PROVIDENCE OBSTETRICS AND GYNECOLOGY, PLLC (NPI# 1467716142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467716142 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE OBSTETRICS AND GYNECOLOGY, PLLC |
| Practice Address |
300 Stonecrest Blvd Suite 250 Smyrna TN 37167-5688 |
| Practice Telephone | 6159844751 |
| Practice Fax Number | 6159844752 |
| Mailing Telephone | 6159844751 |
| Mailing Fax Number | 6159844752 |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2013-10-08 |
| Authorized Official Name | DR. NINA D SHAPIRO (PRACTICE MANAGER) |
| Authorized Official Telephone | 6159844751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 41688 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
300 STONECREST BLVD SUITE 250 |
| City | SMYRNA |
| State | TN |
| Zip Code | 37167-5688 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891791471 | Louis T Riley | Obstetrics & Gynecology | 300 Stonecrest Blvd, Ste 490, Smyrna, TN 37167-6817 | 2005-06-28 |
| 1245686906 | Sarah Elizabeth Lawson | Occupational Therapist | 300 Stonecrest Blvd, Suite 300, Smyrna, TN 37167-5688 | 2016-05-11 |
| 1326420324 | Mary Martin Mogan | Nurse Practitioner | 300 Stonecrest Blvd, Suite 410, Smyrna, TN 37167-5688 | 2015-06-25 |
| 1346641156 | Mistye Taylor Md Pllc | Obstetrics & Gynecology | 300 Stonecrest Blvd, 490, Smyrna, TN 37167-5688 | 2014-09-11 |
| 1235548520 | Womens Imaging Solutions Plc | Obstetrics & Gynecology | 300 Stonecrest Blvd, Suite 290, Smyrna, TN 37167-5688 | 2014-08-12 |
| 1205258456 | Haylee Elise Flynn | Nurse Practitioner | 300 Stonecrest Blvd, Suite 410, Smyrna, TN 37167-5688 | 2014-01-07 |
| 1891035606 | Neurology Consults, P.C. | Psychiatry & Neurology | 300 Stonecrest Blvd, Suite 260, Smyrna, TN 37167-5688 | 2013-02-15 |
| 1518205897 | Cardiovascular Institute PC | Internal Medicine | 300 Stonecrest Blvd, Suite 210, Smyrna, TN 37167 | 2013-01-22 |
| 1780936583 | Matthew Lakey Gaston | Physician Assistant | 300 Stonecrest Blvd, Suite300, Smyrna, TN 37167-5688 | 2012-10-04 |
| 1144576836 | Community Pharmacy of Smyrna LLC | Pharmacy | 300 Stonecrest Blvd, Ste 130, Smyrna, TN 37167-5688 | 2012-07-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708864 | Results-ast Jv, LLC | Physical Therapist | 741 Presidents Place, Suite 130, Smyrna, TN 37167 | 2020-10-21 |
| 1659834455 | Jemima Mensah | Nurse Practitioner | 433 Nissan Dr Ste 301, Smyrna, TN 37167 | 2019-04-09 |
| 1538645395 | Heath Bryan Coleman, Dds of Tennessee II, Pllc | Dentist | 111 Movie Row, Smyrna, TN 37167 | 2018-07-16 |
| 1932699915 | Jessica Jones | Physical Therapist | 8414, 1173 Rock Springs Rd, Suite 105, Smyrna, TN 37167 | 2018-05-15 |
| 1962920256 | Faithful Horizons Support Services, Inc. | Respite Care | 204 Spirit Hill Circle, Smyrna, TN 37167 | 2017-09-06 |
| 1386185270 | Marie Murphy | Counselor | 695 President Place, Ste 202, Smyrna, TN 37167 | 2017-03-13 |
| 1932556990 | Tamara Tucker | Social Worker | 680 Windellwood Circle, Smyrna, TN 37167 | 2016-05-19 |
| 1861861056 | Tennessee Dental Professionals, PC | Dentist | 840 Nissan Drive, Smyrna, TN 37167 | 2015-09-18 |
| 1669840211 | Smyrna Modern Dentistry, PC | Dentist | 160 Movie Row, Smyrna, TN 37167 | 2015-09-11 |
| 1548636970 | Hometown Respiratory Consultants Inc | Durable Medical Equipment & Medical Supplies | 13181 Old Nashville Hwy Ste 120, Smyrna, TN 37167 | 2015-08-19 |
| Find all providers in zip 37167 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477800084 | Boniface Ikejiani | Obstetrics & Gynecology | 523 Liberty Dr, Smyrna, TN 37167-5208 | 2012-08-14 |
| 1659508240 | Obiajulu C. Okafor, M.d. | Obstetrics & Gynecology | 739 President Place, Suite 100, Smyrna, TN 37167 | 2009-06-22 |
| 1649465014 | Richard C Huddleston Md PC | Obstetrics & Gynecology | 300 Stonecrest Blvd Ste 490, Smyrna, TN 37167-6817 | 2007-09-10 |
| 1073546487 | Kalpana J Raghavan | Obstetrics & Gynecology | 3610 Highlands Pkwy Se, Building 2, Smyrna, GA 30082-5184 | 2006-07-09 |
| 1346215837 | Nanette Nicole Cook | Obstetrics & Gynecology | 4480 North Cooper Lake Road, Suite 220, Smyrna, GA 30082-4623 | 2006-02-20 |
| 1063486959 | Eric L Brown | Obstetrics & Gynecology | 2635 S Cobb Dr Se, Smyrna, GA 30080-1845 | 2006-02-15 |
| 1689674640 | Mindy I Fine | Obstetrics & Gynecology | 1675 Cumberland Pkwy Se, Suite 106, Smyrna, GA 30080-6359 | 2005-07-29 |
| 1891791471 | Louis T Riley | Obstetrics & Gynecology | 300 Stonecrest Blvd, Ste 490, Smyrna, TN 37167-6817 | 2005-06-28 |
| 1780168443 | Gyn-care 2, LLC | Obstetrics & Gynecology | 2635 S Cobb Dr Se, Smyrna, GA 30080-1845 | 2018-09-19 |
| 1386988301 | Innovative Women's Healthcare Solutions, LLC | Obstetrics & Gynecology | 3903 S Cobb Dr Se, #105, Smyrna, GA 30080-8504 | 2012-11-15 |
| Find all providers in SMYRNA | ||||
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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.