HEARTLAND MEDICAL, P.C. (NPI# 1245496546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245496546 |
| Entity Type | Organization |
| Organization Name | HEARTLAND MEDICAL, P.C. |
| Practice Address |
309 N Broad St New Tazewell TN 37825-6600 |
| Practice Telephone | 4236267297 |
| Practice Fax Number | 4236265553 |
| Mailing Telephone | 4236267297 |
| Mailing Fax Number | 4236265553 |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2008-08-06 |
| Authorized Official Name | NANCY S. PARKEY (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 4236267297 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | RURAL HEALTH PROVIDER NUMBER | 44-3965 | 01 |
| Street Address |
309 N BROAD ST |
| City | NEW TAZEWELL |
| State | TN |
| Zip Code | 37825-6600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235121708 | William N Smith | Family Medicine | 309 N Broad St, New Tazewell, TN 37825-6600 | 2005-08-19 |
| 1356896567 | Spencer Todd Harmon | Physician Assistant | 309 N Broad St, New Tazewell, TN 37825-6600 | 2016-08-17 |
| 1215399654 | Uhs Ventures Inc | Clinic/Center | 309 N Broad St, New Tazewell, TN 37825-6600 | 2016-03-24 |
| 1700160447 | Sarah Lee Barnard | Physician Assistant | 309 N Broad St, New Tazewell, TN 37825-6600 | 2011-09-29 |
| 1508965682 | Heartland Medical P.C. | Clinic/Center | 309 N Broad St, New Tazewell, TN 37825-6600 | 2006-09-22 |
| 1780665745 | Charles H Debusk | Family Medicine | 309 N Broad St, New Tazewell, TN 37825-6600 | 2005-11-08 |
| 1235110206 | Betty L Stone | Physician Assistant | 309 N Broad St, New Tazewell, TN 37825-6600 | 2005-11-08 |
| 1912988965 | Luis C Pannocchia | Emergency Medicine | 309 N Broad St, New Tazewell, TN 37825-6600 | 2005-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801131610 | Emma Hernandez Tenerife | Physical Therapist | 505 Buchanan Road, New Tazewell, TN 37825 | 2012-12-05 |
| 1295959021 | Melvin Keith Donesky | Dentist | 212 Forrest Ave., New Tazewell, TN 37825 | 2007-04-12 |
| 1962533059 | Lisa Ann Mayes | Case Manager/Care Coordinator | 1596 Highway 33 South, New Tazewell, TN 37825 | 2007-03-08 |
| 1679505937 | James P Crutchfield | Optometrist | 409 N Broad St, New Tazewell, TN 37825 | 2006-07-07 |
| 1497257984 | Selena Frazier | Speech-Language Pathologist | 902 Buchanan Rd, New Tazewell, Tn, TN 37825 | 2018-03-01 |
| 1891211165 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 915 Main St, New Tazewell, TN 37825 | 2017-08-18 |
| 1083169171 | Haley Henard Debusk | Physician Assistant | 424 N. Broad Street, New Tazwell, Tazewell, TN 37825 | 2016-08-18 |
| 1508154055 | Dr.melvin Donesky D.d.s. | Dentist | 212 Forrest Ave., New Tazewell, TN 37825 | 2011-07-19 |
| 1437488350 | William Herbert Brooks | Licensed Practical Nurse | 1596 Highway 33 South, New Tazewell, TN 37825 | 2009-12-24 |
| 1366680423 | Jessica Broyles | Dietitian, Registered | 620 Davis Dr, New Tazewell, TN 37825 | 2009-01-28 |
| Find all providers in zip 37825 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508965682 | Heartland Medical P.C. | Clinic/Center | 309 N Broad St, New Tazewell, TN 37825-6600 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588275317 | Henry County Medical Center | Clinic/Center | 300 Hospital Cir Ste 204, Paris, TN 38242-4597 | 2020-08-14 |
| 1447861562 | Henry County Medical Center | Clinic/Center | 14201 Highway 79 N Unit 4, Buchanan, TN 38222-4183 | 2020-08-12 |
| 1003425224 | Dickson Medical Associate, PC | Clinic/Center | 127 Crestview Park Dr Ste 205, Dickson, TN 37055-2856 | 2020-07-23 |
| 1023631454 | Spring City Family Clinic Pllc | Clinic/Center | 126 Lavender St Ste 2, Spring City, TN 37381-5102 | 2020-05-20 |
| 1871001271 | Shelbyville Hospital Company LLC | Clinic/Center | 1330 Cedar Ln Ste 100, Tullahoma, TN 37388-2284 | 2018-01-19 |
| 1720596125 | Shelbyville Hospital Company LLC | Clinic/Center | 1440 Cedar Ln Unit 100, Tullahoma, TN 37388-2262 | 2018-01-19 |
| 1548788458 | Shelbyville Hospital Company LLC | Clinic/Center | 1612 N Main St Ste A, Shelbyville, TN 37160-2392 | 2017-08-31 |
| 1063938520 | Mid-south Convenient Care, Pllc | Clinic/Center | 1445 Us Highway 51 Byp E Ste B, Dyersburg, TN 38024-2127 | 2017-08-16 |
| 1871034462 | Martin Health | Clinic/Center | 143 Kennedy Drive, Martin, TN 38237-3309 | 2017-03-15 |
| 1881135895 | Humboldt Family Walk-in Clinic LLC | Clinic/Center | 1600 Coleman Dr, Humboldt, TN 38343-1756 | 2017-03-10 |
| Find all providers with the same taxonomy | ||||
| City | NEW TAZEWELL |
| Zip Code | 37825 |
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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.