SKYLINE ENDOSCOPY CENTER, L.L.C. (NPI# 1437373248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437373248 |
| Entity Type | Organization |
| Organization Name | SKYLINE ENDOSCOPY CENTER, L.L.C. |
| Practice Address |
27 Medical Center Dr Suite 2 Jackson TN 38301-3949 |
| Practice Telephone | 7314260310 |
| Mailing Telephone | 7314260310 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2008-07-18 |
| Authorized Official Name | DR. CHARLES S. HERTZ JR. (DIRECTOR) |
| Authorized Official Telephone | 7314260310 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
0000000194 | TN | Ambulatory Health Care Facilities |
| Street Address |
27 MEDICAL CENTER DR SUITE 2 |
| City | JACKSON |
| State | TN |
| Zip Code | 38301-3949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104877703 | Medical Specialty Clinic P.C. | Internal Medicine | 27 Medical Center Dr, Jackson, TN 38301-3949 | 2006-05-16 |
| 1679047146 | Kelley Lumley | Nurse Practitioner | 27 Medical Center Dr, Jackson, TN 38301-3949 | 2019-01-17 |
| 1538431309 | Elizabeth S Davis | Nurse Practitioner | 27 Medical Center Dr, Jackson, TN 38301-3949 | 2012-02-08 |
| 1649467218 | Mihir K. Patel | Internal Medicine | 27 Medical Center Dr, Jackson, TN 38301-3949 | 2007-09-27 |
| 1053514141 | Brittain Douglas Little | Internal Medicine | 27 Medical Center Dr, Jackson, TN 38301-3949 | 2007-06-07 |
| 1427144997 | Andrea Tomasek Grimball | Physician Assistant | 27 Medical Center Dr, Jackson, TN 38301-3949 | 2006-10-04 |
| 1629025697 | Daniel Kayal | Internal Medicine | 27 Medical Center Dr, Jackson, TN 38301-3949 | 2006-05-27 |
| 1053365809 | Clyde E Smith | Internal Medicine | 27 Medical Center Dr, Jackson, TN 38301-3949 | 2006-05-19 |
| 1356393078 | Robert Hollis | Internal Medicine | 27 Medical Center Dr, Jackson, TN 38301-3949 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634696 | Lindsey Crowder | Social Worker | 127 Mccowat Street, Jackson, TN 38301 | 2020-09-21 |
| 1366928087 | Primary Care - South Limited | Clinic/Center | 1385 South Highland Ave, Suite B-1, Jackson, TN 38301 | 2018-07-16 |
| 1629592522 | Tlc Home Care Services, LLC | In Home Supportive Care | 39 Old Denmark Rd, Jackson, TN 38301 | 2017-08-01 |
| 1841730421 | Southern Hands Quality Care | In Home Supportive Care | 1298 N. Highland Avenue. Suite 14, Jackson, TN 38301 | 2017-03-02 |
| 1881044477 | Katie Mcmickin | Counselor | 163 Sunnyside Dr, Jackson, TN 38301 | 2016-06-15 |
| 1164815064 | Hailey Archer | Dietitian, Registered | 720 W. Forest Ave., Jackson, TN 38301 | 2015-03-17 |
| 1740673714 | Regina Tignor | Nurse Practitioner | 1410 Us Highway 70 Byp, Jackson, TN 38301 | 2015-03-13 |
| 1194114033 | Woman's Clinic | Obstetrics & Gynecology | 242 Coatsland, Jackson, TN 38301 | 2015-01-15 |
| 1659797702 | Worthy Walker Arrington | Nurse Practitioner | 720 West Forest Avenue, Jackson, TN 38301 | 2014-03-13 |
| 1669717302 | Lift Wellness Inc | General Practice | 101 Jackson Walk Plaza, Jackson, TN 38301 | 2012-12-06 |
| Find all providers in zip 38301 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
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| 1588764989 | W. A. Foote Memorial Hospital, Inc. | Clinic/Center | 1125 E Michigan Ave, Jackson, MI 49201-1801 | 2006-09-25 |
| 1225096498 | Amador Surgery Center | Clinic/Center | 223 Clinton Road, Suite 204, Jackson, CA 95642-2680 | 2006-05-03 |
| 1558327213 | Surgicare of Jackson Ltd | Clinic/Center | 760 Lakeland Dr, Jackson, MS 39216-4610 | 2006-04-21 |
| 1588631832 | Surgical Services of Michigan, LLC | Clinic/Center | 2775 Blake Road, Jackson, MI 49201-8838 | 2006-03-07 |
| 1255303517 | St Dominic Ambulatory Surgery Center L L C | Clinic/Center | 970 Lakeland Dr, Suite 15, Jackson, MS 39216-4601 | 2006-02-02 |
| 1689651481 | Teton Outpatient Services LLC | Clinic/Center | 150 Buffalo Way, Jackson, WY 83001-2530 | 2005-12-22 |
| 1710591060 | Midsouth Interventional Pain Institute LLC | Clinic/Center | 2016 Greystone Sq, Jackson, TN 38305-3575 | 2020-09-03 |
| Find all providers in JACKSON | ||||
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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.