Practitioner | 2995 Fort Henry Dr, Suite 100, Kingsport, TN 37664-4005 | 2006-05-03 |
| 1174581854 | Regional Allergy & Asthma Center, PC | Specialist | 2995 Fort Henry Dr, Suite 100, Kingsport, TN 37664-4005 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972067395 | Alice Victoria Lilly | Nurse Practitioner | 2995 Ft. Henry Drive, Suite 100, Kingsport, TN 37664 | 2019-01-30 |
| 1861966525 | Catherine Ann Hensley | Nurse Practitioner | 2995 Fort Henry Drive, Suite 100, Kingsport, TN 37664 | 2019-01-16 |
| 1679076954 | Christopher A Hillman | Dentist | 1599 Fort Henry Dr Ste 102, Kingsport, TN 37664 | 2018-03-13 |
| 1154666733 | Cristin Patterson | Counselor | 2762 East Center St., Kingsport, TN 37664 | 2012-12-07 |
| 1972851095 | Kevin Michael Smith | Pharmacist | 1425 East Center Street, Kingsport, TN 37664 | 2012-08-21 |
| 1619299617 | Kelli Lynn Dillon | Counselor | 1570 Waverly Rorad, Kingsport, TN 37664 | 2010-02-18 |
| 1356503726 | Charles Craig Stieler | Hearing Instrument Specialist | 2101 Ft Henry Dr, Kingsport, TN 37664 | 2008-06-27 |
| 1104012319 | Pro Balance LLC | Prosthetic/Orthotic Supplier | 2408 Fort Henry Drive, Kingsport, TN 37664 | 2007-09-20 |
| 1518188648 | Remington House | Assisted Living Facility | 640 Rock Springs Road, Kingsport, TN 37664 | 2007-05-02 |
| 1689795007 | Elaine Frazier | Emergency Medicine | 410 Golf Ridge Dr, Kingsport, TN 37664 | 2007-04-03 |
| Find all providers in zip 37664 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508391012 | Chelsey Bishop | Specialist | 400 Blue Haven Dr, Kingsport, TN 37663-3043 | 2017-04-23 |
| 1326397910 | Simpson Clinic, LLC | Specialist | 2012 Brookside Drive, Suite 8, Kingsport, TN 37660 | 2012-08-29 |
| 1639343734 | K. G. Porter, Md, LLC | Specialist | 1936 Brookside Dr Ste C, Kingsport, TN 37660-4654 | 2008-04-18 |
| 1760593834 | Premier Anesthesia Services PC | Specialist | 2000 Brookside Drive, Suite 207, Kingsport, TN 37660-4627 | 2006-08-31 |
| 1043228646 | Randall J Falconer Md PC | Specialist | 1728 N Eastman Road, Kingsport, TN 37664 | 2006-08-03 |
| 1649641200 | Sam W. Huddleston Iv Md PC | Specialist | 2002 Brookside Dr, Suite# 201, Kingsport, TN 37660-4634 | 2015-10-08 |
| 1346686763 | Blue Ridge Medical Management Corporation | Specialist | 2002 Brookside Dr, Suite 300a, Kingsport, TN 37660-4634 | 2013-05-13 |
| 1730395153 | Donna Howard Crotts | Specialist | 130 W Ravine Rd, Kingsport, TN 37660-3810 | 2007-05-15 |
| 1932312337 | Heather Christine Wallen | Specialist | 1041 East Sullivan Street, Kingsport, TN 37660 | 2007-05-08 |
| 1073638144 | Regional Kidney Care, PC | Specialist | 2002 Brookside Drive, Suite 102, Kingsport, TN 37660-4634 | 2007-03-20 |
| Find all providers in KINGSPORT | ||||
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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.