TULLAHOMA NEURODIAGNOSTIC CLINIC PC (NPI# 1548249527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548249527 |
Entity Type | Organization |
Organization Name | TULLAHOMA NEURODIAGNOSTIC CLINIC PC |
Practice Address |
1330 Cedar Ln Suite 700 Tullahoma TN 37388-2283 |
Practice Telephone | 9314551219 |
Practice Fax Number | 9313933394 |
Mailing Telephone | 9314551219 |
Mailing Fax Number | 9313933394 |
Enumeration Date | 2006-01-10 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. RAYMOND L CAPPS (PHYSICIAN) |
Authorized Official Telephone | 9314551219 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
30044 | TN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | BCBS | 3115407 | 01 |
TN | 3726745 | 05 |
Street Address |
1330 CEDAR LN SUITE 700 |
City | TULLAHOMA |
State | TN |
Zip Code | 37388-2283 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679566772 | Rimda Gupta | Internal Medicine | 1330 Cedar Ln, Suite 100, Tullahoma, TN 37388-2283 | 2005-08-24 |
1447597109 | Kari S Pitchko | Nurse Practitioner | 1330 Cedar Ln, Bldg B Suite 900, Tullahoma, TN 37388-2283 | 2013-01-14 |
1942484787 | Coffee County Internal Medicine,pc | Internal Medicine | 1330 Cedar Ln, Suite 1200, Tullahoma, TN 37388-2283 | 2007-12-27 |
1053430439 | Tullahoma Internal Medicine, Pllc | Internal Medicine | 1330 Cedar Ln, Suite 100, Tullahoma, TN 37388-2283 | 2007-03-28 |
1386794659 | Highland Rim Cardiac Rehab, LLC | Clinic/Center | 1330 Cedar Ln, Suite 200, Tullahoma, TN 37388-2283 | 2007-01-11 |
1770562142 | Tullahoma Pediatrics Pllc | Psychiatry & Neurology | 1330 Cedar Ln, Bldg B Suite 900, Tullahoma, TN 37388-2283 | 2006-01-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588183628 | Angela Michelle Sowers | Dietitian, Registered | 1801 North Jackson St, Tullahoma, TN 37388 | 2017-09-09 |
1194242669 | Haley D Stewart | Speech-Language Pathologist | Top Rehab Services, Inc, 2110 N. Jackson Street, Tullahoma, TN 37388 | 2017-08-25 |
1295263150 | Kelli Elaine Spencer | Nurse Practitioner | Partners for Healing, 109 West Blackwell Street, Tullahoma, TN 37388 | 2017-05-23 |
1932651486 | Adam Snider | Physical Therapy Assistant | 1321 Cedar Lane, Tullahoma, TN 37388 | 2016-11-01 |
1891240743 | Elizabeth Riddle | Nurse Practitioner | 1805 N Jackson St Ste 11, Tullahoma, TN 37388 | 2016-08-22 |
1720437189 | Ronda Schrimsher | Peer Specialist | 108 E Lauderdale St, Tullahoma, TN 37388 | 2016-06-07 |
1003298639 | Jeanetta Clark | Counselor | 1803 N. Jackson St, Centerstone of Tennessee, Tullahoma, TN 37388 | 2015-06-19 |
1285051698 | Ashley Mcmurtry | Physical Therapist | 2110 N. Jackson Street, Tullahoma, TN 37388 | 2014-03-24 |
1093150575 | Orthopedic Braces | Case Management | 206 Westside Dr, Tullahoma, TN 37388 | 2013-05-09 |
1427397199 | Kristina Danette Carter | Pharmacist | 104 North Jackson Street, Tullahoma, TN 37388 | 2013-01-31 |
Find all providers in zip 37388 |
Taxonomy Code | 2084N0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology |
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306304530 | West Tn Neurology Clinic Pllc | Psychiatry & Neurology | 6570 Stage Rd Ste 202, Bartlett, TN 38134-2840 | 2019-03-06 |
1356873814 | Neurolocums Lc | Psychiatry & Neurology | 915 Hampstead Ln, Murfreesboro, TN 37129-1354 | 2017-04-03 |
1407302169 | Comprehensive Neurology Center, Pllc | Psychiatry & Neurology | 5000 Crossings Cir Ste 101, Mt Juliet, TN 37122 | 2016-08-31 |
1861873846 | Rashi Krishnan | Psychiatry & Neurology | 1265 Union Avenue Dept of Neurology, Memphis, TN 38104 | 2015-06-15 |
1154717262 | Kayla Dawn Bowden | Psychiatry & Neurology | 8000 Centerview Pkwy Ste 305, Cordova, TN 38018-4225 | 2015-04-15 |
1164841326 | Beth Anne Cavanaugh | Psychiatry & Neurology | 848 Adams Ave Ste 400l, Memphis, TN 38103-2816 | 2014-04-15 |
1255759288 | Lauren Emily Mccollum | Psychiatry & Neurology | 1932 Alcoa Hwy Ste 150, Knoxville, TN 37920-1532 | 2014-04-07 |
1881037240 | Adam Nagy | Psychiatry & Neurology | 3930 The Vanderbilt Clinic, 1301 Medical Center Drive, Nashville, TN 37232-5400 | 2013-04-16 |
1538424072 | East Tn Neurology LLC | Psychiatry & Neurology | 2253 Chambliss Ave. Nw, Suite 405, Cleveland, TN 37311-3861 | 2012-07-11 |
1629332143 | Sabrina Ahmed | Psychiatry & Neurology | 1800 Medical Center Pkwy Ste 410, Murfreesboro, TN 37129-3182 | 2012-06-29 |
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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.