THOMAS NELSON (NPI# 1417901794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417901794 |
| Entity Type | Individual |
| Full Name | THOMAS NELSON |
| Credential | M.D. |
| Practice Address |
104 E Main St Rutherford TN 38369-9711 |
| Mailing Address |
17 Quail Rdg Trenton TN 38382-4000 |
| Practice Telephone | 7316657741 |
| Mailing Telephone | 7318554283 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2008-06-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 29728 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3898024 | 05 | |
| TN | CIGNA HEALTHCARE PROVIDER | 8081169 | 01 |
| TN | TLC PROVIDER NUMBER | 32094 | 01 |
| TN | BCBS PROVIDER NUMBER | 4088427 | 01 |
| TN | AETNA PROVIDER NUMBER | 7725301 | 01 |
| TN | UNISON PROVIDER NUMBER | 157873 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922558303 | Thomas Nelson | Counselor | 5749 Gold Crest Dr, Bossier City, LA 71112-8818 | 2016-10-10 |
| 1205207446 | Thomas Nelson | Counselor | 1215 W De La Vista Ct, Pueblo West, CO 81007-6187 | 2015-10-14 |
| 1508293713 | Thomas J Nelson | Psychiatry & Neurology | 22713 S Ellsworth Rd Ste 101, Queen Creek, AZ 85142 | 2013-10-02 |
| 1104134352 | Thomas Carter Nelson | Dentist | 827 W Wilshire Ave, Fullerton, CA 92832-1650 | 2010-09-22 |
| 1588811491 | Thomas D Nelson | Family Medicine | 507 Washington Dr, Arlington, TX 76011-2253 | 2008-08-21 |
| 1952525511 | Thomas Lee Nelson | Dentist | 242 North York Road, Suite 201, Elmhurst, IL 60126 | 2007-04-12 |
| 1730266628 | Thomas R Nelson | Dentist | 149 Skyland Blvd, Tuscaloosa, AL 35405-4014 | 2006-11-01 |
| 1922102060 | Thomas Kevin Nelson | Preventive Medicine | 6201 South Fwy # Q142, Fort Worth, TX 76134-2001 | 2006-09-11 |
| 1154344240 | Thomas P Nelson | Physical Therapist | 215 S 2nd St Ste 10, River Falls, WI 54022-2403 | 2006-07-26 |
| 1629093653 | Thomas D Nelson | Podiatrist | 1701 27th St, Bakersfield, CA 93301-2807 | 2006-07-12 |
| Street Address |
104 E MAIN ST |
| City | RUTHERFORD |
| State | TN |
| Zip Code | 38369-9711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972772242 | The Rutherford Medical Clinic LLC | Clinic/Center | 104 E Main St, Rutherford, TN 38369-9711 | 2008-02-20 |
| 1104992544 | Thomas H Nelson Md | Emergency Medicine | 104 E Main St, Rutherford, TN 38369-9711 | 2006-11-28 |
| 1962456061 | Russell E Little | Nurse Practitioner | 104 E Main St, Rutherford, TN 38369-9711 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164874079 | Casey Oliver | Pharmacist | 114 E Main St, Rutherford, TN 38369-9711 | 2016-07-05 |
| 1235283813 | Candace Clanton Mccaig | Pharmacist | 114 E Main St, Rutherford, TN 38369-9711 | 2007-01-22 |
| 1427060227 | Bill H Hester | Pharmacist | 114 E Main St, Rutherford, TN 38369-9711 | 2006-08-12 |
| 1760494470 | Hester Drug Company | Pharmacy | 114 E Main St, Rutherford, TN 38369-9711 | 2006-08-12 |
| 1427048156 | Amy Theriac Duncan | Dentist | 608 S Trenton St, Rutherford, TN 38369-9715 | 2005-10-25 |
| 1013190149 | Creative Smiles Family Dentistry | Clinic/Center | 608 S Trenton St, Rutherford, TN 38369-9715 | 2007-12-12 |
| 1548829203 | Bethany Turner | Physical Therapy Assistant | 102 S Trenton St, Rutherford, TN 38369-9728 | 2019-06-06 |
| 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 |
|---|---|---|---|---|
| 1538768031 | Chanler Korte | Family Medicine | 879 Greenlea Blvd Ste 103, Gallatin, TN 37066-3205 | 2020-10-26 |
| 1538768205 | Winbigler Medical, Pllc | Family Medicine | 1205 Lodge St, Alcoa, TN 37701-2092 | 2020-10-22 |
| 1205434420 | Urgent Care for Children, Pllc | Family Medicine | 5207 Highway 153, Hixson, TN 37343-5894 | 2020-10-09 |
| 1568069201 | Warren Hilliard | Family Medicine | 7625 Hwy64, 107, Memphis, TN 38133 | 2020-10-06 |
| 1336755271 | Maryellen Tipton | Family Medicine | 1489 Touraine Pl, Knoxville, TN 37919-8278 | 2020-09-16 |
| 1144835539 | Memphis Family Care | Family Medicine | 5818 Winchester Rd, Memphis, TN 38115-4711 | 2020-09-11 |
| 1538772868 | Longmire Health Group | Family Medicine | 1331 Union Ave Ste 1024, Memphis, TN 38104-7509 | 2020-08-26 |
| 1023621646 | Access Medical Clinic Tennessee LLC | Family Medicine | 204 Glades Rd, Gatlinburg, TN 37738-5601 | 2020-08-24 |
| 1528671294 | Sarah Willms | Family Medicine | 2309 Crestmoor Rd Ste 200, Nashville, TN 37215-2043 | 2020-08-24 |
| 1265042238 | Better Care Clinic | Family Medicine | 2021 E Andrew Johnson Hwy, Morristown, TN 37814-5409 | 2020-08-05 |
| Find all providers with the same taxonomy | ||||
| City | RUTHERFORD |
| Zip Code | 38369 |
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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.