WT MEDICAL ASSOCIATES (NPI# 1295223279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295223279 |
| Entity Type | Organization |
| Organization Name | WT MEDICAL ASSOCIATES |
| Practice Address |
1629 Woodlawn Ave Dyersburg TN 38024 |
| Mailing Address |
1804 Highway 45 Byp Ste 604 Jackson TN 38305-4403 |
| Practice Telephone | 7315121277 |
| Practice Fax Number | 7312851440 |
| Mailing Telephone | 7316608759 |
| Mailing Fax Number | 7316608739 |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2018-11-08 |
| Authorized Official Name | BARTLEY TEAGUE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7315121277 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q037006 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1055 Vendall Rd Ste A, Dyersburg, TN 380241622 | 7312859938 | 7312879764 |
| 1270 Union University Dr Ste A, Jackson, TN 383053856 | 7316640103 | 7312656448 |
| 143 Kennedy Dr, Martin, TN 382373309 | 7315875321 | 7315872555 |
| 1716 Parr Ave Ste B, Dyersburg, TN 380242074 | 7312883375 | 7312883379 |
| 1716 Parr Ave Ste C, Dyersburg, TN 380242074 | 7312852324 | 7312851440 |
| 1716 Parr Ave Ste F, Dyersburg, TN 380242074 | 7312851933 | 7312851934 |
| 1718 Parr Ave Ste A, Dyersburg, TN 380242075 | 7312854104 | 7312858157 |
| 1718 Parr Ave Ste B, Dyersburg, TN 380242075 | 7312864445 | 7312864452 |
| 1718 Parr Ave Ste C, Dyersburg, TN 380242075 | 7312882447 | 7312882448 |
| 1718 Parr Ave Ste E, Dyersburg, TN 380242071 | 7312882452 | 7312883371 |
| 21 Meridian Springs Dr, Jackson, TN 383015900 | 7312560526 | 7312561720 |
| 31 Physicians Dr, Jackson, TN 383052071 | 7316689791 | 7315123548 |
| 379 Hospital Blvd, Jackson, TN 383052080 | 7316605160 | 7319848358 |
| 420 Wilkinson Dr Fl 2, Dyersburg, TN 380242085 | 7312855133 | 7312856028 |
| 455 E Parkview St, Dyersburg, TN 380243111 | 7312852100 | 7312856419 |
| 462 S Church St, Halls, TN 380401555 | 7318369303 | 7318368603 |
| 503 E Tickle St Ste A, Dyersburg, TN 380243165 | 7312855244 | 7312883379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427604198 | Wt Medical Associates | Clinic/Center | 1720 Woodlawn Ave Ste 1, Dyersburg, TN 38024-1300 | 2019-08-17 |
| Street Address |
1629 WOODLAWN AVE |
| City | DYERSBURG |
| State | TN |
| Zip Code | 38024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194868117 | Valerie J Bledsoe | Registered Nurse | 1629 Woodlawn Ave, Dyersburg, TN 38024-2025 | 2007-02-15 |
| 1346419173 | Center for Adult Healthcare LLC | Nurse Practitioner | 1629 Woodlawn Ave, Dyersburg, TN 38024-2025 | 2008-02-26 |
| 1437367802 | Dyersburg Hospital Corporation | Durable Medical Equipment & Medical Supplies | 1629 Woodlawn Ave, Dyersburg, TN 38024-2025 | 2007-05-18 |
| 1780710244 | Kathy R Chandler | Registered Nurse | 1629 Woodlawn Ave, Dyersburg, TN 38024-2025 | 2007-02-26 |
| 1386788362 | Audra Boyd | Registered Nurse | 1629 Woodlawn Ave, Dyersburg, TN 38024-2025 | 2007-02-16 |
| 1871636878 | Marilyn C. Wortman | Registered Nurse | 1629 Woodlawn Ave, Dyersburg, TN 38024 | 2007-02-15 |
| 1295878296 | Suzanne C. Constant | Registered Nurse | 1629 Woodlawn Ave, Dyersburg, TN 38024 | 2007-02-15 |
| 1336282359 | Mary R. Johnson | Registered Nurse | 1629 Woodlawn Ave, Dyersburg, TN 38024-2025 | 2007-02-15 |
| 1396888301 | Linda F. Reeves | Registered Nurse | 1629 Woodlawn Ave, Dyersburg, TN 38024 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235760273 | Alison Clement | Nurse Practitioner | 750 W Highway 51 Bypass, Dyersburg, TN 38024 | 2020-01-29 |
| 1861030652 | Pagela Jobe | Nurse Practitioner | 750 West Highway 51 Bypass, Dyersburg, TN 38024 | 2019-12-12 |
| 1083184055 | Whitney Young | Nurse Practitioner | 455 East Parkview, Dyersburg, TN 38024 | 2018-12-03 |
| 1518434067 | Myeyedr Optometry of Tennessee, LLC | Optometrist | 400 Us Hwy 51 S, Dyersburg, TN 38024 | 2018-11-01 |
| 1225529142 | Kidney Experts Pllc | Internal Medicine | 1575 Parr Ave # B, Dyersburg, TN 38024 | 2018-05-25 |
| 1407344690 | Darnisha Williams | Pharmacist | 2650 Lake Road, Dyersburg, TN 38024 | 2018-04-24 |
| 1376081547 | Chasidy Branch | Counselor | 640 U.S. Highway 51 Bypass E. Suite M, Dyersburg, TN 38024 | 2017-02-07 |
| 1548671845 | Shree Ramakant Mulay | Internal Medicine | 1575 Parr Ave Ste B, Dyersburg, TN 38024 | 2014-05-08 |
| 1588904965 | Selina Carol Purvis | Physical Therapy Assistant | 1900 Parr Avenue, Dyersburg, TN 38024 | 2013-02-22 |
| 1326396029 | Tennessee Sleep Managment LLC | Clinic/Center | 1190 Hwy 51 By-pass West, Suite C, Dyersburg, TN 38024 | 2012-08-28 |
| Find all providers in zip 38024 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1093965402 | Sujit Pradhan Nagarkoti | Internal Medicine | 2335 Federal Dr, D 14, Dyersburg, TN 38024-1944 | 2008-09-22 |
| 1104810704 | William Neil Mckee | Internal Medicine | 1700 Woodlawn Ave, Dyersburg, TN 38024-2028 | 2005-09-09 |
| 1457352577 | Ravinder K Machra | Internal Medicine | 1067 Vendall Rd Ste A, Dyersburg, TN 38024 | 2005-08-10 |
| 1184625634 | First Choice Medical Care Pllc | Internal Medicine | 1950 Cook St, Ste D, Dyersburg, TN 38024 | 2005-08-09 |
| 1609871169 | Baker Lee Stewart | Internal Medicine | 503 E Tickle St, Dyersburg, TN 38024-3165 | 2005-06-20 |
| 1689677296 | Rauf Baba | Internal Medicine | 1716 Parr Ave Ste F, Dyersburg, TN 38024 | 2005-05-27 |
| 1457762304 | Anna Jiyoung Lee-mulay | Internal Medicine | 1575 Parr Ave Ste B, Dyersburg, TN 38024 | 2014-05-14 |
| 1750717195 | Forked Deer River Inpatient Services, Pllc | Internal Medicine | 400 E Tickle St, Dyersburg, TN 38024-3120 | 2013-09-17 |
| 1720365299 | Wajeed Mohammed Masood | Internal Medicine | 400 E Tickle St, Dyersburg, TN 38024-3120 | 2011-11-10 |
| 1003985581 | Daniel P Green | Internal Medicine | 305 E Tickle St, Dyersburg, TN 38024-3117 | 2006-11-07 |
| Find all providers in DYERSBURG | ||||
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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.