DR. BRENT DAVIS STATON (NPI# 1508989450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508989450 |
| Entity Type | Individual |
| Full Name | DR. BRENT DAVIS STATON |
| Credential | M.D. |
| Practice Address |
1135 S Walnut Ave Cookeville TN 38501-5961 |
| Practice Telephone | 9314000808 |
| Practice Fax Number | 6157350008 |
| Mailing Telephone | 9314000808 |
| Mailing Fax Number | 9314000809 |
| Enumeration Date | 2007-04-07 |
| Last Update Date | 2017-04-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 45555 | TN | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 45555 | TN | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 45555 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
1135 S WALNUT AVE |
| City | COOKEVILLE |
| State | TN |
| Zip Code | 38501-5961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596711 | Results-ast Jv, LLC | Physical Therapist | 627 James Campbell Blvd, South, Suite B, Columbia, TN 38501 | 2020-10-21 |
| 1376167080 | Melinda Jane Jetter | Registered Nurse | 320 North Willow Avenue, Cookeville, TN 38501 | 2020-05-29 |
| 1366950875 | Tara Beth Smith | Occupational Therapist | 315 N Washington Ave Ste 240, Cookeville, TN 38501 | 2018-01-18 |
| 1669990339 | Tonya Rachelle Perry | Counselor | 13 South Jefferson Ave, Cookeville, TN 38501 | 2017-09-01 |
| 1659896207 | Dustin Chase Rich | Physical Therapist | 105 S. Willow Ave, #100, Cookeville, TN 38501 | 2017-08-04 |
| 1487009668 | Holly Young | Physical Therapist | 315 North Washungton Ave., Suite 240, Cookeville, TN 38501 | 2016-04-26 |
| 1194190306 | Johnna Sprague | Nurse Practitioner | 620 S. Jefferson Ave, Suite 202, Cookeville, TN 38501 | 2015-12-14 |
| 1881099885 | Carlos Alberto Podesta | Internal Medicine | 238 W 4th St Ste 200, Cookeville, TN 38501 | 2014-11-03 |
| 1124445002 | Shashank Sarvepalli | Internal Medicine | 1 Medical Center Blvd Ste D, Cookeville, TN 38501 | 2014-03-27 |
| 1689095762 | Kendra Hicks | Licensed Practical Nurse | 701 County Services Drive, Cookeville, TN 38501 | 2013-12-17 |
| Find all providers in zip 38501 | ||||
| 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 |
|---|---|---|---|---|
| 1356682819 | James Lanier Jr. | Family Medicine | 1041 Sugartree Pt, Cookeville, TN 38501-4535 | 2013-03-08 |
| 1417155292 | Tabor Family Medicine Pllc | Family Medicine | 406 N Whitney Ave Ste 3, Cookeville, TN 38501-2455 | 2007-07-03 |
| 1134339278 | Hunter A Stenzel | Family Medicine | 1080 Neal St Ste 103, Cookeville, TN 38501 | 2007-05-23 |
| 1306976352 | Clarence L Jones Md PC | Family Medicine | 222 N Oak Ave, Cookeville, TN 38501-2438 | 2007-03-07 |
| 1043376544 | Kenny W. Lynn, M.d. | Family Medicine | 210 N Cedar Ave, Cookeville, TN 38501-2419 | 2006-12-29 |
| 1821107574 | James G Staggs | Family Medicine | 753b Humble Dr, Cookeville, TN 38501-3777 | 2006-08-29 |
| 1891719274 | Harold A Chertok | Family Medicine | 445 N Cedar Ave, Cookeville, TN 38501-2422 | 2006-07-27 |
| 1295706356 | Pamela J Sanders | Family Medicine | 43 Church Ave, Cookeville, TN 38501-3217 | 2006-01-27 |
| 1588645196 | Pardeep K Sharma | Family Medicine | 221 N Oak Ave, Cookeville, TN 38501-2437 | 2005-11-10 |
| 1851380406 | Chet M Gentry | Family Medicine | 3300 Williams Enterprise Dr, Cookeville, TN 38506-4280 | 2005-10-17 |
| Find all providers in COOKEVILLE | ||||
| City | COOKEVILLE |
| Zip Code | 38501 |
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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.