FASIKA GETAHUN GEBREMARIAM


Address: 4248 October Woods Dr, Antioch, TN 37013-4876
Phone: 6158157892

FASIKA GETAHUN GEBREMARIAM (NPI# 1336499698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336499698
Entity Type Individual
Full Name FASIKA GETAHUN GEBREMARIAM
Credential CERTIFICATE
Practice Address 4248 October Woods Dr
Antioch
TN 37013-4876
Practice Telephone 6158157892
Mailing Telephone 6158157892
Enumeration Date 2012-09-14
Last Update Date 2012-09-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 247100000X Radiologic Technologist 478337 TN Technologists, Technicians & Other Technical Service Providers
N 2471M1202X Radiologic Technologist
Specialization: Magnetic Resonance Imaging
478337 TN Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 4248 OCTOBER WOODS DR
City ANTIOCH
State TN
Zip Code 37013-4876

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1003354614 Bridgestone Pharmacy LLC Pharmacy 825 Hamilton Crossings, Antioch, TN 37013 2017-02-02
1215388947 Stattee Medical Transpoprtation Inc Non-emergency Medical Transport (VAN) 340 Schoolhouse Ct, Antioch, TN 37013 2016-06-23
1518313055 Alisha Lampley Counselor 804 Thomas Bay Court, Antioch, TN 37013 2016-05-13
1467821835 Clifton Mcdaniel Respiratory Therapist, Certified 3165 Skinner Dr, Antioch, TN 37013 2015-09-16
1497149884 Frank Hamilton Anderson Iv Family Medicine 2572 Treetop Dr, Antioch, TN 37013 2015-03-24
1013356757 Kevin Eugene Groh Physician Assistant 5380 Hickory Hollow Pkwy Ste 201, Antioch, TN 37013 2013-06-16
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Taxonomy Information

Taxonomy Code 247100000X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Radiologic Technologist

Taxonomy Definition

An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215189576 Calvin Carter Jamel Jr. Radiologic Technologist 1912 Streamfield Ct, Antioch, TN 37013-5753 2008-10-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1922483023 Abigail Bargatze Radiologic Technologist 1708 Elm Run Way, Nashville, TN 37214 2015-07-30
1356721245 Davin Ray Modisette Radiologic Technologist 18 Northland Dr, Jackson, TN 38301-3308 2015-06-04
1235568346 Beata Joanna Czartoryski Radiologic Technologist 195 Lasalle Rd, Oak Ridge, TN 37830-8548 2013-11-08
1265786446 Franklin County Diagnostics, LLC Radiologic Technologist 25 Veterans Dr, Decherd, TN 37324-3887 2012-11-09
1851641567 Trinity Mobile X-ray Radiologic Technologist 6431 Wade Springs Rd, Murfreesboro, TN 37130-8719 2012-09-11
1922356021 Jannnekee Burchett Radiologic Technologist 5292 Bradcliff St, Memphis, TN 38109-7504 2012-08-21
1265796114 Brandon Dean Wingate Radiologic Technologist 323 Savannah Rdg, Murfreesboro, TN 37127-8331 2012-06-26
1689900474 The Medical Matter LLC Radiologic Technologist 23 Gann Rd, Milan, TN 38358-6518 2009-10-28
1932319472 Maria M Mcneal Radiologic Technologist 5287 Scrivener Dr, Memphis, TN 38134-8453 2007-05-23
1750998464 Matthew Porch Radiologic Technologist 877 Jefferson Ave, Memphis, TN 38103-2807 2020-09-26
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Competitor

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City ANTIOCH
Zip Code 37013

Improve Information

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Dataset Information

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.

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