APPALACHIA HEALTH SERVICES (NPI# 1568542009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568542009 |
| Entity Type | Organization |
| Organization Name | APPALACHIA HEALTH SERVICES |
| Other Organization Name | APPALACHIA HEALTH SERVICES |
| Practice Address |
292 N Main St Jellico TN 37762-2132 |
| Practice Telephone | 4237843600 |
| Practice Fax Number | 4237844602 |
| Mailing Telephone | 4237843600 |
| Mailing Fax Number | 4237844602 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2014-10-15 |
| Authorized Official Name | DAVID A. ESCALANTE (CEO) |
| Authorized Official Telephone | 4237843600 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204D00000X | Neuromusculoskeletal Medicine & OMM | MD0000027929 | TN | Allopathic & Osteopathic Physicians |
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
MD0000025677 | Allopathic & Osteopathic Physicians | |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
MD0000026093 | TN | Allopathic & Osteopathic Physicians |
| N | 208100000X | Physical Medicine & Rehabilitation | MD0000021416 | TN | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | MD0000030920 | TN | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| APPALACHIA HEALTH SERVICES | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952505612 | Appalachia Health Services | Clinic/Center | 3080 Us Hwy 25 W, Williamsburg, KY 40769-8602 | 2007-06-14 |
| Street Address |
292 N MAIN ST |
| City | JELLICO |
| State | TN |
| Zip Code | 37762-2132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427096551 | David Escalante | Emergency Medicine | 292 N Main St, Jellico, TN 37762-2132 | 2006-06-02 |
| 1255880134 | Jenny Elizabeth Welch | Nurse Practitioner | 292 N Main St, Jellico, TN 37762-2132 | 2016-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063992600 | Springs of Life | Psychologist | 185 Baker Street, Jellico, TN 37762 | 2018-08-14 |
| 1679666366 | Charles Henry Wilkens | Family Medicine | 131 Hospital Lane, Jellico, TN 37762 | 2006-10-02 |
| 1225096217 | Benjamin Wayne D'ooge | Emergency Medicine | 188 Hospital Lane, Jellico, TN 37762 | 2006-05-02 |
| 1770790065 | Dayspring Health Inc | Physician Assistant | 107 S Main St, Jellico, TN 37762 | 2007-05-17 |
| 1790856102 | Charles R Hayes | Nurse Anesthetist, Certified Registered | 188 Hospital Ln, Jellico, TN 37762 | 2006-11-10 |
| 1023022084 | Dayspring Health Inc | Obstetrics & Gynecology | 550 Sunset Trl, Jellico, TN 37762 | 2006-07-27 |
| 1174691315 | Family Drug Center Inc | Durable Medical Equipment & Medical Supplies | 248 S Main St, Jellico, TN 37762-2017 | 2006-12-04 |
| 1114442175 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 248 S Main St, Jellico, TN 37762-2017 | 2017-08-10 |
| 1598211401 | Jonathan Broyles | Pharmacist | 248 S Main St, Jellico, TN 37762-2017 | 2016-08-30 |
| 1184008005 | Rite Aid of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 248 S Main St, Jellico, TN 37762-2017 | 2015-07-10 |
| Find all providers in zip 37762 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1598795833 | Mohammed Humayun Kabir | Internal Medicine | 486 S Florence Ave, Jellico, TN 37762-2382 | 2006-07-03 |
| 1992253025 | Hcc of Jellico LLC | Internal Medicine | 188 Hospital Ln, Jellico, TN 37762-4400 | 2016-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841816485 | Bulls Gap Medical and Walk In Clinic | Internal Medicine | 273 Highway 11 E Ste A, Bulls Gap, TN 37711-3434 | 2020-06-19 |
| 1043856677 | Pac of Tennessee PC | Internal Medicine | 1958 West State Street, Suite 2, Bristol, TN 37620-2257 | 2019-11-19 |
| 1730739442 | Megan Elizabeth Wagner | Internal Medicine | 220 Eauclair St, Kingsport, TN 37664-4840 | 2019-09-14 |
| 1649825258 | Daniel Cusator | Internal Medicine | 9258 Wardley Park Ln, Brentwood, TN 37027-4465 | 2019-08-09 |
| 1508423799 | Priority Health, Pllc | Internal Medicine | 486 Bells Chapel Rd, Dyer, TN 38330-3028 | 2019-05-22 |
| 1326603911 | Tennessee Health Partners LLC | Internal Medicine | 5300 Maryland Way Ste 103, Brentwood, TN 37027-5074 | 2019-05-08 |
| 1740757764 | Advanced Diagnostic Imaging, PC | Internal Medicine | 2340 Fairview Boulevard, Suite 600d, Fairview, TN 37062 | 2018-10-29 |
| 1881179844 | Mtn Care, Pllc | Internal Medicine | 5543 Edmondson Pike # 231, Nashville, TN 37211-5808 | 2018-09-26 |
| 1427546415 | Christopher Nelson | Internal Medicine | 5100 Poplar Ave Ste 512, Memphis, TN 38137-0500 | 2018-04-25 |
| 1053810457 | Noi Nuyen Md, Pllc | Internal Medicine | 214 Prosperity Dr, Knoxville, TN 37923-4702 | 2018-02-12 |
| Find all providers with the same taxonomy | ||||
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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.