TABOR FAMILY MEDICINE PLLC (NPI# 1417155292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417155292 |
| Entity Type | Organization |
| Organization Name | TABOR FAMILY MEDICINE PLLC |
| Practice Address |
406 N Whitney Ave Ste 3 Cookeville TN 38501-2455 |
| Mailing Address |
406 N Whitney Ave Ste 3 Cookeville TN 38501-4243 |
| Practice Telephone | 9315376367 |
| Mailing Telephone | 9315376367 |
| Mailing Fax Number | 9315264512 |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2008-04-23 |
| Authorized Official Name | DR. KIMBERLY A TABOR (OWNER) |
| Authorized Official Telephone | 9315264600 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | DO1379 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1417155292 | 05 |
| Street Address |
406 N WHITNEY AVE STE 3 |
| City | COOKEVILLE |
| State | TN |
| Zip Code | 38501-2455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053618074 | Laura Rene Goff | Nurse Practitioner | 406 N Whitney Ave Ste 3, Cookeville, TN 38501 | 2011-02-28 |
| 1417181934 | Rohini Kasturi | Internal Medicine | 406 N Whitney Ave Ste 3, Cookeville, TN 38501 | 2009-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596711 | Results-ast Jv, LLC | Physical Therapist | 627 James Campbell Blvd, South, Suite B, Columbia, TN 38501 | 2020-10-21 |
| 1376167080 | Melinda Jane Jetter | Registered Nurse | 320 North Willow Avenue, Cookeville, TN 38501 | 2020-05-29 |
| 1366950875 | Tara Beth Smith | Occupational Therapist | 315 N Washington Ave Ste 240, Cookeville, TN 38501 | 2018-01-18 |
| 1669990339 | Tonya Rachelle Perry | Counselor | 13 South Jefferson Ave, Cookeville, TN 38501 | 2017-09-01 |
| 1659896207 | Dustin Chase Rich | Physical Therapist | 105 S. Willow Ave, #100, Cookeville, TN 38501 | 2017-08-04 |
| 1487009668 | Holly Young | Physical Therapist | 315 North Washungton Ave., Suite 240, Cookeville, TN 38501 | 2016-04-26 |
| 1194190306 | Johnna Sprague | Nurse Practitioner | 620 S. Jefferson Ave, Suite 202, Cookeville, TN 38501 | 2015-12-14 |
| 1881099885 | Carlos Alberto Podesta | Internal Medicine | 238 W 4th St Ste 200, Cookeville, TN 38501 | 2014-11-03 |
| 1124445002 | Shashank Sarvepalli | Internal Medicine | 1 Medical Center Blvd Ste D, Cookeville, TN 38501 | 2014-03-27 |
| 1689095762 | Kendra Hicks | Licensed Practical Nurse | 701 County Services Drive, Cookeville, TN 38501 | 2013-12-17 |
| Find all providers in zip 38501 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356682819 | James Lanier Jr. | Family Medicine | 1041 Sugartree Pt, Cookeville, TN 38501-4535 | 2013-03-08 |
| 1134339278 | Hunter A Stenzel | Family Medicine | 1080 Neal St Ste 103, Cookeville, TN 38501 | 2007-05-23 |
| 1508989450 | Brent Davis Staton | Family Medicine | 1135 S Walnut Ave, Cookeville, TN 38501-5961 | 2007-04-07 |
| 1306976352 | Clarence L Jones Md PC | Family Medicine | 222 N Oak Ave, Cookeville, TN 38501-2438 | 2007-03-07 |
| 1043376544 | Kenny W. Lynn, M.d. | Family Medicine | 210 N Cedar Ave, Cookeville, TN 38501-2419 | 2006-12-29 |
| 1821107574 | James G Staggs | Family Medicine | 753b Humble Dr, Cookeville, TN 38501-3777 | 2006-08-29 |
| 1891719274 | Harold A Chertok | Family Medicine | 445 N Cedar Ave, Cookeville, TN 38501-2422 | 2006-07-27 |
| 1295706356 | Pamela J Sanders | Family Medicine | 43 Church Ave, Cookeville, TN 38501-3217 | 2006-01-27 |
| 1588645196 | Pardeep K Sharma | Family Medicine | 221 N Oak Ave, Cookeville, TN 38501-2437 | 2005-11-10 |
| 1851380406 | Chet M Gentry | Family Medicine | 3300 Williams Enterprise Dr, Cookeville, TN 38506-4280 | 2005-10-17 |
| Find all providers in COOKEVILLE | ||||
| City | COOKEVILLE |
| Zip Code | 38501 |
Please comment or provide details below to improve the information on TABOR FAMILY MEDICINE PLLC.
| 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.