CAMPBELL CUNNINGHAM TAYLOR PC (NPI# 1639405483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639405483 |
| Entity Type | Organization |
| Organization Name | CAMPBELL CUNNINGHAM TAYLOR PC |
| Practice Address |
628 Smithview Dr Maryville TN 37803-6100 |
| Practice Telephone | 8659847012 |
| Practice Fax Number | 8659814401 |
| Mailing Telephone | 8659847012 |
| Mailing Fax Number | 8659814401 |
| Enumeration Date | 2009-10-29 |
| Last Update Date | 2019-06-25 |
| Authorized Official Name | MRS. RHONDA M GARRISON (CREDENTIALS COORDINATOR) |
| Authorized Official Telephone | 8655842127 |
| Authorized Official Credential | BILLING DEPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | MD021400 | TN | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | MD0034217 | TN | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | MD0008625 | TN | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | MD029986 | TN | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | OD001240 | TN | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | OD002250 | TN | Suppliers |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | MD016011 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | MEDICARE | 3371152 | 01 |
| TN | 3371152 | 05 | |
| TN | DME | 645010002 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356678882 | Campbell Cunningham Taylor PC | Ophthalmology | 962 Dolly Parton Pkwy, Sevierville, TN 37862-3707 | 2009-11-04 |
| 1407850944 | Campbell Cunningham Taylor PC | Optometrist | 1124 E Weisgarber Rd Ste 100, Knoxville, TN 37909-2686 | 2005-06-13 |
| 1902008162 | Campbell Cunningham Taylor PC | Durable Medical Equipment & Medical Supplies | 1124 E Weisgarber Rd, Suite 102, Knoxville, TN 37909-2686 | 2007-06-01 |
| Street Address |
628 SMITHVIEW DR |
| City | MARYVILLE |
| State | TN |
| Zip Code | 37803-6100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063416618 | Louis E Haun | Specialist | 628 Smithview Dr, Maryville, TN 37803-6100 | 2005-06-10 |
| 1316941842 | Alden Kirk Haun | Ophthalmology | 628 Smithview Dr, Maryville, TN 37803 | 2005-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669964672 | Mary Kathleen Gravatt | Physical Therapy Assistant | 1750 Linda Ln, Maryville, TN 37803 | 2018-06-05 |
| 1235350828 | Thomas Robert Schlitt | Physical Therapist | 833 Lawrence Avenue, Maryville, TN 37803 | 2007-05-01 |
| 1437278769 | Selena Lynette Reed | Dietitian, Registered | 1759 Old Niles Ferry Rd, Maryville, TN 37803 | 2007-03-28 |
| 1386775641 | Mary W Tucker | Nurse Practitioner | 116 Chantilly Lane, Maryville, TN 37803 | 2007-03-08 |
| 1518098045 | Wal-mart Stores East, L.p. | Technician/Technologist | 2410 Us Hwy 411 South, Maryville, TN 37803 | 2007-03-08 |
| 1265529069 | Robert F Fekete | Pharmacist | 1524 Woodward Court, Maryville, TN 37803 | 2006-10-05 |
| 1336234848 | Edwin Terry Webb | Pharmacist | 131 Montgomery Lane, Maryville, TN 37803 | 2006-10-03 |
| 1891793014 | Rebecca Lynn Bunch | Counselor | 627 Smithview Drive, Maryville, TN 37803 | 2005-07-12 |
| 1770788895 | Janaan Manney Branch | Registered Nurse | 627 Smithview Drive, Maryville, TN 37803 | 2007-06-19 |
| 1396860185 | Caroline Rech | Registered Nurse | 627 Smithview Drive, Maryville, TN 37803 | 2007-03-20 |
| Find all providers in zip 37803 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629610308 | K -va -t Food Stores Inc | Durable Medical Equipment & Medical Supplies | 1715 W Broadway Ave, Maryville, TN 37801-5509 | 2019-10-14 |
| 1497161137 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 930 Coleman's Crossing Blvd., Maryville, OH 43040-2543 | 2014-07-02 |
| 1417375403 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1602 E Lamar Alexander Pkwy, Maryville, TN 37804-6206 | 2014-04-07 |
| 1336562453 | Anesthesia Services Associates, Pllc | Durable Medical Equipment & Medical Supplies | 103 Station Dr, Maryville, TN 37804-4190 | 2014-01-24 |
| 1881028413 | First Choice Home Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 679 Morganton Square Dr, Maryville, TN 37801-4763 | 2013-08-30 |
| 1164727046 | Hanger Prosthetics & Orthotics East, Inc. | Durable Medical Equipment & Medical Supplies | 266 Cherokee Professional Park, Maryville, TN 37804-5153 | 2011-01-24 |
| 1346494176 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6607 State Route 162, Maryville, IL 62062-8514 | 2008-11-06 |
| 1306000195 | M Rogers Inc & Subsidiary | Durable Medical Equipment & Medical Supplies | 125 E South Ave, Maryville, MO 64468-2669 | 2008-07-11 |
| 1275720740 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 2409 Us Highway 411 S, Maryville, TN 37801-8635 | 2007-09-28 |
| 1730211004 | Balance and Support Dynamics, LLC | Durable Medical Equipment & Medical Supplies | 1431 E Harper Ave, Maryville, TN 37804-3261 | 2007-03-12 |
| Find all providers in MARYVILLE | ||||
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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.