DR. JOHN CONARD BELITZ IV (NPI# 1578524740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578524740 |
| Entity Type | Individual |
| Full Name | DR. JOHN CONARD BELITZ IV |
| Credential | MD |
| Practice Address |
1855 Tanner Way Suite 200 Harriman TN 37748-2057 |
| Practice Telephone | 8653766272 |
| Practice Fax Number | 8653760341 |
| Mailing Telephone | 8653766272 |
| Mailing Fax Number | 8653760341 |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2020-07-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 039463 | TN | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 039463 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | RAILROAD MEDICARE | 3069138 | 01 |
| TN | 3069138 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912043803 | John F Belitz | Chiropractor | 11223 Wright Cir, Omaha, NE 68144-4736 | 2007-01-29 |
| Street Address |
1855 TANNER WAY SUITE 200 |
| City | HARRIMAN |
| State | TN |
| Zip Code | 37748-2057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982698155 | Robert Joseph Wilson | Family Medicine | 1855 Tanner Way, Harriman, TN 37748-8302 | 2005-09-02 |
| 1427505361 | Star Physical Therapy Lp | Clinic/Center | 1855 Tanner Way, Suite 140, Harriman, TN 37748-8302 | 2016-09-08 |
| 1356794887 | Lindsay Matijevich | Physical Therapist | 1855 Tanner Way, Suite 140, Harriman, TN 37748-8302 | 2016-07-20 |
| 1366894602 | Teena Hedrick | Nurse Practitioner | 1855 Tanner Way, Ste 200, Harriman, TN 37748-8302 | 2016-07-11 |
| 1851730428 | Rebekah Leane Loden | Pharmacist | 1855 Tanner Way, Harriman, TN 37748-8302 | 2013-06-17 |
| 1386981041 | Roane Dental Associates, P.C. | Dentist | 1855 Tanner Way, Suite 210, Harriman, TN 37748-8302 | 2013-01-14 |
| 1225306533 | Orthotennessee, PC | Durable Medical Equipment & Medical Supplies | 1855 Tanner Way, Suite 110, Harriman, TN 37748-8302 | 2011-12-01 |
| 1356629091 | Raymond Scott Holmes | Dentist | 1855 Tanner Way, Suite 210, Harriman, TN 37748-8302 | 2011-07-29 |
| 1689968620 | Zachary Frye | Pharmacist | 1855 Tanner Way, Harriman, TN 37748-8302 | 2011-06-07 |
| 1144513029 | Orthotennessee, PC | Orthopaedic Surgery | 1855 Tanner Way, Suite 110, Harriman, TN 37748-0000 | 2011-05-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063904324 | Jared Michael Orick | Nurse Practitioner | 1855 Tanner Way Ste 110, Harriman, TN 37748 | 2018-06-03 |
| 1447769062 | Jonni Rhea Wood | Nurse Practitioner | 2497 S Roane St Ste 110, Harriman, TN 37748 | 2017-09-26 |
| 1396173423 | Roane Urgent Care Clinic LLC | Clinic/Center | 2497 S. Roane St, Suite 110 B, Harriman, TN 37748 | 2013-10-29 |
| 1861837080 | Rebecca T Jordan | Community Health Worker | 257 Patton Lane, Harriman, TN 37748 | 2013-05-01 |
| 1891944765 | Kristine Joan Dyer | Nurse Practitioner | 8045 Roane Medical Center Drive, Harriman, TN 37748 | 2008-09-15 |
| 1104047703 | Doyle Alfred Griffis | Pharmacist | 319 N. Roane Street, Harriman, TN 37748 | 2007-05-01 |
| 1629107651 | Paula A Margrave | Pharmacist | Roane Plaza Hwy 27, Food City Pharmacey #634, Harriman, TN 37748 | 2007-03-05 |
| 1952471476 | Roane Chiropractic Center | Chiropractor | 1208 South Roane Street, Harriman, TN 37748 | 2006-11-09 |
| 1487756755 | Douglas Clark | Family Medicine | 2317 South Roane Street, Harriman, TN 37748 | 2006-09-05 |
| 1588681068 | K Va T Food Stores Inc | Durable Medical Equipment & Medical Supplies | 1130 S Roane Street, Hwy. 27, Harriman, TN 37748 | 2006-07-17 |
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| 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 |
|---|---|---|---|---|
| 1265978613 | Jahanara Reza Md PC | Internal Medicine | 2 Brookside Dr W, Harriman, NY 10926-3018 | 2017-01-10 |
| 1497949549 | W E Bennett Md | Internal Medicine | 2305 N Gateway Ave Unit 9, Harriman, TN 37748-2025 | 2007-08-31 |
| 1538110523 | Kent Emerson Latham | Internal Medicine | 718 Morgan St, Harriman, TN 37748-2011 | 2006-05-13 |
| 1851385108 | Randy Lee Denton Jr. | Internal Medicine | 408 N Roane St, Harriman, TN 37748-2057 | 2005-09-01 |
| 1821253899 | Samuel T. Harris | Internal Medicine | 8045 Roane Medical Center Dr, Harriman, TN 37748-8333 | 2008-07-18 |
| 1104023704 | Roane Medical Center | Internal Medicine | 412 Devonia St, Harriman, TN 37748-2009 | 2007-06-28 |
| 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 |
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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.