AQUEEL M KOUSER


Address: 657 E Broadway Blvd, Suite C, Jefferson City, TN 37760-4948
Phone: 8654759062

AQUEEL M KOUSER (NPI# 1639129323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639129323
Entity Type Individual
Full Name AQUEEL M KOUSER
Credential MD
Practice Address 657 E Broadway Blvd
Suite C
Jefferson City
TN 37760-4948
Practice Telephone 8654759062
Practice Fax Number 8654759063
Mailing Telephone 8654759062
Mailing Fax Number 8654759063
Enumeration Date 2006-05-11
Last Update Date 2018-01-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RR0500X Internal Medicine
Specialization: Rheumatology
MD27663 TN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TN 3099434 05

Office Location

Street Address 657 E BROADWAY BLVD
SUITE C
City JEFFERSON CITY
State TN
Zip Code 37760-4948

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073979522 Jeff City Pharmacist Group LLC Dba Md Pharmacy Store 2 Pharmacy 657 E Broadway Blvd, Jefferson City, TN 37760 2016-01-13
1205226032 Healthstar Physicians, PC Internal Medicine 657 E Broadway Blvd, Suite C, Jefferson City, TN 37760-4948 2015-02-02
1528317054 Miranda Hickle Nurse Practitioner 657 E Broadway Blvd, Suite D, Jefferson City, TN 37760-4948 2012-08-30
1487961173 Mountain View Pediatrics and Internal Medicine Clinic/Center 657 E Broadway Blvd, Jefferson City, TN 37760-4948 2010-09-02
1689846271 Patricia Annette Waddell Nurse Practitioner 657 E Broadway Blvd, Suite C, Jefferson City, TN 37760-4948 2008-03-24
1285788323 Steven Todd Sheedlo Emergency Medicine 657 E Broadway Blvd, Ste. C, Jefferson City, TN 37760 2007-01-23
1902820624 Laura Kraus Pediatrics 657 E Broadway Blvd, Suite D, Jefferson City, TN 37760-4948 2006-07-26
1902822588 Optimus Health Center, Inc. Physical Therapist 657 E Broadway Blvd, Jefferson City, TN 37760-4906 2006-07-15
1235178047 Mathew T Kraus Internal Medicine 657 E Broadway Blvd, Suite D, Jefferson City, TN 37760-4948 2006-06-06
1740231646 Debra A Lane Family Medicine 657 E Broadway Blvd, Healthstar Physicians Ste C, Jefferson City, TN 37760 2006-05-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699235929 Emmley L Cole Nurse Practitioner 277 E W Broadway Blvd, Jefferson, TN 37760 2019-03-22
1275044877 Cindy Anderson Nurse Practitioner 277 E Broadway Blvd, Jefferson City, TN 37760 2017-10-23
1801259940 Mcfarland Group, Inc. Durable Medical Equipment & Medical Supplies 665 E Broadway Blvd, Jefferson City, TN 37760 2016-04-04
1124422266 Penny Williams-cordeiro Nurse Practitioner 1901 Brookside Drive, Suite 105, Kingsport, TN 37760 2014-10-17
1215363841 Lindsey Ann Clyde Physician Assistant 120 Hospital Dr Ste 130, Jefferson City, TN 37760 2013-09-14
1679849814 Allison Renee Farris Surgery 120 Hospital Dr Ste G20, Jefferson City, TN 37760 2012-03-31
1245562891 Steven Jarvis Monroe Dentist 156 W. Broadway Blvd., Jefferson City, TN 37760 2010-02-08
1952560625 Summit Medical Group,pllc Internal Medicine 380 W Broadway Blvd, Jefferson City, TN 37760 2008-06-06
1780756189 Steven J Monroe Dds PC Dentist 156 W Broadway Blvd, Jefferson City, TN 37760 2006-11-14
1720188600 Dennis U Spjut Psychologist 732 E Jefferson St, Dennis Spjut Phd, Jefferson City, TN 37760 2006-09-22
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Taxonomy Information

Taxonomy Code 207RR0500X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Rheumatology

Taxonomy Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235125071 Karen Rice Internal Medicine 1125 Madison St, Jefferson City, MO 65101-5227 2005-09-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1043799026 American Arthritis & Rheumatology Associates Tn, Pllc Internal Medicine 6005 Park Ave Ste 409, Memphis, TN 38119-5214 2018-08-09
1316234974 Maryam Pourpaki Internal Medicine 4230 Harding Pike Ste 301, Nashville, TN 37205-2098 2011-07-05
1336460054 Mark Robin Boothby Internal Medicine Div of Rheumatology Vanderbilt Medical Ctr, T-3217 Medical Center North, 1161 21st Ave S, Nashville, TN 37232-0001 2010-06-16
1083931539 Medical Specialists of Johnson City Internal Medicine 2528 Wesley St Ste 2, Johnson City, TN 37601-1766 2010-04-23
1205063591 Jayne Littlejohn Crowe Internal Medicine 979 E. Third St, Suite B - 805, Chattanooga, TN 37403-2141 2009-06-15
1487880829 Syed Saquib Islam Internal Medicine University of Tennessee 910 Madison Ave Ste 1031, Memphis, TN 38163-1658 2009-05-29
1154564086 Seunghyun Kim Internal Medicine 956 Court Ave Ste G-326, Memphis, TN 38103-2814 2009-04-08
1396983524 Lizeth Jovanna Romero Internal Medicine 979 E 3rd St Ste B-805, Chattanooga, TN 37403-2136 2009-01-26
1487814166 Cecilia Pilar Chung Nakandakari Internal Medicine S 1115 Medical Center North, 1611 21st Avenue South, Nashville, TN 37232-2681 2008-06-16
1558533760 J Suzanne Moore Internal Medicine 303 Med Tech Pkwy Ste 200, Johnson City, TN 37604 2008-03-27
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Competitor

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City JEFFERSON CITY
Zip Code 37760

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Dataset Information

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.

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