TENNESSEE CRITICAL CARE SERVICES, INC (NPI# 1528092541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528092541 |
| Entity Type | Organization |
| Organization Name | TENNESSEE CRITICAL CARE SERVICES, INC |
| Practice Address |
400 N State of Franklin Rd Johnson City TN 37604-6035 |
| Mailing Address |
Po Box 536835 Atlanta GA 30353-6835 |
| Practice Telephone | 4234312727 |
| Practice Fax Number | 4234316715 |
| Mailing Telephone | 4128261065 |
| Mailing Fax Number | 4128261491 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | EUGENE DAUCHERT (CEO) |
| Authorized Official Telephone | 8004764587 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
400 N STATE OF FRANKLIN RD |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604-6035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750389540 | Ian A Darling | Anesthesiology | 400 N State of Franklin Rd, Johnson City, TN 37604 | 2005-07-14 |
| 1174141691 | Roman Brudnik | Student in an Organized Health Care Education/Training Program | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 | 2020-07-10 |
| 1811510993 | Susan Cronier | Nurse Anesthetist, Certified Registered | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 | 2020-05-22 |
| 1033731823 | Krista Michelle Bonney | Student in an Organized Health Care Education/Training Program | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 | 2020-05-14 |
| 1235760422 | William James Brant | Nurse Anesthetist, Certified Registered | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 | 2020-01-28 |
| 1346881588 | Johnathan Seth Greene | Registered Nurse | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 | 2019-09-30 |
| 1184285629 | Juliette Rita-marie Marchant | Nurse Practitioner | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 | 2019-06-25 |
| 1629638671 | Akshit Griwan | Student in an Organized Health Care Education/Training Program | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 | 2019-06-20 |
| 1891355053 | Lalith Vardhan Choudhary Namburu | Student in an Organized Health Care Education/Training Program | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 | 2019-06-19 |
| 1932768173 | Natasha Khan | Student in an Organized Health Care Education/Training Program | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 | 2019-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| Find all providers in zip 37604 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 |
|---|---|---|---|---|
| 1447679238 | Badar Siddiqui | Internal Medicine | 325 N State of Franklin Road, 2nd Floor, Johnson City, TN 37604 | 2014-04-09 |
| 1942238746 | Jeff R Farrow | Internal Medicine | 310 N State of Franklin Road, Suite 303, Johnson City, TN 37604-6051 | 2006-06-29 |
| 1356472880 | Blue Ridge Medical Management Corporation | Internal Medicine | 400 N State of Franklin Rd, Room 2746, Johnson City, TN 37604-6035 | 2007-03-08 |
| 1063431674 | Ralph D Snider | Internal Medicine | 400 N State of Franklin Rd, Room 2746, Johnson City, TN 37604-6035 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477042588 | Victor Kha Do Pllc | Internal Medicine | 397 Wallace Rd Ste 415, Nashville, TN 37211-8028 | 2018-05-03 |
| 1760802938 | David Piskorowski | Internal Medicine | 155 Hospital Rd Ste C, Winchester, TN 37398-2495 | 2014-04-25 |
| 1134472384 | The Lung Clinic LLC | Internal Medicine | 6019 Walnut Grove Rd., Memphis, TN 38120-0000 | 2012-10-24 |
| 1952667503 | Kimberly Anne Marsh | Internal Medicine | Mid-south Pulmonary Specialists, P.C., 5050 Poplar Ave., Suite 800, Memphis, TN 38157-0800 | 2012-04-09 |
| 1962778167 | Bryan Richard Hay | Internal Medicine | 4320 Harding Pike Ste 503, Nashville, TN 37205 | 2012-04-02 |
| 1154609923 | Jason Wesley Green | Internal Medicine | 1940 Alcoa Hwy Ste 210, Knoxville, TN 37920-2264 | 2011-07-28 |
| 1285869503 | Nathan Eric Wilds | Internal Medicine | 5050 Poplar Ave., Suite 800, Mid-south Pulmonary Specialists, P.C., Memphis, TN 38157 | 2009-05-17 |
| 1598939985 | Jonathan Andrew Kropski | Internal Medicine | 1611 21st Ave S, T1218 Medical Center North, Nashville, TN 37232-0033 | 2008-04-16 |
| 1710019930 | Michael Munday | Internal Medicine | 5050 Poplar Ave Ste 800, Memphis, TN 38157-0800 | 2007-03-12 |
| 1366599151 | Carla Marin Sevin | Internal Medicine | Vanderbilt University Med Ctr, 1161 21st Ave S., T-1218 Mcn, Nashville, TN 37232-0001 | 2007-01-04 |
| Find all providers with the same taxonomy | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
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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.