JAMES DAVID AMLICKE (NPI# 1508961996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508961996 |
Entity Type | Individual |
Full Name | JAMES DAVID AMLICKE |
Other Name | JAMES DAVID AMLICKE |
Credential | MD |
Practice Address |
311 Landrum Place Suite 100 Clarksville TN 37043 |
Practice Telephone | 9316483563 |
Practice Fax Number | 9316488133 |
Mailing Telephone | 9316483563 |
Mailing Fax Number | 9316488133 |
Enumeration Date | 2006-09-13 |
Last Update Date | 2020-09-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
TN24102 | TN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | BCBS | 4157789 | 01 |
TN | 38396711 | 05 | |
TN | 3839672 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740219013 | James Amlicke | Orthopaedic Surgery | 300 Midtown Drive, Beaufort, SC 29906-0001 | 2006-06-30 |
Street Address |
311 LANDRUM PLACE SUITE 100 |
City | CLARKSVILLE |
State | TN |
Zip Code | 37043 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417938432 | John K Endsley | Internal Medicine | 311 Landrum Place, Ste 100, Clarksville, TN 37043 | 2005-11-08 |
1881141380 | Dixie Infusion Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 311 Landrum Place, Suite 600, Clarksville, TN 37043-6319 | 2016-09-01 |
1699091447 | Caring Family Practice Pllc | Nurse Practitioner | 311 Landrum Place, Suite C500, Clarksville, TN 37043 | 2010-04-19 |
1366617466 | Clarksville Orthopedics, Plc | Orthopaedic Surgery | 311 Landrum Place, Suite 100, Clarksville, TN 37043 | 2008-04-29 |
1386837235 | Montgomery Medical | Internal Medicine | 311 Landrum Place, #100, Clarksville, TN 37043 | 2007-08-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952958464 | Barbara Gallahan | Technician | 3992 Lakewood Dr., Clarksville, TN 37043 | 2019-08-20 |
1144874728 | Intricate Care | Registered Nurse | 2299 Raleigh Ct, Clarksville, TN 37043 | 2019-07-31 |
1740842145 | Caila Anne Wiblitzhouser Holm | Counselor | 755 Weatherly Drive, Clarksville, TN 37043 | 2019-07-05 |
1407416407 | Heartland Dental Care of Tennessee, PC | Dentist | 930 Highway 76, Clarksville, TN 37043 | 2019-06-20 |
1376021501 | Stephen Lawrence Rego | Case Manager/Care Coordinator | Cohen Military Family Clinic, 775 Weatherly Dr, Clarksville, TN 37043 | 2018-07-31 |
1366928095 | Kendra Lee | Social Worker | 775 Weatherly Dr., Clarksville, TN 37043 | 2018-07-16 |
1245742931 | Andrea L Edelstein | Dentist | 1818 Memorial Dr., Unit 47, Clarksville, TN 37043 | 2017-11-02 |
1043736119 | Megan Pritchett Landre | Behavior Technician | 990 South Ridge Trail, Clarksville, TN 37043 | 2017-08-20 |
1932624798 | Sandra Melissa Corral | Behavior Technician | 139e Old Trenton Rd, Suite B, Clarksville, TN 37043 | 2017-08-13 |
1700306032 | Sahiti Kandati | Dentist | 1777 Madison Ste Ste 100, Clarksville, TN 37043 | 2017-06-27 |
Find all providers in zip 37043 |
Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942291372 | Theodore F Ritzer | Internal Medicine | 647 Dunlop Ln, Ste 101, Clarksville, TN 37040-5165 | 2005-11-03 |
1851394191 | Christopher Columbus Mcclure IIi | Internal Medicine | 647 Dunlop Lane, Suite 116, Clarksville, TN 37040-5165 | 2005-05-31 |
1487657722 | Philip Thomas Madaelil | Internal Medicine | 647 Dunlop Ln Ste 200, Clarksville, TN 37040-5165 | 2005-05-31 |
1588857437 | Cardiology Associates LLC | Internal Medicine | 311 Landrum Pl, Suite 100, Clarksville, TN 37043-6319 | 2007-08-23 |
1356405039 | Clarksville Cardiology P.C. | Internal Medicine | 1731 Memorial Dr, Ste, Clarksville, TN 37043-4523 | 2006-12-20 |
1679660096 | Pradip K Mishra | Internal Medicine | 311 Landrum Pl, Suite 100, Clarksville, TN 37043-6319 | 2006-10-06 |
1376531194 | Zaka U Rahman | Internal Medicine | 2205 Greentree N, Clarksville, IN 47129-8957 | 2005-10-06 |
1609863463 | Juan Jose Ortiz | Internal Medicine | 2205 Greentree N, Clarksville, IN 47129-8957 | 2005-10-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053935437 | Cvc Pllc | Internal Medicine | 22 Deepwood Dr, Jackson, TN 38305-9679 | 2020-06-02 |
1073085189 | Heart Center Usa Incorporated | Internal Medicine | 6500 Kirby Gate Blvd, Memphis, TN 38119-2673 | 2018-12-31 |
1700357035 | Morristown Heart, Pllc | Internal Medicine | Morristown Heart, Pllc, 735 Mcfarland Street, Morristown, TN 37814 | 2018-12-16 |
1902353444 | Hh Physician Care-elkton Tennessee | Internal Medicine | 1446 Bryson Road, Ardmore, TN 38449 | 2016-09-01 |
1902352750 | Rose Marie Robertson | Internal Medicine | 4003 Newman Pl, Nashville, TN 37204-4308 | 2016-08-31 |
1013374073 | Amg Crockett LLC | Internal Medicine | 1611 S Locust Ave, Suite 200b, Lawrenceburg, TN 38464-4055 | 2016-01-21 |
1821488727 | Bruce Wilson Md PC | Internal Medicine | 5885 Airline Rd, # 985, Arlington, TN 38002-5127 | 2015-01-29 |
1982013215 | Blue Ridge Medical Management Corporation | Internal Medicine | 1901 S Shady St Ste 1, Mountain City, TN 37683-2021 | 2014-08-12 |
1871835892 | Robert Maxwell Smith | Internal Medicine | 1004 Deep Woods Trl, Brentwood, TN 37027-6309 | 2013-03-18 |
1750630794 | David Marc Mirvis | Internal Medicine | 5676 Redding Ave, Memphis, TN 38120-1848 | 2012-09-06 |
Find all providers with the same taxonomy |
City | CLARKSVILLE |
Zip Code | 37043 |
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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.