MEDICAL EDUCATION ASSISTANCE CORPORATION (NPI# 1669545406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669545406 |
| Entity Type | Organization |
| Organization Name | MEDICAL EDUCATION ASSISTANCE CORPORATION |
| Other Organization Name | ETSU DEPT OF PATHOLOGY |
| Practice Address |
Bldg 119, Dogwood Ln Veterans Adminstration Mountain Home TN 37684 |
| Mailing Address |
Po Box 699 Mountain Home TN 37684-0699 |
| Practice Telephone | 4234396210 |
| Practice Fax Number | 4234398060 |
| Mailing Telephone | 4234336050 |
| Mailing Fax Number | 4234336060 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2018-08-22 |
| Authorized Official Name | MR. RUSSELL E LEWIS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4234336050 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
2211 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LABS GROUP NPI | 1235200676 | 01 | |
| TN | CLIA | 44D0659144 | 01 |
| TN | STATE LICENSE | 2211 | 01 |
| Other Name | Type Code |
|---|---|
| ETSU Dept of Pathology | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164062659 | Medical Education Assistance Corporation | Speech-Language Pathologist | 2423 Susannah St, Johnson City, TN 37601-1749 | 2020-01-13 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1194146894 | Medical Education Assistance Corporation | Psychiatry & Neurology | 2109 W Market St Ste 140, Johnson City, TN 37604 | 2013-12-23 |
| 1336408996 | Medical Education Assistance Corporation | Clinical Medical Laboratory | 1319 Sunset Dr Ste 103, Johnson City, TN 37604 | 2012-05-16 |
| 1013288810 | Medical Education Assistance Corporation | Family Medicine | 826 Meadow View Rd, Bristol, TN 37620 | 2012-01-25 |
| 1225309891 | Medical Education Assistance Corporation | Pediatrics | 201 E Myrtle Ave, Johnson City, TN 37601 | 2012-01-13 |
| 1518236538 | Medical Education Assistance Corporation | Psychologist | Lake Dr., Bldg. 52, Mountain Home, TN 37684-0699 | 2011-12-20 |
| 1750650875 | Medical Education Assistance Corporation | Pediatrics | 252 Sam Jenkins Rd, Attn: Dr. H. Patrick Stern, Gray, TN 37615 | 2011-12-19 |
| 1629346580 | Medical Education Assistance Corporation | Pediatrics | 2891 Highway 11 E, Attn: Dr. H. Patrick Stern, Telford, TN 37690 | 2011-12-07 |
| 1760655914 | Medical Education Assistance Corporation | Speech-Language Pathologist | 1000 Jason Witten Way, Elizabethton, TN 37643-2970 | 2008-04-09 |
| Street Address |
BLDG 119, DOGWOOD LN VETERANS ADMINSTRATION |
| City | MOUNTAIN HOME |
| State | TN |
| Zip Code | 37684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730524 | Kendra Lee Thorne | Psychologist | Corner of Lamont St and Veterans Way, Building 160, Mountain Home, TN 37684 | 2020-11-04 |
| 1255930160 | Maximillian Scott Crockett | Optometrist | James. H Quillen Vamc, Eye Clinic 112e, Mountain Home, TN 37684 | 2020-10-21 |
| 1699393256 | Joshua Thomas Spencer | Pharmacist | Veterans Way and Lamont St, Mountain Home, TN 37684 | 2020-07-10 |
| 1073140265 | James Hankil Kim | Student in an Organized Health Care Education/Training Program | Building 52/lake Drive, Mountain Home, TN 37684 | 2020-03-26 |
| 1932736030 | Trishna Sharma | Student in an Organized Health Care Education/Training Program | Building 52/lake Drive Mountain Home, Johnson City, TN 37684 | 2020-03-26 |
| 1508421884 | Sarvatit Patel | Student in an Organized Health Care Education/Training Program | 52 Lake Dr, Mountain Home, TN 37684 | 2019-05-02 |
| 1902366024 | Katelyn Cserjes | Student in an Organized Health Care Education/Training Program | Building 52 Lake Drive Va Medical Center, Mountain Home, TN 37684 | 2019-03-24 |
| 1114404282 | Anesa Ellen Hughes | Pharmacist | Veterans Way and Lamont St Mountain Home, Mountain Home, TN 37684 | 2018-07-23 |
| 1508352287 | Leon Nguyen | Optometrist | James H. Quillen Vamc - Lamont St & Veterans Way, Eye Clinic 112e, Mountain Home, TN 37684 | 2018-07-06 |
| 1649761750 | Bahaaeldin Ibrahim Mahmoud Youssef | Student in an Organized Health Care Education/Training Program | Va Building 1 Carl A Jones Hall, Dogwood Avenue, Mountain Home, TN 37684 | 2018-05-24 |
| Find all providers in zip 37684 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558637082 | Elizabeth Mary Arze | Pathology | East Tn State Univ., Dept. of Pathology, Vamc, Bldg. 1, Mountain Home, TN 37684 | 2012-03-29 |
| 1891890240 | Humera Bashir Chaudhary | Pathology | Corner of Sidney & Lamont, James H Quillen/vamc, Mountain Home, TN 37684 | 2006-09-13 |
| 1215534615 | Christopher G Webb Md Pa | Pathology | 624 Hospital Drive, Pathology Dept, Mountain Home, AR 72653-2955 | 2020-10-08 |
| 1649452509 | Earl Joseph Brown | Pathology | Dogwood Lane, Department of Pathology Vamc Bdg 1 Rm B-30, Mountain Home, TN 37684 | 2007-12-03 |
| 1396963237 | Christopher G Webb | Pathology | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2007-04-24 |
| 1447385331 | Ozark Pathology Associates | Pathology | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2007-02-22 |
| 1952411407 | James L Babcock | Pathology | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780046888 | Jennifer Reppucci | Pathology | 1301 Medical Center Drive, 4605 Tvc, Nashville, TN 37232-3003 | 2016-03-28 |
| 1902276454 | William Bucher | Pathology | 306 Whiteamore Run, Murfreesboro, TN 37128-6904 | 2015-09-28 |
| 1982015152 | Irina Perjar | Pathology | 725 Glenwood Dr Ste E888, Chattanooga, TN 37404-1156 | 2014-05-09 |
| 1417290263 | Kimberley Brown | Pathology | 1317 Brow Estates Dr, Signal Mountain, TN 37377-3267 | 2013-03-30 |
| 1992062038 | Meghan Kapp | Pathology | Cc3322 Medical Ctr N, 1161 21st Avenue South, Nashville, TN 37232-0001 | 2012-04-13 |
| 1427328442 | Arthur James Wilson | Pathology | 1901 Chatsworth Dr, Germantown, TN 38138-2666 | 2012-01-06 |
| 1972811503 | Status Allergy Clinic of Kingsport | Pathology | 1516 Bridgewater Dr., Kingsport, TN 37660 | 2010-09-16 |
| 1841424058 | Jeremy Vincent | Pathology | 501 19th St Ste 301, Knoxville, TN 37916-1839 | 2009-05-04 |
| 1083866925 | Aml Girgis | Pathology | C2317 Medical Ctr N, Nashville, TN 37232-0001 | 2008-10-22 |
| 1881858876 | Elena Gertsen | Pathology | 1725 W Market St, Johnson City, TN 37604-6020 | 2008-07-18 |
| Find all providers with the same taxonomy | ||||
| City | MOUNTAIN HOME |
| Zip Code | 37684 |
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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.