PEDIATRIC PLACE OF UNION CITY LLC (NPI# 1578762647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578762647 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC PLACE OF UNION CITY LLC |
| Practice Address |
1117 S Miles Ave Suite 3 Union City TN 38261-5439 |
| Mailing Address |
1613 Stonehedge Blvd Union City TN 38261-5976 |
| Practice Telephone | 7318854338 |
| Practice Fax Number | 7318854339 |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2007-07-17 |
| Authorized Official Name | DR. JOHN B BATES (SOLE MEMBER) |
| Authorized Official Telephone | 7318854338 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 42330 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
1117 S MILES AVE SUITE 3 |
| City | UNION CITY |
| State | TN |
| Zip Code | 38261-5439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154388890 | Kizer Pharmacy LLC | Pharmacist | 1117 S Miles Ave, Ste. 1, Union City, TN 38261-5439 | 2006-04-27 |
| 1174857064 | Jason Smith Kizer | Pharmacist | 1117 S Miles Ave, Ste. 1, Union City, TN 38261-5439 | 2009-09-24 |
| 1710133558 | Richard Earl Holford II | Pharmacist | 1117 S Miles Ave, Suite 1, Union City, TN 38261-5439 | 2008-08-12 |
| 1265631329 | John B Bates | Pediatrics | 1117 S Miles Ave, Suite 3, Union City, TN 38261-5439 | 2007-07-17 |
| 1144348079 | Stephanie Lynn Harder | Registered Nurse | 1117 S Miles Ave, Suite 3, Union City, TN 38261-5439 | 2007-03-27 |
| 1033277983 | Travis Dale Shumate | Dentist | 1117 S Miles Ave, Suite 2, Union City, TN 38261 | 2006-12-04 |
| 1619089448 | Rcg Martin LLC | Clinic/Center | 1117 S Miles Ave, Suite 6, Union City, TN 38261-5439 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437540200 | Brandi N Rose | Nurse Practitioner | 1109 E Reelfoot Ave Ste A, Union City, TN 38261 | 2015-02-13 |
| 1750719605 | Hannah V Burke | Nurse Practitioner | 1312 Bishop Street, Union City, TN 38261 | 2013-10-30 |
| 1548413545 | Vip Transpotation | Non-emergency Medical Transport (VAN) | 3888 Ken-tenn Hwy, Union City, TN 38261 | 2008-11-04 |
| 1902052137 | Michelle Davis Hudspeth | Speech-Language Pathologist | 1105 Sunswept Drive, Union City, TN 38261 | 2008-08-07 |
| 1053581744 | Terrell Clinic LLC | Nurse Practitioner | 701 East Reelfoot Ave, Suite 100, Union City, TN 38261 | 2008-03-10 |
| 1275673212 | Kristy Anne Mclaughlin | Counselor | 108 S 1st St, Union City, TN 38261 | 2007-02-07 |
| 1407900970 | Johnny R Miller Dmd Family Dentistry Inc | Dentist | 1209 Russell St, Union City, TN 38261 | 2007-01-22 |
| 1235223017 | Gabriel Paul Sullivan | Dentist | 1007 E Reelfoot Ave, Union City, TN 38261 | 2006-10-03 |
| 1003900887 | Gabe Sullivan Dds Plc | Dentist | 1007 East Reelfoot Ave, Union City, TN 38261 | 2006-10-03 |
| 1144312521 | Bhekumuzi Mcglen Khumalo | Podiatrist | 1190 E. Reelfoot Ave, Suite D, Union City, TN 38261 | 2006-09-29 |
| Find all providers in zip 38261 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619580107 | Anzule Navarrete | Pediatrics | 3196 John F Kennedy Blvd, Union City, NJ 07087 | 2020-08-25 |
| 1871836189 | Marisa Mendes | Pediatrics | 3196 Jfk Boulevard, Union City, NJ 07087 | 2013-04-04 |
| 1275844516 | Wilson Eduardo Delgado | Pediatrics | 4201 New York Ave, Union City, NJ 07087-4929 | 2010-07-01 |
| 1023181468 | Tomas Jose Barrios | Pediatrics | 311 33rd St, Union City, NJ 07087-4701 | 2006-11-15 |
| 1518073337 | Kevin Joseph Mcdonough | Pediatrics | 511 22nd St, Union City, NJ 07087-3500 | 2006-08-22 |
| 1376594770 | Yvonne L Smith | Pediatrics | 4910 Jonesboro Rd, Bldg. 700, Ste. 1, Union City, GA 30291-2085 | 2006-05-12 |
| 1831156306 | Yvonne L. Smith Md PC | Pediatrics | 4910 Jonesboro Road, Union City, GA 30291-2085 | 2006-04-28 |
| 1487129680 | Advocare, LLC | Pediatrics | 3196 Kennedy Blvd Ste 3, Union City, NJ 07087-2468 | 2018-10-04 |
| 1265951917 | Kayla Yates | Pediatrics | 1345 Edwards St, Union City, TN 38261-5814 | 2017-09-13 |
| 1639557598 | Phillip Thomas Knight | Pediatrics | 3196 Kennedy Blvd, Union City, NJ 07087 | 2015-05-12 |
| Find all providers in UNION CITY | ||||
| City | UNION CITY |
| Zip Code | 38261 |
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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.