MIDDLE TENNESSEE MEDICAL INC. (NPI# 1508991456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508991456 |
| Entity Type | Organization |
| Organization Name | MIDDLE TENNESSEE MEDICAL INC. |
| Practice Address |
6011 Trotwood Ave Suite 400 Columbia TN 38401-7009 |
| Practice Telephone | 9313889663 |
| Practice Fax Number | 9313887411 |
| Mailing Telephone | 9313889663 |
| Mailing Fax Number | 9313887411 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2010-07-06 |
| Authorized Official Name | MRS. CHRISTY MORTON MASH (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Telephone | 9313889663 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| Street Address |
6011 TROTWOOD AVE SUITE 400 |
| City | COLUMBIA |
| State | TN |
| Zip Code | 38401-7009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194969212 | Tina Annette Smith | Community Health Worker | 6011 Trotwood Ave, Columbia, TN 38401-7009 | 2009-04-21 |
| 1205070315 | Wanda Annette Yeager | Community Health Worker | 6011 Trotwood Ave, Columbia, TN 38401-7009 | 2009-04-21 |
| 1447382221 | Sue Ellen Lee | Internal Medicine | 6011 Trotwood Ave, Suite C, Columbia, TN 38401-7009 | 2007-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093327629 | Andrew Swensen | Pharmacist | 1202 South James Campbell Blvd, Columbia, TN 38401 | 2020-08-17 |
| 1790305522 | Milaya L Webster | Community Based Residential Treatment Facility, Mental Illness | 809 South Water Streer, Columbia, TN 38401 | 2020-04-22 |
| 1730729468 | Dania Cortez | Licensed Practical Nurse | 40 Park Plus Court, Columbia, TN 38401 | 2020-01-10 |
| 1619519683 | Agilitas Usa, Inc | Clinic/Center | 627 S. James Campbell Blvd., Suite B, Columbia, TN 38401 | 2019-10-11 |
| 1710531280 | Abby Graves | Dietitian, Registered | 1216 Trottwood Ave, Columbia, TN 38401 | 2019-08-01 |
| 1942771746 | James Brian Gregory | Marriage & Family Therapist | 497 E James Campbell Blvd, Columbia, TN 38401 | 2018-12-06 |
| 1104312255 | Sarah Miller | Social Worker | 230 E James Campbell Boulevard, Suite 113, Columbia, TN 38401 | 2018-07-02 |
| 1407343148 | Tammy Lynn James | Nurse Practitioner | 6011 Trotwood Ave Ste D, Columbia, TN 38401 | 2018-04-18 |
| 1053838276 | Tiffany Huskey | Audiologist-Hearing Aid Fitter | 1202 S James Campbell Blvd, Suite 15, Columbia, TN 38401 | 2017-08-28 |
| 1942726963 | Northland Hearing Center, Inc. | Hearing Aid Equipment | 1202 South James Campbell Blvd, Suite 15, Columbia, TN 38401 | 2017-08-22 |
| Find all providers in zip 38401 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1811549389 | Sana Hasan | Internal Medicine | Ce 422, One Hospital Drive University of Missouri, Columbia, MO 65212-0001 | 2019-07-15 |
| 1295291409 | Zeeshan Azeem | Internal Medicine | 1 Hospital Drive University Hospital, Columbia, MO 65212-0001 | 2019-02-12 |
| 1932614153 | Mohammad Walid Abuzeineh | Internal Medicine | 1 Hospital Drive Department of Nephrology, Columbia, MO 65211-0001 | 2017-12-11 |
| 1982924304 | Walter Garland Edwards Jr. | Internal Medicine | 6447 Eastshore Rd, Columbia, SC 29206-3305 | 2010-06-08 |
| 1215269568 | Zbylut Jozef Twardowski | Internal Medicine | 304 Devine Ct, Columbia, MO 65203-0218 | 2010-02-10 |
| 1578728283 | Cesar Yamil Cardona | Internal Medicine | 854 W. James Campbell Blvd., Ste. 101a, Columbia, TN 38401 | 2008-07-22 |
| 1639337835 | Muhammad Amir Rafiq | Internal Medicine | 1655 Bernardin Ave Ste 200, Columbia, SC 29204-2044 | 2008-05-26 |
| 1629235700 | Abdul Basit Usmani | Internal Medicine | 1655 Bernadin Ave, Suite 200, Columbia, SC 29204 | 2008-05-17 |
| 1134391733 | Renee Ann Ellis | Internal Medicine | 121 Park Central Drive Suite 200, Columbia Nephrology, Columbia, SC 29203 | 2008-03-24 |
| 1619156957 | Asha Lenora Bailey | Internal Medicine | 121 Park Central Drive, Suite 200, Columbia, SC 29203 | 2007-11-02 |
| Find all providers in COLUMBIA | ||||
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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.