MYESA H EMBERESH (NPI# 1306251269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306251269 |
| Entity Type | Individual |
| Full Name | MYESA H EMBERESH |
| Practice Address |
400 N. State of Franklin Road St. Jude's Tri-cities Affiliate Johnson City TN 37604 |
| Mailing Address |
Po Box 699 Mountain Home TN 37684-0699 |
| Practice Telephone | 4234313950 |
| Practice Fax Number | 4234313958 |
| Mailing Telephone | 4234313950 |
| Enumeration Date | 2014-06-29 |
| Last Update Date | 2020-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
MD61093 | TN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 1306251269 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3333 Burnet Ave, Cincinnati, OH 452293026 | 5136364200 | |
| 400 N. State of Franklin Road, St. Jude's Tri-cities Affiliate, Johnson City, TN 37604 | 4234313950 | 4234313958 |
| Street Address |
400 N. STATE OF FRANKLIN ROAD ST. JUDE'S TRI-CITIES AFFILIATE |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| Find all providers in zip 37604 | ||||
| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316216336 | Medical Education Assistance Corporation | Pediatrics | 400 N State of Franklin Rd, Johnson City, TN 37604 | 2011-12-20 |
| 1437141843 | Kathryn Jean Klopfenstein | Pediatrics | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 | 2005-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235438698 | Mireya Paulina Velasquez | Pediatrics | 262 Danny Thomas Pl # Ms 310, Memphis, TN 38105-3678 | 2011-03-23 |
| 1134448624 | Emmanuel John Volanakis | Pediatrics | 113 Hardingwoods Pl, Nashville, TN 37205-3611 | 2010-05-24 |
| 1215100011 | Clinton Michael Carroll | Pediatrics | 330 23rd Ave N Ste 450, Nashville, TN 37203-1661 | 2008-04-12 |
| 1003089590 | Michael William Bishop | Pediatrics | 262 Danny Thomas Pl # Ms 260, Memphis, TN 38105-3678 | 2008-04-07 |
| 1649463183 | Adam Esbenshade | Pediatrics | 397 Prb 2220 Pierce Ave, Nashville, TN 37232-0001 | 2007-08-18 |
| 1346372117 | Donald K Strickland Jr. | Pediatrics | 9190 Beaver Valley Ln, Cordova, TN 38018-7722 | 2007-03-09 |
| 1750453783 | Thomas David Miale | Pediatrics | 2001 Laurel Ave Ste N401, Newland Professional Building Fort Sanders Regional Mc, Knoxville, TN 37916-1810 | 2006-11-14 |
| 1861495889 | Melissa M Hudson | Pediatrics | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2005-05-23 |
| 1467455592 | Rupert Handgretinger | Pediatrics | St. Jude Children's Research Hospital, 332 N Lauderdale St., Ms 0515, Memphis, TN 38105-2794 | 2005-05-23 |
| 1114493095 | Gina Marie Norman | Pediatrics | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2018-10-18 |
| Find all providers with the same taxonomy | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
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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.