UCSC PRIMARY CARE - UNION COUNTY LLC (NPI# 1386924686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386924686 |
| Entity Type | Organization |
| Organization Name | UCSC PRIMARY CARE - UNION COUNTY LLC |
| Practice Address |
598 John Deere Dr Maynardville TN 37807-3212 |
| Practice Telephone | 8659512012 |
| Practice Fax Number | 8659512575 |
| Mailing Telephone | 8659512012 |
| Mailing Fax Number | 8659512575 |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2011-08-18 |
| Authorized Official Name | PATRICK DOWNEY (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8659512012 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | MD36206 | TN | Other Service Providers |
| Street Address |
598 JOHN DEERE DR |
| City | MAYNARDVILLE |
| State | TN |
| Zip Code | 37807-3212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821392937 | Union Family Medicine | Physician Assistant | 598 John Deere Dr, Maynardville, TN 37807-3212 | 2011-01-04 |
| 1881033959 | Prodigal Primary Care PC | Durable Medical Equipment & Medical Supplies | 598 John Deere Dr, Maynardville, TN 37807-3212 | 2013-06-21 |
| 1497037451 | Ucsc Primary Care | Nurse Practitioner | 598 John Deere Dr, Maynardville, TN 37807-3212 | 2011-09-15 |
| 1720374697 | Kayla Renee Brummitte Newcomb | Nurse Practitioner | 598 John Deere Dr, Maynardville, TN 37807-3212 | 2011-06-20 |
| 1770872087 | Holly Apodaca | Physician Assistant | 598 John Deere Dr, Maynardville, TN 37807-3212 | 2011-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497368815 | Ian Carter Mccormick | Pharmacist | 2710 Maynardville Highway, Maynardville, TN 37807 | 2020-08-25 |
| 1053963975 | Maynardville Drug LLC | Pharmacy | 2975 Maynardville Hwy, Maynardville, TN 37807 | 2019-07-11 |
| 1811014533 | Leah Renee Lewis | Specialist/Technologist | 108 Harmon Drive, Maynardville, TN 37807 | 2007-03-26 |
| 1659497394 | Mohammad Bhidya Md PC | Nurse Practitioner | 2595 Maynardville Hwy, Maynardville, TN 37807 | 2007-03-22 |
| 1053350363 | Thomas J Demaro | Emergency Medicine | 598 John Deere Drive, Maynardville, TN 37807 | 2006-06-05 |
| 1881117521 | Kristy Michille Bolt | Registered Nurse | 4330 Maynardville Hwy, Maynardville, TN 37807 | 2017-07-25 |
| 1275986333 | Ashley Nicole Russell | Counselor | 4330 Maynardville Hwy, Maynardville, TN 37807 | 2016-07-13 |
| 1134504764 | East Tennessee Physical Therapy,llc | Clinic/Center | 4357 Maynardville Hwy, Maynardville, TN 37807 | 2015-07-24 |
| 1962843409 | Mary Elizabeth Phillips | Social Worker | 4330 Maynardville Hwy, Maynardville, TN 37807 | 2013-07-12 |
| 1447500731 | Julie M Roberts | Pharmacist | 4344 Maynardville Hwy, Maynardville, TN 37807 | 2012-09-13 |
| Find all providers in zip 37807 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689288755 | Indi Arrington Shelton | Contractor | 1904 Meharry Blvd # 3, Nashville, TN 37208-2900 | 2020-09-04 |
| 1962021568 | Roberto Antonio Moreno Gonzalez | Contractor | 10226 Stellata Ln, Apison, TN 37302-1706 | 2020-04-13 |
| 1184261299 | Chester Arthur Ashford Jr. | Contractor | 10257 Eveninghill Dr, Cordova, TN 38016-0334 | 2019-12-09 |
| 1104469147 | Tami Lea Davis | Contractor | 3608 Highway 230, Hurricane Mills, TN 37078-2163 | 2019-10-22 |
| 1093366569 | Lisa Isom | Contractor | 485 Hazelwood Rd, Memphis, TN 38109-3259 | 2019-09-25 |
| 1366002396 | Thomas Eddins | Contractor | 4646 Poplar Ave Ste 437, Memphis, TN 38117-4443 | 2019-06-20 |
| 1124588082 | Mary Campbell | Contractor | 6220 Shallowford Rd Apt 573, Chattanooga, TN 37421-6921 | 2019-03-25 |
| 1275090649 | Cure Orthopedics, LLC | Contractor | 4327 Signal Hill Dr, Nashville, TN 37205-3821 | 2019-02-21 |
| 1306302021 | Antuan Eugenia Cornelius | Contractor | 813 Peachers Mill Rd, Clarksville, TN 37042-5419 | 2019-02-18 |
| 1144746645 | Mobility At Home LLC | Contractor | 6307 E Brainerd Rd, Chattanooga, TN 37421 | 2017-08-16 |
| Find all providers with the same taxonomy | ||||
| City | MAYNARDVILLE |
| Zip Code | 37807 |
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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.