WATAUGA ORTHOPAEDICS, PLC (NPI# 1518508993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518508993 |
| Entity Type | Organization |
| Organization Name | WATAUGA ORTHOPAEDICS, PLC |
| Practice Address |
340 Steeles Rd Bristol TN 37620 |
| Mailing Address |
2410 Susannah St Johnson City TN 37601-1748 |
| Practice Telephone | 4232829011 |
| Mailing Telephone | 4232829011 |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2019-12-09 |
| Authorized Official Name | MARTHA DEBORAH CHRISTENSEN (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Telephone | 4237220261 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104125210 | Watauga Orthopaedics, Plc | Orthopaedic Surgery | 875 Larry Neil Way, Kingsport, TN 37601 | 2011-03-16 |
| Street Address |
340 STEELES RD |
| City | BRISTOL |
| State | TN |
| Zip Code | 37620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437492907 | David C Carver | Orthopaedic Surgery | 340 Steeles Rd, Bristol, TN 37620 | 2013-04-02 |
| 1861045346 | Sierra D Buckner | Nurse Practitioner | 340 Steeles Rd, Bristol, TN 37620 | 2019-07-23 |
| 1700295565 | Stephan Allen Ball | Physical Therapist | 340 Steeles Rd, Bristol, TN 37620-9532 | 2014-08-06 |
| 1154737799 | Tyler M Duncan | Orthopaedic Surgery | 340 Steeles Rd, Bristol, TN 37620 | 2014-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376180216 | Firstep, LLC | Psychiatry & Neurology | 3183 W. State St., Suite 1201, Bristol, TN 37620 | 2019-12-10 |
| 1578047726 | Amanda Harville Mcgrady | Psychologist | 105 Walnut Circle, Bristol, TN 37620 | 2018-09-23 |
| 1467932533 | Teresa Mooney | Nurse Practitioner | 324 Leslie Ct, Bristol, TN 37620 | 2018-08-17 |
| 1992285308 | Jeremy Aurbrey Blanzy | Nurse Practitioner | 1 Medical Park Boulevard, Suite 400e, Bristol, TN 37620 | 2018-08-15 |
| 1255841805 | Amanda L Pillion | Audiologist | 225 Midway Medical Park, Bristol, VA 37620 | 2017-10-10 |
| 1841717717 | Joel Blevins | Driver | 301 Webb Ct, Bristol, TN 37620 | 2017-08-23 |
| 1831579796 | Dr. Marie Crawford, Ph.d., Pllc | Psychologist | 739 Bluff City Highway, Suite 5, Bristol, TN 37620 | 2015-06-05 |
| 1508297169 | Cassandra Marie Conry | Chiropractor | 800 Hill St., Bristol, TN 37620 | 2013-12-09 |
| 1780025874 | Laura Leann Lawson-renfro | Nurse Practitioner | 260 Midway St, Bristol, TN 37620 | 2013-07-17 |
| 1760822365 | Ricky Bhimani | Internal Medicine | 208 Medical Park Boulevard, Bristol, TN 37620 | 2013-06-27 |
| Find all providers in zip 37620 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720430358 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 26 Midway St Ste 100, Bristol, TN 37620-1706 | 2016-07-07 |
| 1245689355 | Starling Physicians PC | Durable Medical Equipment & Medical Supplies | 1345 Farmington Ave, Bristol, CT 06010-4776 | 2016-06-09 |
| 1114399011 | Betsy A Rose | Durable Medical Equipment & Medical Supplies | 725 Commonwealth Ave, Bristol, VA 24201-3321 | 2015-10-30 |
| 1578958146 | K Va T Food Stores Inc. | Durable Medical Equipment & Medical Supplies | 1317 Virginia Ave, Hwy 421, Bristol, TN 37620-5158 | 2015-04-01 |
| 1962782334 | Connecticut Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 60 Middle Street, Bristol, CT 06010-5201 | 2011-08-17 |
| 1518275015 | Advanced Medical Systems and Solutions | Durable Medical Equipment & Medical Supplies | 1200 New Rodgers Rd, Suite C9b, Bristol, PA 19007-2525 | 2010-09-17 |
| 1134431620 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1 Medical Park Blvd Ste 106e, Bristol, TN 37620-7450 | 2010-07-13 |
| 1598082513 | Johnny Clay Koehn | Durable Medical Equipment & Medical Supplies | 102 Flannagan Dr, Bristol, VA 24202-5842 | 2010-04-29 |
| 1366769861 | Allied Rehab Services | Durable Medical Equipment & Medical Supplies | 520 Brookwood Dr, Bristol, TN 37620-2815 | 2010-04-23 |
| 1316130180 | Grove Hill Medical Center PC | Durable Medical Equipment & Medical Supplies | 621 Terryville Rd, Grove Hill Medical Center., Bristol, CT 06010-4078 | 2007-08-24 |
| Find all providers in BRISTOL | ||||
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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.