DR. BART ISAAC MCKINNEY (NPI# 1619151719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619151719 |
| Entity Type | Individual |
| Full Name | DR. BART ISAAC MCKINNEY |
| Credential | MD |
| Practice Address |
3 Professional Park Dr Suite 21 Johnson City TN 37604-6529 |
| Practice Telephone | 4234346300 |
| Mailing Telephone | 4234346300 |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2009-12-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 45071 | TN | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
ME101817 | FL | Allopathic & Osteopathic Physicians |
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
45071 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1514735 | 05 |
| Street Address |
3 PROFESSIONAL PARK DR SUITE 21 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604-6529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437145687 | Paul Thurdekoos | Surgery | 3 Professional Park Dr, Suite 31, Johnson City, TN 37604-6529 | 2005-09-23 |
| 1033660386 | John Lawson Surgical Group | Nurse Practitioner | 3 Professional Park Dr, Suite 31, Johnson City, TN 37604-6529 | 2016-10-21 |
| 1689125296 | Savanna Blevins | Nurse Practitioner | 3 Professional Park Dr, Johnson City, TN 37604-6529 | 2016-10-18 |
| 1922457423 | Daniel Foster | Physical Therapist | 3 Professional Park Dr, Suite #21, Johnson City, TN 37604-6529 | 2016-06-06 |
| 1780938522 | Kyle J Morgan | Physician Assistant | 3 Professional Park Dr, Suite 21, Johnson City, TN 37604 | 2012-11-01 |
| 1366752032 | Jessica Lynn Childers | Physical Therapist | 3 Professional Park Dr, Suite 10, Johnson City, TN 37604-6529 | 2010-10-15 |
| 1144475922 | Henry J. Williams | Orthopaedic Surgery | 3 Professional Park Dr, Suite 21, Johnson City, TN 37604-6529 | 2008-11-20 |
| 1659407302 | Angela D Higgins | Physical Therapist | 3 Professional Park Dr, Suite 10, Johnson City, TN 37604-6529 | 2007-02-26 |
| 1528128063 | Appalachian Orthopaedic Associates, PC | Physical Therapist | 3 Professional Park Dr, Suite 10, Johnson City, TN 37604-6529 | 2006-12-12 |
| 1255491585 | Lewis Gordon Porter Iv | Physician Assistant | 3 Professional Park Dr, Suite 21, Johnson City, TN 37604-6529 | 2006-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| Find all providers in zip 37604 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275164162 | Seven Springs Orthopaedics, PC | Orthopaedic Surgery | 2213memorial Blvd., Suite D, Murfreesboro, TN 37129 | 2020-01-29 |
| 1568947059 | Tennessee Sports Medicine, PC | Orthopaedic Surgery | 7545 Barnett Way Ste 5, Powell, TN 37849-3565 | 2018-10-01 |
| 1699281451 | Tennessee Sports Medicine, PC | Orthopaedic Surgery | 799 S Willow Ave, Cookeville, TN 38501-5997 | 2017-12-15 |
| 1942716709 | Tennessee Sports Medicine, PC | Orthopaedic Surgery | 820 N Thompson Ln Ste 1h, Murfreesboro, TN 37129-4340 | 2017-12-15 |
| 1871009639 | Tennessee Sports Medicine, PC | Orthopaedic Surgery | 1047 Glenbrook Way Ste 110, Hendersonville, TN 37075-1231 | 2017-12-15 |
| 1235528027 | Jeffrey Barnes | Orthopaedic Surgery | 2209 Raines Ct, Spring Hill, TN 37174-7521 | 2015-01-15 |
| 1821325424 | West Tennessee Orthopaedics and Sports Medicine, PC | Orthopaedic Surgery | 1003 E Reelfoot Ave., Suite 4, Union City, TN 38261-5871 | 2009-11-03 |
| 1710154331 | James P Leonard | Orthopaedic Surgery | 1215 21st Avenue, Mce South Tower, Suite 3200, Nashville, TN 37205 | 2008-05-13 |
| 1588701999 | J W Thomas Byrd | Orthopaedic Surgery | 2004 Hayes St Ste 700, Nashville, TN 37203-5178 | 2007-02-01 |
| 1811919335 | Lawrence F Schrader | Orthopaedic Surgery | 927 Cordova Station Ave, Cordova, TN 38018-6316 | 2006-07-24 |
| Find all providers with the same taxonomy | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
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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.