DR. JOHN S BURRELL (NPI# 1528062197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528062197 |
| Entity Type | Individual |
| Full Name | DR. JOHN S BURRELL |
| Credential | M.D. |
| Practice Address |
130 Independence Ln La Follette TN 37766-3031 |
| Mailing Address |
831 Stephens Rd Lake City TN 37769-6126 |
| Practice Telephone | 4235621705 |
| Practice Fax Number | 4235663718 |
| Mailing Telephone | 8654266719 |
| Mailing Fax Number | 4235663718 |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2012-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | MD0000004016 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3099443 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316194384 | John Charles Burrell | Orthopaedic Surgery | 215 N 2300 E, Layton, UT 84040-3102 | 2008-08-21 |
| 1942337779 | John Fitzgerald Burrell | Specialist/Technologist | 21300 Redskin Park Dr, Ashburn, VA 20147-6100 | 2007-02-28 |
| 1801874367 | John J Burrell | Optometrist | 10 Clearfield Ave, Trooper, PA 19403-1655 | 2006-01-05 |
| 1548234248 | John M. Burrell | Anesthesiology | 17 Belmont Ave, Brattleboro, VT 05301-7601 | 2006-02-17 |
| Street Address |
130 INDEPENDENCE LN |
| City | LA FOLLETTE |
| State | TN |
| Zip Code | 37766-3031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871113779 | Amy Palmer | Nurse Practitioner | 130 Independence Ln, La Follette, TN 37766-3073 | 2020-04-21 |
| 1326517947 | Debra Bowling | Nurse Practitioner | 130 Independence Ln, La Follette, TN 37766-3073 | 2018-11-14 |
| 1215439203 | William Evan Wilson I | Nurse Practitioner | 130 Independence Ln, La Follette, TN 37766-3073 | 2018-03-06 |
| 1598288425 | Mary Emily Tamer | Physician Assistant | 130 Independence Ln, La Follette, TN 37766-3073 | 2017-07-23 |
| 1932581667 | Deborah Lynn Russell | Nurse Practitioner | 130 Independence Ln, La Follette, TN 37766-3073 | 2015-06-18 |
| 1083004584 | Andrew Follett | Counselor | 130 Independence Ln, La Follette, TN 37766-3073 | 2015-02-04 |
| 1285046722 | Mountain Home Vamc | Clinic/Center | 130 Independence Ln, La Follette, TN 37766-3031 | 2014-06-02 |
| 1639580772 | Hilda Newby | Registered Nurse | 130 Independence Ln, La Follette, TN 37766-3073 | 2014-05-12 |
| 1679848964 | Heather E. Grieve | Physician Assistant | 130 Independence Ln, La Follette, TN 37766-3073 | 2012-03-20 |
| 1083942205 | Stephanie Conder | Registered Nurse | 130 Independence Ln, La Follette, TN 37766-3031 | 2009-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457819914 | Legal Medicine | Nurse Practitioner | 100 South 5th Street, Lafollette, TN 37766 | 2019-03-04 |
| 1306329818 | Kayla Ward | Nurse Practitioner | 617 E Central Ave, La Follette, TN 37766 | 2018-09-11 |
| 1740588920 | Campbell County Walk In Clinic LLC | Family Medicine | 2301 Jacksboro Pkie, Lafollette, TN 37766 | 2011-03-11 |
| 1992001853 | Complete Rural Healthcare and Medical Center Pllc | Specialist | 2146 Jacksboro Pike Suite C, Lafollette, TN 37766 | 2011-02-09 |
| 1821211582 | Bill R Fannon Jr. | Pharmacist | 502 West Central Ave, La Follette, TN 37766 | 2007-04-11 |
| 1437272606 | Kelly B Wells | Pharmacist | 502 West Central Avenue, La Follette, TN 37766 | 2007-04-10 |
| 1548386899 | Gerald A Troutman | Dentist | 109 East Beech Street, Lafollette, TN 37766 | 2007-03-21 |
| 1437280815 | Susan Rebecca Mills | Nurse Practitioner | 2221 Jacksboro Pike Ste C4, La Follette, TN 37766 | 2007-03-08 |
| 1699844399 | County of Campbell | Ambulance | 136 North Massachusetts Ave, Lafollette, TN 37766 | 2006-11-07 |
| 1336230465 | George O'neal Vinsant | Surgery | 919 E. Central Avenue, Suite 201, Lafollette, TN 37766 | 2006-09-27 |
| Find all providers in zip 37766 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1235754094 | Wound Pros Tennessee | General Practice | 3102 West End Avenue, Suite 400, Nashville, TN 37203-1623 | 2020-06-08 |
| 1528681194 | Lt360 Health Center P.a. | General Practice | 522 Brandies Cir Ste 2-b, Murfreesboro, TN 37128-7687 | 2020-05-18 |
| 1982243093 | The Franklin Clinic, LLC | General Practice | 1311 W Main St # 7, Franklin, TN 37064-3300 | 2020-01-06 |
| 1992342307 | Tennessee Spine Wellness & Medical Group LLC | General Practice | 470 Collier Dr, Sevierville, TN 37862-6931 | 2019-12-04 |
| 1952953648 | Balanced Medical Center Pllc | General Practice | 501 W Oakland Ave Ste 3, Johnson City, TN 37604-1667 | 2019-07-12 |
| 1326511676 | All About Health Medical, Pllc | General Practice | 2759 Highway 31 W Ste 2, White House, TN 37188-5246 | 2019-01-09 |
| 1912481870 | Kendall Elizabeth Bush | General Practice | 2416 21st Ave S Ste 101, Nashville, TN 37212-5310 | 2018-09-18 |
| 1891202941 | One To One Health | General Practice | 1413 Mccallie Ave, Chattanooga, TN 37404-2936 | 2018-01-10 |
| 1396269072 | Solutions Medical Centers Pllc | General Practice | Solutions Medical Centers, 851 W Elk Ave, Elizabethton, TN 37643 | 2017-08-03 |
| Find all providers with the same taxonomy | ||||
| City | LA FOLLETTE |
| Zip Code | 37766 |
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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.