DR. ANDY DELWADIA (NPI# 1629089784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629089784 |
| Entity Type | Individual |
| Full Name | DR. ANDY DELWADIA |
| Credential | MD |
| Practice Address |
444 Clinchfield Street Suite 201 Kingsport TN 37660-3606 |
| Practice Telephone | 4232302500 |
| Practice Fax Number | 4232302510 |
| Mailing Telephone | 4232302500 |
| Mailing Fax Number | 4232302510 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2016-11-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 14815 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 010118069 | 05 | |
| TN | 3006294 | 05 | |
| TN | RAIL ROAD MEDICARE | P00194762 | 01 |
| Street Address |
444 CLINCHFIELD STREET SUITE 201 |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37660-3606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477539542 | Michael P Kauzlarich | Emergency Medicine | 444 Clinchfield Street, Suite 201, Kingsport, TN 37660-3606 | 2005-12-20 |
| 1831467067 | Mountain Region Family Medicine, PC | Family Medicine | 444 Clinchfield Street, Ste 201, Kingsport, TN 37660-3683 | 2011-12-02 |
| 1164582862 | Aaron K Metcalf | Family Medicine | 444 Clinchfield Street, Suite 201, Kingsport, TN 37660-3606 | 2006-12-11 |
| 1841369402 | John Albert Ehrenfried | Surgery | 444 Clinchfield Street, Suite 2900, Kingsport, TN 37660 | 2006-11-07 |
| 1528079910 | Robert Harold Funke | Family Medicine | 444 Clinchfield Street, Suite 201, Kingsport, TN 37660-3606 | 2006-08-10 |
| 1205844024 | Andrew Phillip Kramer | Surgery | 444 Clinchfield Street, Suite 2900, Kingsport, TN 37660 | 2006-08-04 |
| 1588683585 | George Daniel Gonzalez | Radiology | 444 Clinchfield Street, Suite 2900, Kingsport, TN 37660 | 2006-07-19 |
| 1154354900 | Mack L Hicks | Family Medicine | 444 Clinchfield Street, Suite 201, Kingsport, TN 37660-3606 | 2006-07-07 |
| 1609806389 | Surgical Associates of Kingsport, Inc | Radiology | 444 Clinchfield Street, Suite 2900, Kingsport, TN 37660-3858 | 2006-07-05 |
| 1306897202 | Arthur Morgan Boyd | Family Medicine | 444 Clinchfield Street, Suite 201, Kingsport, TN 37660-3606 | 2006-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909891 | Nancy Gober | Pharmacist | Holston Valley Medical Center Inpatient Pharmacy, 130 W Ravine, Kingsport, TN 37660 | 2020-07-06 |
| 1700437621 | Tammy Denise Leblanc | Technician | 125 Lancer Rd, Kingsport, TN 37660 | 2019-09-23 |
| 1831743392 | Independent Physical Therapy | Occupational Therapist | 1704 E. Stone Dr. Ste 120, Kingsport, TN 37660 | 2019-08-01 |
| 1871095315 | Macie Anderson | Nurse Practitioner | 411 Clay St, Kingsport, TN 37660 | 2018-03-01 |
| 1053813527 | Pulitzer Orthodontics, LLC | Dentist | 1200 Pulitzer Place, Kingsport, TN 37660 | 2018-03-01 |
| 1174038749 | Sbh-kingsport | Psychiatric Hospital | 1025 Executive Park Blvd, Kingsport, TN 37660 | 2017-12-05 |
| 1548771447 | Sara B Ball | Registered Nurse | 111 W Stone Dr Ste 240, Kingsport, TN 37660 | 2017-10-18 |
| 1821525361 | Ashley Brook Weems | Nurse Practitioner | Six Sheridan Square Suite 100, Kingsport, TN 37660 | 2017-05-15 |
| 1639625643 | Stephanie H Garris | Nurse Practitioner | 117 W Sevier Ave Ste 120, Kingsport, TN 37660 | 2016-08-30 |
| 1073965679 | Teresa Anne Starke | Physician Assistant | 8 Sheridan Square, Suite 110, Kingsport, TN 37660 | 2016-07-07 |
| Find all providers in zip 37660 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316563455 | Kathleen Barksdale Beine | Family Medicine | 4515 Brookridge Dr, Kingsport, TN 37664-2105 | 2020-06-24 |
| 1861768350 | Jennifer Lynn Woodard | Family Medicine | 415 Broad St Ste 410, Kingsport, TN 37660-4264 | 2012-03-28 |
| 1588786768 | Medical Education Assistance Corporation | Family Medicine | 102 Ravine Rd, Ste 1, Kingsport, TN 37660 | 2007-04-06 |
| 1659450096 | Tihomir Ivanov Tochev | Family Medicine | 1501 E Stone Dr, Kingsport, TN 37660-4132 | 2006-11-05 |
| 1508877846 | Roger Archer | Family Medicine | 101 Professional Park Pvt Dr, Kingsport, TN 37663-2288 | 2006-08-11 |
| 1285664839 | Scott D Mclain | Family Medicine | 1526 Bridgewater Ln, Kingsport, TN 37660-4106 | 2006-07-03 |
| 1295778538 | Centerpoint Medical Clinic LLC | Family Medicine | 2020 Brookside Drive, Suite 20, Kingsport, TN 37660 | 2006-06-14 |
| 1194777953 | Nicholas Brett Smith | Family Medicine | 4600 Fort Henry Dr, Kingsport, TN 37663 | 2006-05-17 |
| 1396796173 | Daniel L Dickerson | Family Medicine | 208 Lynn Garden Dr, Ste 2, Kingsport, TN 37660-3171 | 2006-05-15 |
| 1174509533 | Joann W. D'aprile-lubrano | Family Medicine | 444 Clinchfield St, Suite 201, Kingsport, TN 37660-3606 | 2005-12-19 |
| Find all providers in KINGSPORT | ||||
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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.