DR. GILBERT BAZALDUA (NPI# 1417011008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417011008 |
| Entity Type | Individual |
| Full Name | DR. GILBERT BAZALDUA |
| Credential | M.D. |
| Practice Address |
614b Hwy 76 White House TN 37188 |
| Mailing Address |
Po Box 328 White House TN 37188-0328 |
| Practice Telephone | 6156723767 |
| Practice Fax Number | 6156721118 |
| Mailing Telephone | 6156723767 |
| Mailing Fax Number | 6156721118 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2011-01-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | MD012487 | TN | Other Service Providers |
| Y | 207R00000X | Internal Medicine | MD12487 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | CLIA | 44D0307958 | 01 |
| TN | BLUE CROSS | 003132265 | 01 |
| Street Address |
614B HWY 76 |
| City | WHITE HOUSE |
| State | TN |
| Zip Code | 37188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909350 | Brandie White | Dentist | 2823 Hwy 31w South Ste 300, White House, TN 37188 | 2020-10-16 |
| 1790336147 | Seven Springs Orthopaedics, PC | Physical Therapist | 707 Highway 76, White House, TN 37188 | 2019-09-26 |
| 1689194623 | Philip B Vickery Frederick L Jones Jr Dba The Smile Center | Dentist | 2823 Hwy 31 W South, White House, TN 37188 | 2017-06-21 |
| 1699213868 | Aaron Pitts | Nurse Practitioner | 305 Skyline Dr, White House, TN 37188 | 2017-02-07 |
| 1609266097 | Blerta Abdi Selden | Dentist | 520 Tn 76, Suite 9, White House, TN 37188 | 2015-01-23 |
| 1538498399 | Elizabeth Price | Nurse Practitioner | 510 West Hwy 76, White House, TN 37188 | 2009-12-08 |
| 1790950020 | Beverly Matthews | Nurse Practitioner | 128 Raymond Hirsch Parkway, Whitehouse, TN 37188 | 2008-04-28 |
| 1417126103 | Wal-mart Stores East, Lp | Eyewear Supplier (Equipment, not the service) | 222 Wilkinson Lane, White House, TN 37188 | 2008-02-27 |
| 1528249737 | Crossroads Sleep Center,pllc | Clinical Medical Laboratory | 491 Sage Road, Suite 300, White House, TN 37188 | 2007-11-15 |
| 1952596694 | White House Health Care Inc | Assisted Living Facility | 100 Clinton Dr, White House, TN 37188 | 2007-09-06 |
| Find all providers in zip 37188 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841816485 | Bulls Gap Medical and Walk In Clinic | Internal Medicine | 273 Highway 11 E Ste A, Bulls Gap, TN 37711-3434 | 2020-06-19 |
| 1043856677 | Pac of Tennessee PC | Internal Medicine | 1958 West State Street, Suite 2, Bristol, TN 37620-2257 | 2019-11-19 |
| 1730739442 | Megan Elizabeth Wagner | Internal Medicine | 220 Eauclair St, Kingsport, TN 37664-4840 | 2019-09-14 |
| 1649825258 | Daniel Cusator | Internal Medicine | 9258 Wardley Park Ln, Brentwood, TN 37027-4465 | 2019-08-09 |
| 1508423799 | Priority Health, Pllc | Internal Medicine | 486 Bells Chapel Rd, Dyer, TN 38330-3028 | 2019-05-22 |
| 1326603911 | Tennessee Health Partners LLC | Internal Medicine | 5300 Maryland Way Ste 103, Brentwood, TN 37027-5074 | 2019-05-08 |
| 1740757764 | Advanced Diagnostic Imaging, PC | Internal Medicine | 2340 Fairview Boulevard, Suite 600d, Fairview, TN 37062 | 2018-10-29 |
| 1881179844 | Mtn Care, Pllc | Internal Medicine | 5543 Edmondson Pike # 231, Nashville, TN 37211-5808 | 2018-09-26 |
| 1427546415 | Christopher Nelson | Internal Medicine | 5100 Poplar Ave Ste 512, Memphis, TN 38137-0500 | 2018-04-25 |
| 1053810457 | Noi Nuyen Md, Pllc | Internal Medicine | 214 Prosperity Dr, Knoxville, TN 37923-4702 | 2018-02-12 |
| Find all providers with the same taxonomy | ||||
| City | WHITE HOUSE |
| Zip Code | 37188 |
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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.