FABIAN PHILEMON NGIDO (NPI# 1528354768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528354768 |
| Entity Type | Individual |
| Full Name | FABIAN PHILEMON NGIDO |
| Credential | M.D. |
| Practice Address |
1 Medical Center Blvd Suite 103 Cookeville TN 38501-4294 |
| Mailing Address |
127 N Oak Ave Suite D Cookeville TN 38501-2435 |
| Practice Telephone | 9317832770 |
| Practice Fax Number | 9315251176 |
| Mailing Telephone | 9317835857 |
| Mailing Fax Number | 9315266760 |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2017-05-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 51472 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q006501 | 05 | |
| TN | BCBS | 6017806 | 01 |
| KY | 7100423680 | 05 |
| Street Address |
1 MEDICAL CENTER BLVD SUITE 103 |
| City | COOKEVILLE |
| State | TN |
| Zip Code | 38501-4294 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871596999 | Christopher J Klugewicz | Internal Medicine | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2005-05-23 |
| 1619580016 | Sheldon Hitchcock | Pharmacist | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2020-08-25 |
| 1174140008 | William Timothy Wilson | Registered Nurse | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2020-06-26 |
| 1689294233 | Kayltin Ray | Respiratory Therapist, Registered | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2020-04-23 |
| 1508499443 | Josh Brindley | Nurse Practitioner | 1 Medical Center Blvd, 5 West, Cookeville, TN 38501-4294 | 2020-02-19 |
| 1932747714 | Larry Darnell Calender | Nurse Practitioner | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2019-12-12 |
| 1346882719 | Sharon Marie Rodgers | Nurse Practitioner | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2019-10-17 |
| 1902451974 | Mason Mercedes Anderson | Occupational Therapy Assistant | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2019-08-07 |
| 1679138747 | Jessica Some | Pharmacist | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2019-05-04 |
| 1962967273 | Rachel Adams | Occupational Therapist | 1 Medical Center Blvd, Cookeville, TN 38501-4294 | 2019-01-31 |
| Find all providers in the same location | ||||
| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609835644 | Leslie Mooney Treece | Pediatrics | 150 N Willow Ave, Cookeville, TN 38501-2368 | 2006-03-20 |
| 1972508703 | Christopher D Climaco | Pediatrics | 758 South Willow Avenue, Cookeville, TN 38501 | 2005-06-17 |
| 1346421674 | Apryl Meshea Hall | Pediatrics | One Medical Center Blvd., Suite 103, Cookeville, TN 38501 | 2007-11-15 |
| 1760564488 | Maria Teresa Servida Ramos | Pediatrics | 758 S Willow Ave, Cookeville, TN 38501-3840 | 2006-10-20 |
| 1629168703 | Kim Langley | Pediatrics | 1 Medical Center Blvd, Suite 103, Cookeville, TN 38501-4294 | 2006-10-13 |
| 1538173471 | Cookeville Pediatric Associates, Pllc | Pediatrics | 150 N Willow Ave, Cookeville, TN 38501-2368 | 2006-07-28 |
| 1124050687 | Mary Caroline Loghry | Pediatrics | 150 N Willow Ave, Cookeville, TN 38501-2368 | 2006-07-07 |
| 1073578738 | Yvonne Mcmahon | Pediatrics | 345 W Broad St, Cookeville, TN 38501-2331 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366040131 | Mebe Tennessee | Pediatrics | 6339 Charlotte Pike # 1035, Nashville, TN 37209-2926 | 2020-10-14 |
| 1427679208 | Susan Ashley Stallings | Pediatrics | 5115 Woodland Hills Dr, Brentwood, TN 37027-5821 | 2020-05-03 |
| 1871112375 | Pediatric Medical Urgent Care Services Pllc | Pediatrics | 2249 Medical Center Pkwy Ste C&d, Murfreesboro, TN 37129-4279 | 2020-04-14 |
| 1508412347 | Amber Michelle Steeley | Pediatrics | 2713 Stone Trace Dr, Chattanooga, TN 37421-1194 | 2019-08-16 |
| 1083189377 | Rachel Ames | Pediatrics | 537 Stonecrest Pkwy Ste 201, Smyrna, TN 37167-6895 | 2018-10-12 |
| 1205333481 | Summit Medical Group,pllc | Pediatrics | 1341 Branton Blvd Ste 102, Knoxville, TN 37922-8521 | 2018-04-12 |
| 1225566953 | Justin Wade Widner | Pediatrics | 424 N Broad St Ste B, New Tazewell, TN 37825-6606 | 2017-05-25 |
| 1952834558 | Jack Moore Whitehead | Pediatrics | 95 Seaboard Ln Ste 201, Brentwood, TN 37027-3040 | 2017-04-10 |
| 1134677818 | Dixie Swanson | Pediatrics | 2705 Daventry Dr, Maryville, TN 37804-6141 | 2016-09-12 |
| 1568817658 | Elizabeth Shawn Keiner | Pediatrics | 2200 Childrens Way # B319, Nashville, TN 37232-9760 | 2016-04-26 |
| Find all providers with the same taxonomy | ||||
| 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.