PRIMARY CARE PLUS, LLC (NPI# 1245465129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245465129 |
| Entity Type | Organization |
| Organization Name | PRIMARY CARE PLUS, LLC |
| Practice Address |
1405 W Baddour Pkwy Suite 103 Lebanon TN 37087-2567 |
| Mailing Address |
10211 Auburn Park Dr Fort Wayne IN 46825-2387 |
| Practice Telephone | 6154431579 |
| Practice Fax Number | 6154431580 |
| Mailing Telephone | 2604908187 |
| Mailing Fax Number | 2604903123 |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2009-12-22 |
| Authorized Official Name | DR. VENKATESH MADHAV (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 6154431579 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
L2436 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1515562 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205140712 | Primary Care Plus, LLC | Family Medicine | 2741 Ne Mcbain Dr, Suite A, Lees Summit, MO 64064-7880 | 2010-07-27 |
| Street Address |
1405 W BADDOUR PKWY SUITE 103 |
| City | LEBANON |
| State | TN |
| Zip Code | 37087-2567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255383766 | Larimore C Warren | Surgery | 1405 W Baddour Pkwy, Suite 100, Lebanon, TN 37087-2567 | 2006-05-16 |
| 1811597982 | Jasmine Marie Austin | Counselor | 1405 W Baddour Pkwy, Lebanon, TN 37087-2567 | 2020-10-28 |
| 1649740242 | Best Care Services | Clinic/Center | 1405 W Baddour Pkwy, Lebanon, TN 37087-2567 | 2018-11-27 |
| 1265681837 | Catherine Marie Mead | Physician Assistant | 1405 W Baddour Pkwy, Suite 101, Lebanon, TN 37087-2567 | 2008-09-18 |
| 1346440153 | Larimore C. Warren, M.d., P.C. | Surgery | 1405 W Baddour Pkwy, Suite 100, Lebanon, TN 37087-2567 | 2007-07-19 |
| 1922138247 | Cumberland Skin Surgery and Dermatology | Clinic/Center | 1405 W Baddour Pkwy, Suite 101, Lebanon, TN 37087-2567 | 2007-03-06 |
| 1225188501 | James W. Morris II | Surgery | 1405 W Baddour Pkwy, Suite 100, Lebanon, TN 37087-2567 | 2007-01-11 |
| 1023171576 | Barbara Elayne Wolff | Physician Assistant | 1405 W Baddour Pkwy, Suite 101, Lebanon, TN 37087-2567 | 2006-12-18 |
| 1730241084 | Jocelyne Knapp Miller | Internal Medicine | 1405 W Baddour Pkwy, Suite 104, Lebanon, TN 37087-2567 | 2006-12-14 |
| 1023198306 | Brandi Lindsey | Nurse Practitioner | 1405 W Baddour Pkwy, Ste. 101, Lebanon, TN 37087-2567 | 2006-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051698 | Results-ast Jv, LLC | Physical Therapist | 1420 West Baddour Parkway, Suite 102, Lebanon, TN 37087 | 2020-10-19 |
| 1306405725 | Angela Kurtz | Hearing Instrument Specialist | 1430 West Baddour Parkwayste D, Lebanon, TN 37087 | 2019-06-10 |
| 1164926937 | Andrea Christine Morrisett | Physical Therapist | 404 N Castle Heights Ave Ste G, Lebanon, TN 37087 | 2018-03-19 |
| 1942731492 | Rocky Mountain Holdings, LLC | Ambulance | 760d Franklin Rd, Lebanon, TN 37087 | 2017-03-27 |
| 1326409285 | Karina Lawrence | Speech-Language Pathologist | 1006 Keaton Street, Lebanon, TN 37087 | 2016-03-18 |
| 1174910491 | Yehualashet Bekele Hailemariam | Internal Medicine | 1411 W Baddour Pkwy,lebanon Tn 37087, Lebanon, TN 37087 | 2015-04-24 |
| 1043614829 | Jean Thompson | Behavioral Analyst | 1004 Hickory Hill Lane, Suite 2, Hermitage, TN 37087 | 2014-10-22 |
| 1588072771 | La Keisha Fair | Community Health Worker | 1 Cumberland Square, Lebanon, TN 37087 | 2014-07-31 |
| 1023440609 | James Martin Meadows | Specialist/Technologist | One Cumberland Square, Lebanon, TN 37087 | 2013-08-06 |
| 1336571231 | Lori Ann De Leo | Social Worker | 109 Autumn Creek, Lebanon, TN 37087 | 2013-08-01 |
| Find all providers in zip 37087 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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 |
|---|---|---|---|---|
| 1972506855 | Saba Azher Ansari | Internal Medicine | 100 Arrow Springs Blvd Ste 2700, Lebanon, OH 45036-7019 | 2005-05-24 |
| 1245597442 | Rebecca Scott Crow | Internal Medicine | 1 Medical Center Dr, Dartmouth Hitchcock - Geriatrics, Lebanon, NH 03756-1000 | 2012-04-12 |
| 1821114539 | Julie Patterson Fago | Internal Medicine | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2007-03-22 |
| 1295832616 | Kenneth Martin Dolkart | Internal Medicine | 1 Medical Center Drive, Dartmouth Hitchcock Medical Center, Lebanon, NH 03756-0001 | 2006-09-20 |
| 1295837581 | Scott T Shreve | Internal Medicine | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2006-09-05 |
| 1063440063 | Lisa Anne Furmanski | Internal Medicine | 5 Alice Peck Day Dr, Lebanon, NH 03766-2901 | 2006-06-29 |
| 1629006069 | Diane Marie Palac | Internal Medicine | 1 Medical Center Dr, Dhmc Gim, Lebanon, NH 03756-1000 | 2006-06-28 |
| 1457344665 | William Elmer Schaeffer Jr. | Internal Medicine | 755 Norman Dr, Lebanon, PA 17042-7497 | 2005-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564863 | Matter Health of Alabama LLC | Internal Medicine | 645 Grassmere Park, Nashville, TN 37211-3659 | 2020-10-08 |
| 1558751339 | America's Telemd LLC | Internal Medicine | 5606 Cloverland Dr, Unit 110, Brentwood, TN 37027-4876 | 2015-01-30 |
| 1437240504 | Lorna May Birch | Internal Medicine | 425 Cumberland Street, Suite 110, Chattanooga, TN 37404 | 2006-09-27 |
| 1588698518 | Connie J Holladay | Internal Medicine | 438 E. Vann Road, Suite 100, Greeneville, TN 37743-7202 | 2006-07-10 |
| 1386674679 | Lotika Pandit | Internal Medicine | 6073 E Brainerd Rd, Chattanooga, TN 37421-3909 | 2006-07-03 |
| 1992741482 | Amisub (sfh) Inc. | Internal Medicine | 5929 Park Ave, Memphis, TN 38119-5150 | 2006-06-21 |
| 1134162134 | Stephen J D'amico | Internal Medicine | 4200 Murfreesboro Pike, Antioch, TN 37013-2789 | 2006-06-14 |
| 1861430399 | Robert M Hollister | Internal Medicine | 316 Battle Ave, Franklin, TN 37064-3519 | 2006-06-04 |
| 1386698843 | Larry Burton Hudgins | Internal Medicine | 715 Rambling Rd, Johnson City, TN 37604-2425 | 2006-05-20 |
| 1649221938 | Purihin Clinic-p. C. | Internal Medicine | 3535 Chere Carol Rd, Humboldt, TN 38343-3634 | 2006-05-12 |
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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.