DR. JOSH SHOOK (NPI# 1396748190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396748190 |
| Entity Type | Individual |
| Full Name | DR. JOSH SHOOK |
| Credential | MD |
| Practice Address |
2033 Meadowview Ln Ste 200 Kingsport TN 37660-7569 |
| Mailing Address |
Po Box 9 Kingsport TN 37662-0009 |
| Practice Telephone | 4238572260 |
| Practice Fax Number | 4238572261 |
| Mailing Telephone | 4238572066 |
| Mailing Fax Number | 4238572070 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2009-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD 35363 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | PENDING | 05 | |
| VA | 010086281 | 05 | |
| TN | 3888326 | 05 |
| Street Address |
2033 MEADOWVIEW LN STE 200 |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37660-7569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508869348 | Kathryn Backus | Nurse Practitioner | 2033 Meadowview Ln, Ste 200, Kingsport, TN 37660-7569 | 2005-05-24 |
| 1245632637 | Jamie Bright | Nurse Practitioner | 2033 Meadowview Ln, Ste 200, Kingsport, TN 37660-7569 | 2014-09-17 |
| 1841433059 | New Horizons Plastic Surgery LLC | Surgery | 2033 Meadowview Ln, Suite 110, Kingsport, TN 37660-7569 | 2009-04-17 |
| 1881859882 | Remigiusz Jan Switalski | Family Medicine | 2033 Meadowview Ln, Ste 200, Kingsport, TN 37660-7569 | 2008-07-20 |
| 1134313265 | Jennifer Gordon Shafer | Family Medicine | 2033 Meadowview Ln, Ste 200, Kingsport, TN 37660-7569 | 2007-08-31 |
| 1023157195 | Vishant Shah | Internal Medicine | 2033 Meadowview Ln, 3rd Floor, Kingsport, TN 37660-7569 | 2007-02-06 |
| 1740372267 | Curtis Matthew Jantzi | Family Medicine | 2033 Meadowview Ln, Ste 200, Kingsport, TN 37660-7569 | 2006-09-29 |
| 1629017025 | Mircea Boiciuc | Hospitalist | 2033 Meadowview Ln, Ste 200, Kingsport, TN 37660-7569 | 2006-06-04 |
| 1730180423 | Eric C Potter | Internal Medicine | 2033 Meadowview Ln, Ste 200, Kingsport, TN 37660-7569 | 2005-08-03 |
| 1992706931 | Srinivas Ananthula | Internal Medicine | 2033 Meadowview Ln, 3rd Floor, Kingsport, TN 37660-7569 | 2005-08-01 |
| Find all providers in the same location | ||||
| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346484862 | Sarah S Youssef | Pediatrics | 105 W Stone Dr Ste 2a, Kingsport, TN 37660 | 2009-04-28 |
| 1124045646 | Arthur Garrett | Pediatrics | 2212 N John B Dennis Pkwy, Kingsport, TN 37660-5894 | 2006-07-17 |
| 1841293560 | Nicole M Miller | Pediatrics | 2002 Brookside Dr, Suite 200, Kingsport, TN 37660-4634 | 2005-05-27 |
| 1689677304 | Joseph Ley | Pediatrics | 105 West Stone Drive, Ste 2a, Kingsport, TN 37660-6027 | 2005-05-27 |
| 1538162359 | Amy L Marlow | Pediatrics | 2002 Brookside Dr Ste 200, Kingsport, TN 37660-4634 | 2005-05-24 |
| 1992105431 | Bblue Ridge Medical Management Corporation | Pediatrics | 2002 Brookside Dr, Suite 200, Kingsport, TN 37660-4634 | 2014-09-03 |
| 1962846519 | Danielle Lauren Street | Pediatrics | 105 W Stone Dr Ste 2a, Kingsport, TN 37660-3365 | 2013-04-25 |
| 1396049938 | Blue Ridge Medical Management Corporation | Pediatrics | 2204 Pavilion Dr, Suite 210, Kingsport, TN 37660-4657 | 2010-12-22 |
| 1063730943 | Jennifer A Rose | Pediatrics | 2002 Brookside Dr Ste 200, Kingsport, TN 37660-4634 | 2010-05-17 |
| 1083870539 | Brittney R Terry | Pediatrics | 2002 Brookside Dr Ste 200, Kingsport, TN 37660-4634 | 2008-08-04 |
| Find all providers in KINGSPORT | ||||
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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.