DR. KENNETH M ALLUM III (NPI# 1487636189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487636189 |
| Entity Type | Individual |
| Full Name | DR. KENNETH M ALLUM III |
| Credential | MD |
| Practice Address |
120 Hospital Dr Suite 130 Jefferson City TN 37760-5287 |
| Mailing Address |
1275 Dick Lonas Rd Unit 101 Knoxville TN 37909-1383 |
| Practice Telephone | 8654754742 |
| Practice Fax Number | 8652620100 |
| Mailing Telephone | 8655844747 |
| Mailing Fax Number | 8655841363 |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2019-06-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD32034 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
120 HOSPITAL DR SUITE 130 |
| City | JEFFERSON CITY |
| State | TN |
| Zip Code | 37760-5287 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730646084 | Angela Brooke Burkhalter | Physician Assistant | 120 Hospital Dr, Jefferson City, TN 37760-5287 | 2019-02-22 |
| 1013374503 | Aaron C. Harris | Physician Assistant | 120 Hospital Dr, Suite 130, Jefferson City, TN 37760-5287 | 2016-01-28 |
| 1982076766 | Melissa A Cameron | Nurse Practitioner | 120 Hospital Dr, Suite 130, Jefferson City, TN 37760-5287 | 2015-10-20 |
| 1700267929 | Tabetha Mcgill | Health Educator | 120 Hospital Dr, Suite 130, Jefferson City, TN 37760-5287 | 2015-06-12 |
| 1699107672 | Kevin Dwayne Hyatt | Student in an Organized Health Care Education/Training Program | 120 Hospital Dr, Suite 230, Jefferson City, TN 37760-5287 | 2013-08-01 |
| 1538412333 | Eva Huntsman | Nurse Practitioner | 120 Hospital Dr, Suite 130, Jefferson City, TN 37760-5287 | 2012-10-18 |
| 1073862124 | Sheri Agatha Nsamenang | Student in an Organized Health Care Education/Training Program | 120 Hospital Dr, Suite 230, Jefferson City, TN 37760-5287 | 2012-09-05 |
| 1558633370 | Vicki Lynn Merritt | Case Manager/Care Coordinator | 120 Hospital Dr, Suite 230, Jefferson City, TN 37760-5287 | 2012-02-09 |
| 1730461666 | Jacqueline S Zgiet | Nurse Practitioner | 120 Hospital Dr, Suite 130, Jefferson City, TN 37760-5287 | 2011-09-16 |
| 1912289471 | Janet Colleen Hall | Registered Nurse | 120 Hospital Dr, Suite 230, Jefferson City, TN 37760-5287 | 2011-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699235929 | Emmley L Cole | Nurse Practitioner | 277 E W Broadway Blvd, Jefferson, TN 37760 | 2019-03-22 |
| 1275044877 | Cindy Anderson | Nurse Practitioner | 277 E Broadway Blvd, Jefferson City, TN 37760 | 2017-10-23 |
| 1801259940 | Mcfarland Group, Inc. | Durable Medical Equipment & Medical Supplies | 665 E Broadway Blvd, Jefferson City, TN 37760 | 2016-04-04 |
| 1124422266 | Penny Williams-cordeiro | Nurse Practitioner | 1901 Brookside Drive, Suite 105, Kingsport, TN 37760 | 2014-10-17 |
| 1215363841 | Lindsey Ann Clyde | Physician Assistant | 120 Hospital Dr Ste 130, Jefferson City, TN 37760 | 2013-09-14 |
| 1679849814 | Allison Renee Farris | Surgery | 120 Hospital Dr Ste G20, Jefferson City, TN 37760 | 2012-03-31 |
| 1245562891 | Steven Jarvis Monroe | Dentist | 156 W. Broadway Blvd., Jefferson City, TN 37760 | 2010-02-08 |
| 1952560625 | Summit Medical Group,pllc | Internal Medicine | 380 W Broadway Blvd, Jefferson City, TN 37760 | 2008-06-06 |
| 1780756189 | Steven J Monroe Dds PC | Dentist | 156 W Broadway Blvd, Jefferson City, TN 37760 | 2006-11-14 |
| 1720188600 | Dennis U Spjut | Psychologist | 732 E Jefferson St, Dennis Spjut Phd, Jefferson City, TN 37760 | 2006-09-22 |
| Find all providers in zip 37760 | ||||
| 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 |
|---|---|---|---|---|
| 1215343769 | Jeffrey Lynn Teeter | Family Medicine | 3121 Emerald Ln Ste 800, Jefferson City, MO 65109-6843 | 2014-07-05 |
| 1770925794 | Amanda M Vickers | Family Medicine | 3527 W Truman Blvd Ste 100, Jefferson City, MO 65109-5902 | 2013-07-18 |
| 1679701296 | Capital Region Medical Center | Family Medicine | 3308 W Edgewood, Suite B, Jefferson City, MO 65109 | 2009-06-23 |
| 1972742807 | Greggory M Kuhlmann | Family Medicine | 3308 W Edgewood Dr Ste A, Jefferson City, MO 65109-6891 | 2009-02-17 |
| 1780867341 | Health Enhancements, P.C. | Family Medicine | 1739 Elm Court Plaza, Suite 106, Jefferson City, MO 65101 | 2007-12-06 |
| 1558551358 | Michael Eugene Sands | Family Medicine | 1500 Southwest Blvd Ste D, Jefferson City, MO 65109-2472 | 2007-07-27 |
| 1396886065 | Ssm Regional Health Services | Family Medicine | 2511 W Edgewood Dr Ste G, Jefferson City, MO 65109-5869 | 2007-02-08 |
| 1780724922 | Capital Family Care | Family Medicine | 1500 Southwest Blvd Ste B, Jefferson City, MO 65109-2472 | 2007-02-07 |
| 1528116910 | Primary Care Medicine PC | Family Medicine | 2709 Industrial Dr Ste A, Jefferson City, MO 65109-0769 | 2007-01-08 |
| 1285714691 | Neal Gerard Lapointe | Family Medicine | 420 E High St, Jefferson City, MO 65101-3215 | 2006-10-17 |
| Find all providers in JEFFERSON CITY | ||||
| City | JEFFERSON CITY |
| Zip Code | 37760 |
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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.