MR. CHRISTOPHER BRIAN GONG (NPI# 1558991158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558991158 |
Entity Type | Individual |
Full Name | MR. CHRISTOPHER BRIAN GONG |
Credential | FNP-C |
Practice Address |
1404 Tusculum Blvd Ste 300 Greeneville TN 37745-4395 |
Mailing Address |
1275 Dick Lonas Rd Knoxville TN 37909-1382 |
Practice Telephone | 4236381188 |
Mailing Telephone | 8655844747 |
Enumeration Date | 2020-01-22 |
Last Update Date | 2020-06-23 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
27030 | TN | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
2811 W Market St Ste 1, Johnson City, TN 376045127 | 4239282135 | |
63 Thistledown Cir, Jonesborough, TN 376594474 | 4237071546 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053497149 | Christopher Brian Gong | Surgery | 1040 S Van Dyke Rd, Suite 1, Bad Axe, MI 48413-9646 | 2006-10-31 |
Street Address |
1404 TUSCULUM BLVD STE 300 |
City | GREENEVILLE |
State | TN |
Zip Code | 37745-4395 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619409489 | Watauga Recovery Center Greeneville | Family Medicine | 819 W Church Street, Greeneville, TN 37745 | 2017-03-31 |
1154862340 | Open Arms Care Corporation | Intermediate Care Facility, Mentally Retarded | 1404 East Church St, Greeneville, TN 37745 | 2017-03-20 |
1770024010 | Open Arms Care Corporation | Intermediate Care Facility, Mentally Retarded | 1406 East Church Street, Greeneville, TN 37745 | 2017-03-20 |
1336685569 | D&s Residential Services, Lp | Intermediate Care Facility, Mentally Retarded | 1010 Old Stage Rd, Greeneville, TN 37745 | 2017-01-11 |
1750635298 | Matthew Brandon Allen | Pharmacist | 515 Van Hill Rd, Greeneville, TN 37745 | 2012-11-06 |
1083963466 | Addison Dimartino | Optometrist | 204 Emory Dr, Greeneville, TN 37745 | 2012-08-31 |
1639443419 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2499 Buckingham Rd., Greeneville, TN 37745 | 2012-02-27 |
1477786168 | Mcfarland Group Inc. | Durable Medical Equipment & Medical Supplies | 1413 Tusculum Blvd, Greeneville, TN 37745 | 2009-08-27 |
1043458128 | Greenville Dental Associates, Pllc | Dentist | 1308 Tusculum Blvd., Greeneville, TN 37745 | 2009-01-28 |
1275779555 | Professional Hearing Aid Ctr | Hearing Aid Equipment | 705 Professional Plaza, #3, Greenville, TN 37745 | 2008-12-17 |
Find all providers in zip 37745 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467084491 | Heather P Shelton | Nurse Practitioner | 1018 Sun Valley Vlg, Greeneville, TN 37745-6548 | 2020-02-07 |
1114557550 | Amy L Johnson | Nurse Practitioner | 145 Indian Hills Dr, Greeneville, TN 37745-6316 | 2020-01-24 |
1770113136 | Jaime Lee Mcclellan | Nurse Practitioner | 545 Old Newport Hwy, Greeneville, TN 37743-3889 | 2020-01-24 |
1639637812 | Beverly Ann Mahler | Nurse Practitioner | 125 Hopeville Ave, Greeneville, TN 37745-6312 | 2019-03-07 |
1801379078 | Tammy Melissa Solomon | Nurse Practitioner | 204 N Cutler St, Greeneville, TN 37745-3846 | 2018-09-12 |
1255853040 | Christina L Birchfield | Nurse Practitioner | 1404 Tusculum Blvd Ste 2300, Greeneville, TN 37745-4329 | 2017-07-13 |
1265986400 | Kimberly Patterson | Nurse Practitioner | 809 Redbud Dr, Greeneville, TN 37743-6141 | 2016-08-04 |
1275911778 | Kimberly Hoyle | Nurse Practitioner | 1410 Tusculum Blvd Ste 2200, Greeneville, TN 37745-5822 | 2015-05-15 |
1902151616 | Haley D. Quillen | Nurse Practitioner | 2055 E Andrew Johnson Hwy Ste 3, Greeneville, TN 37745-4633 | 2012-07-18 |
1154601508 | William Mcsherry Hennage | Nurse Practitioner | 60 Shiloh Road, Greeneville, TN 37743-6027 | 2011-08-17 |
Find all providers in GREENEVILLE |
City | GREENEVILLE |
Zip Code | 37745 |
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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.