JAMES H. QUILLEN/VAMC (NPI# 1265549992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265549992 |
| Entity Type | Organization |
| Organization Name | JAMES H. QUILLEN/VAMC |
| Practice Address |
Corner of Sidney and Lamont Johnson City TN 37684 |
| Practice Telephone | 4239261171 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2009-01-27 |
| Authorized Official Name | DR. DAVID LANE (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 4239261171 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | MD16826 | TN | Ambulatory Health Care Facilities |
| Street Address |
CORNER OF SIDNEY AND LAMONT |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730524 | Kendra Lee Thorne | Psychologist | Corner of Lamont St and Veterans Way, Building 160, Mountain Home, TN 37684 | 2020-11-04 |
| 1255930160 | Maximillian Scott Crockett | Optometrist | James. H Quillen Vamc, Eye Clinic 112e, Mountain Home, TN 37684 | 2020-10-21 |
| 1699393256 | Joshua Thomas Spencer | Pharmacist | Veterans Way and Lamont St, Mountain Home, TN 37684 | 2020-07-10 |
| 1073140265 | James Hankil Kim | Student in an Organized Health Care Education/Training Program | Building 52/lake Drive, Mountain Home, TN 37684 | 2020-03-26 |
| 1932736030 | Trishna Sharma | Student in an Organized Health Care Education/Training Program | Building 52/lake Drive Mountain Home, Johnson City, TN 37684 | 2020-03-26 |
| 1508421884 | Sarvatit Patel | Student in an Organized Health Care Education/Training Program | 52 Lake Dr, Mountain Home, TN 37684 | 2019-05-02 |
| 1902366024 | Katelyn Cserjes | Student in an Organized Health Care Education/Training Program | Building 52 Lake Drive Va Medical Center, Mountain Home, TN 37684 | 2019-03-24 |
| 1114404282 | Anesa Ellen Hughes | Pharmacist | Veterans Way and Lamont St Mountain Home, Mountain Home, TN 37684 | 2018-07-23 |
| 1508352287 | Leon Nguyen | Optometrist | James H. Quillen Vamc - Lamont St & Veterans Way, Eye Clinic 112e, Mountain Home, TN 37684 | 2018-07-06 |
| 1649761750 | Bahaaeldin Ibrahim Mahmoud Youssef | Student in an Organized Health Care Education/Training Program | Va Building 1 Carl A Jones Hall, Dogwood Avenue, Mountain Home, TN 37684 | 2018-05-24 |
| Find all providers in zip 37684 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861013864 | Blue Ridge Medical Management C Orporation | Clinic/Center | 403 Princeton Rd Ste 10, Johnson City, TN 37601-2062 | 2020-04-30 |
| 1457585770 | Brian Hofung, Md, Pllc | Clinic/Center | 602 N Roan St, Suite #2, Johnson City, TN 37601-4763 | 2009-05-14 |
| 1861525578 | Carpathian Dental Assoc | Clinic/Center | 515 Columbia Drive, Johnson City, NY 13790 | 2007-03-13 |
| 1013972801 | United Medical Associates PC | Clinic/Center | 346 Grand Avenue, United Medical Associates PC, Johnson City, NY 13790 | 2006-04-18 |
| 1134681000 | Sofha Acute Care Clinic LLC | Clinic/Center | 2528 Wesley St Ste 2, Johnson City, TN 37601-1766 | 2019-04-01 |
| 1750733457 | Karing Hearts Cardiology | Clinic/Center | 701 N State of Franklin Rd, Ste 2, Johnson City, TN 37604-3645 | 2016-07-06 |
| 1093169443 | Evidence Based Addiction Medicine | Clinic/Center | 205 High Point Dr, Johnson City, TN 37601-1503 | 2016-04-21 |
| 1154613511 | Appalchain Skin and Lasar Dba Ageless Skin and Laser | Clinic/Center | 303 Med Tech Pkwy, Suite 110, Johnson City, TN 37604-2364 | 2011-05-04 |
| 1962617126 | Tlc The Laser Center (tri-cities) Inc | Clinic/Center | 1019 W Oakland Ave, Ste. 2, Johnson City, TN 37604-2357 | 2007-05-11 |
| 1326111873 | Physical Therapy Services, P.a. | Clinic/Center | 401 E Main St, Suite 5, Johnson City, TN 37601-4877 | 2006-11-15 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37684 |
Please comment or provide details below to improve the information on JAMES H. QUILLEN/VAMC.
| 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.