DR. TUNGA TRISHUL REDDY (NPI# 1336379502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336379502 |
| Entity Type | Individual |
| Full Name | DR. TUNGA TRISHUL REDDY |
| Credential | M.D. |
| Practice Address |
415 Broad St Suite 410 Kingsport TN 37660-4263 |
| Practice Telephone | 4237471240 |
| Mailing Telephone | 4237471240 |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2016-05-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
50548 | TN | Allopathic & Osteopathic Physicians |
| N | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
0101251941 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
415 BROAD ST SUITE 410 |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37660-4263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356898639 | Kelsey Bailey Hodges | Physician Assistant | 415 Broad St, Kingsport, TN 37660-4263 | 2016-09-05 |
| 1588045280 | Sara Yarber | Nurse Practitioner | 415 Broad St, Suite 410, Kingsport, TN 37660-4263 | 2015-06-18 |
| 1750773289 | Holly Parkison Justice | Registered Nurse | 415 Broad St, Suite 410, Kingsport, TN 37660-4263 | 2015-02-20 |
| 1831588714 | Linda L. Funk | Registered Nurse | 415 Broad St, Suite 410, Kingsport, TN 37660-4263 | 2015-01-15 |
| 1437589710 | Jennifer Stakias | Nurse Practitioner | 415 Broad St, Suite 410, Kingsport, TN 37660-4263 | 2013-11-22 |
| 1942430111 | Neha Barakam | Family Medicine | 415 Broad St, Suite 410, Kingsport, TN 37660 | 2009-07-21 |
| 1629298757 | Brian Samuel Smith | Emergency Medicine | 415 Broad St, Suite 410, Kingsport, TN 37660-4263 | 2007-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909891 | Nancy Gober | Pharmacist | Holston Valley Medical Center Inpatient Pharmacy, 130 W Ravine, Kingsport, TN 37660 | 2020-07-06 |
| 1700437621 | Tammy Denise Leblanc | Technician | 125 Lancer Rd, Kingsport, TN 37660 | 2019-09-23 |
| 1831743392 | Independent Physical Therapy | Occupational Therapist | 1704 E. Stone Dr. Ste 120, Kingsport, TN 37660 | 2019-08-01 |
| 1871095315 | Macie Anderson | Nurse Practitioner | 411 Clay St, Kingsport, TN 37660 | 2018-03-01 |
| 1053813527 | Pulitzer Orthodontics, LLC | Dentist | 1200 Pulitzer Place, Kingsport, TN 37660 | 2018-03-01 |
| 1174038749 | Sbh-kingsport | Psychiatric Hospital | 1025 Executive Park Blvd, Kingsport, TN 37660 | 2017-12-05 |
| 1548771447 | Sara B Ball | Registered Nurse | 111 W Stone Dr Ste 240, Kingsport, TN 37660 | 2017-10-18 |
| 1821525361 | Ashley Brook Weems | Nurse Practitioner | Six Sheridan Square Suite 100, Kingsport, TN 37660 | 2017-05-15 |
| 1639625643 | Stephanie H Garris | Nurse Practitioner | 117 W Sevier Ave Ste 120, Kingsport, TN 37660 | 2016-08-30 |
| 1073965679 | Teresa Anne Starke | Physician Assistant | 8 Sheridan Square, Suite 110, Kingsport, TN 37660 | 2016-07-07 |
| Find all providers in zip 37660 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992182224 | Steven T. Haywood | Emergency Medicine | 1120 Skyline Dr, Johnson City, TN 37604-3779 | 2015-05-06 |
| 1003173923 | Harold Earl Smith | Emergency Medicine | 2277 Stewarts Ferry Pike, Hermitage, TN 37076-3902 | 2012-04-17 |
| 1942538459 | Michael Alan Dorrity | Emergency Medicine | 2952 Gardens Way, Memphis, TN 38111-2647 | 2009-11-20 |
| 1730322389 | James Robert Davenport | Emergency Medicine | 209 Light Hall, Nashville, TN 37212 | 2009-04-13 |
| 1598938060 | William John Heerman | Emergency Medicine | Vanderbilt Medical Center 1215 21st Ave S, 7th Floor, Mce, Suite 2, North Tower, Nashville, TN 37232-0001 | 2008-04-07 |
| 1669556148 | Adejoke Foluke Aina-babalola | Emergency Medicine | 6716 Nolensville Pike, Suite 240, Brentwood, TN 37027-8805 | 2006-10-24 |
| 1003912148 | Richard W. Babin | Emergency Medicine | 506 S Yates Rd, Memphis, TN 38120-2436 | 2006-09-16 |
| 1679502314 | Meifung Kerley | Emergency Medicine | Lamont Street, Mountain Home, TN 37684 | 2006-07-03 |
| 1376579730 | Douglas Wister Ligon | Emergency Medicine | 4895 East Main St, Ste A, Erin, TN 37061 | 2006-06-25 |
| 1518912195 | Ralf Joffe | Emergency Medicine | 522 Treyburn Dr, Knoxville, TN 37934-0899 | 2006-05-23 |
| Find all providers with the same taxonomy | ||||
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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.