DR. JAY ALAN GATES (NPI# 1548203276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548203276 |
| Entity Type | Individual |
| Full Name | DR. JAY ALAN GATES |
| Credential | M.D. |
| Practice Address |
629 Delozier Way Gia/tec North Powell TN 37849-4030 |
| Mailing Address |
Po Box 59002 Knoxville TN 37950-9002 |
| Practice Telephone | 8655125989 |
| Mailing Telephone | 8655885121 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2017-05-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 41110 | TN | Other Service Providers |
| N | 174400000X | Specialist | ME91178 | FL | Other Service Providers |
| N | 174400000X | Specialist | 032775 | CT | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | BG7249356 | 01 | |
| TN | Q008663 | 05 |
| Street Address |
629 DELOZIER WAY GIA/TEC NORTH |
| City | POWELL |
| State | TN |
| Zip Code | 37849-4030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285692004 | Tec North, LLC | Clinic/Center | 629 Delozier Way, Suite 100, Powell, TN 37849 | 2006-05-02 |
| 1427233055 | Trevor J Ingeneri | Pathology | 629 Delozier Way, Powell, TN 37849-4030 | 2008-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104380930 | Fannon Drug Co. | Pharmacy | 606 E. Emory Rd, Powell, TN 37849 | 2019-01-25 |
| 1417472507 | New Haven, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8001 Conner Road Ste102, Powell, TN 37849 | 2017-08-09 |
| 1790207785 | Sarah Beuerlein Guerrette | Registered Nurse | 7730 Dannaher Drive, Powell, TN 37849 | 2017-07-11 |
| 1255860383 | Eye Surgery Center of Knoxville, LLC | Clinic/Center | 7739 Dannaher Drive, Powell, TN 37849 | 2017-06-12 |
| 1306375720 | Elizabeth Kathy Haun | Nurse Practitioner | 325 Strader Rd, Powell, TN 37849 | 2017-06-08 |
| 1063642593 | Emily H Griffith | Pharmacist | 430 Emory Road, Powell, TN 37849 | 2009-07-17 |
| 1497909428 | Carolyn E Pendergast | Occupational Therapist | 7557 Dannaher Lane, Suite G30, Powell, TN 37849 | 2008-11-04 |
| 1982883468 | Marcella June Greene | Surgery | 7557a Dannaher Dr, Suite 110, Powell, TN 37849 | 2007-10-31 |
| 1629260542 | Frances L Do | Physician Assistant | 7557 Dannaher Dr., Tennessee Urology Associates, Powell, TN 37849 | 2007-08-14 |
| 1780715870 | Diane Elizabeth Crabb | Registered Nurse | 7714 Conner Road, Ste 105, Powell, TN 37849 | 2007-03-08 |
| Find all providers in zip 37849 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417373614 | Tara Aubrey Carpenter | Specialist | 3479 Village Club Dr, Powell, OH 43065-8181 | 2014-03-12 |
| 1821414129 | Michele Anne Basile | Specialist | 2486 Bryton Dr, Powell, OH 43065-7409 | 2014-03-11 |
| 1982824207 | Nneka Stella Ezeneke | Specialist | 9202 Marlebury End, Powell, OH 43065-7852 | 2007-04-27 |
| 1437373842 | Erin Elizabeth Horstman | Specialist | 1989 Carriage Road, Powell, OH 43065 | 2007-04-13 |
| 1831106194 | Michael W Temple | Specialist | 4141 North Hampton Dr, Suite 103, Powell, OH 43065-7063 | 2006-08-01 |
| 1134133598 | Samir Arora | Specialist | 4141 Northhampton Dr, Powell, OH 43065-7061 | 2006-07-28 |
| 1477583268 | Leon Jacob Bogartz | Specialist | 7540 Dannaher Ln, Ste. 300, Powell, TN 37849-4013 | 2006-07-04 |
| 1013375393 | Leah Jean Hall | Specialist | 3833 Attucks Dr, Powell, OH 43065-6082 | 2016-02-02 |
| 1639465610 | Christy Joy Muecke | Specialist | 1106 Julie Ln, Powell, WY 82435 | 2011-06-28 |
| 1700048485 | Village Medical Office Inc | Specialist | 18 Grace Dr, Powell, OH 43065-8466 | 2008-06-25 |
| Find all providers in POWELL | ||||
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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.