DR. HAFEEZUL HASAN SIDDIQUI (NPI# 1437203072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437203072 |
Entity Type | Individual |
Full Name | DR. HAFEEZUL HASAN SIDDIQUI |
Credential | MD |
Practice Address |
1596 Highway 33 S New Tazewell TN 37825-7104 |
Mailing Address |
6350 W A J Hwy Department 100 Talbott TN 37877 |
Practice Telephone | 4236268271 |
Practice Fax Number | 4236260688 |
Mailing Telephone | 8003553565 |
Mailing Fax Number | 4237142355 |
Enumeration Date | 2007-01-22 |
Last Update Date | 2011-06-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | MD0000015622 | TN | Allopathic & Osteopathic Physicians |
Street Address |
1596 HIGHWAY 33 S |
City | NEW TAZEWELL |
State | TN |
Zip Code | 37825-7104 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356349534 | Brenda Miller Karns | Psychologist | 1596 Highway 33 S, New Tazewell, TN 37825-7104 | 2005-07-12 |
1639717838 | Ashley Lanette Walker | Nurse's Aide | 1596 Highway 33 S, New Tazewell, TN 37825-7104 | 2019-12-18 |
1255975900 | Sheryl Ann Bishop | Registered Nurse | 1596 Highway 33 S, New Tazewell, TN 37825-7104 | 2019-11-05 |
1245887215 | Brennan Joseph Downey | Social Worker | 1596 Highway 33 S, New Tazewell, TN 37825-7104 | 2019-08-23 |
1396304150 | Angel Elizabeth Daniels | Social Worker | 1596 Highway 33 S, New Tazewell, TN 37825-7104 | 2019-06-06 |
1720643422 | Mary Banks | Licensed Practical Nurse | 1596 Highway 33 S, New Tazewell, TN 37825-7104 | 2019-05-08 |
1184183501 | Danielle Johnston | Registered Nurse | 1596 Highway 33 S, New Tazewell, TN 37825-7104 | 2019-03-15 |
1750865499 | Sara Elizabeth Daniels | Registered Nurse | 1596 Highway 33 S, New Tazewell, TN 37825-7104 | 2018-09-19 |
1699262857 | Pamela Nowell Hawk | Licensed Practical Nurse | 1596 Highway 33 S, New Tazewell, TN 37825-7104 | 2018-04-13 |
1891209623 | Kelsey Paige Carroll | Nurse's Aide | 1596 Highway 33 S, New Tazewell, TN 37825-7104 | 2017-12-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801131610 | Emma Hernandez Tenerife | Physical Therapist | 505 Buchanan Road, New Tazewell, TN 37825 | 2012-12-05 |
1295959021 | Melvin Keith Donesky | Dentist | 212 Forrest Ave., New Tazewell, TN 37825 | 2007-04-12 |
1962533059 | Lisa Ann Mayes | Case Manager/Care Coordinator | 1596 Highway 33 South, New Tazewell, TN 37825 | 2007-03-08 |
1679505937 | James P Crutchfield | Optometrist | 409 N Broad St, New Tazewell, TN 37825 | 2006-07-07 |
1497257984 | Selena Frazier | Speech-Language Pathologist | 902 Buchanan Rd, New Tazewell, Tn, TN 37825 | 2018-03-01 |
1891211165 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 915 Main St, New Tazewell, TN 37825 | 2017-08-18 |
1083169171 | Haley Henard Debusk | Physician Assistant | 424 N. Broad Street, New Tazwell, Tazewell, TN 37825 | 2016-08-18 |
1508154055 | Dr.melvin Donesky D.d.s. | Dentist | 212 Forrest Ave., New Tazewell, TN 37825 | 2011-07-19 |
1437488350 | William Herbert Brooks | Licensed Practical Nurse | 1596 Highway 33 South, New Tazewell, TN 37825 | 2009-12-24 |
1366680423 | Jessica Broyles | Dietitian, Registered | 620 Davis Dr, New Tazewell, TN 37825 | 2009-01-28 |
Find all providers in zip 37825 |
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 |
---|---|---|---|---|
1659382133 | Max L Money | Family Medicine | 606 N Broad St, New Tazewell, TN 37825-6610 | 2006-08-10 |
1710913090 | Gina Marie Defranco | Family Medicine | 424 N. Broad Street, New Tazewell, TN 37752 | 2006-06-25 |
1235121708 | William N Smith | Family Medicine | 309 N Broad St, New Tazewell, TN 37825-6600 | 2005-08-19 |
1992979454 | Nicole Paulson Shields | Family Medicine | 424 N Broad St, New Tazewell, TN 37825-6606 | 2008-04-16 |
1962530436 | Jan D Zieren | Family Medicine | 424 N Broad St, New Tazewell, TN 37825-6606 | 2007-02-28 |
1780665745 | Charles H Debusk | Family Medicine | 309 N Broad St, New Tazewell, TN 37825-6600 | 2005-11-08 |
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 |
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City | NEW TAZEWELL |
Zip Code | 37825 |
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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.