GAMMA HEALTHCARE, INC (NPI# 1689038440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689038440 |
Entity Type | Organization |
Organization Name | GAMMA HEALTHCARE, INC |
Practice Address |
309 N Church Ave Ste 5 Dyersburg TN 38024-3013 |
Mailing Address |
1717 W Maud St Poplar Bluff MO 63901-4003 |
Practice Telephone | 5737275600 |
Practice Fax Number | 5737850753 |
Mailing Telephone | 5737275600 |
Mailing Fax Number | 5737850753 |
Enumeration Date | 2016-04-07 |
Last Update Date | 2016-07-18 |
Authorized Official Name | JERRY W MURPHY (CHAIRMAN & CEO) |
Authorized Official Telephone | 5737275600 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Suppliers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497117899 | Gamma Healthcare, Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3346 Goodman Rd E, Southaven, MS 38672-6433 | 2016-03-24 |
1043604739 | Gamma Healthcare, Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4507 N Sterling Ave Ste 200, Peoria, IL 61615-3861 | 2015-03-20 |
1114315793 | Gamma Healthcare, Inc | Clinical Medical Laboratory | 2211 Roy Rd, Tyler, TX 75707-6275 | 2015-01-05 |
1982948428 | Gamma Healthcare, Inc | Clinical Medical Laboratory | 820 S Three Notch St, Suite B, Andalusia, AL 36420-5359 | 2012-11-21 |
1598264186 | Gamma Healthcare, Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4020 Richards Rd, North Little Rock, AR 72117-2650 | 2018-02-08 |
1992166599 | Gamma Healthcare, Inc | Clinical Medical Laboratory | 2938 Telegraph Rd, Saint Louis, MO 63125-4061 | 2016-03-10 |
1023420072 | Gamma Healthcare, Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1717 W Maud St, Poplar Bluff, MO 63901-4003 | 2014-05-27 |
Street Address |
309 N CHURCH AVE STE 5 |
City | DYERSBURG |
State | TN |
Zip Code | 38024-3013 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235760273 | Alison Clement | Nurse Practitioner | 750 W Highway 51 Bypass, Dyersburg, TN 38024 | 2020-01-29 |
1861030652 | Pagela Jobe | Nurse Practitioner | 750 West Highway 51 Bypass, Dyersburg, TN 38024 | 2019-12-12 |
1083184055 | Whitney Young | Nurse Practitioner | 455 East Parkview, Dyersburg, TN 38024 | 2018-12-03 |
1518434067 | Myeyedr Optometry of Tennessee, LLC | Optometrist | 400 Us Hwy 51 S, Dyersburg, TN 38024 | 2018-11-01 |
1225529142 | Kidney Experts Pllc | Internal Medicine | 1575 Parr Ave # B, Dyersburg, TN 38024 | 2018-05-25 |
1407344690 | Darnisha Williams | Pharmacist | 2650 Lake Road, Dyersburg, TN 38024 | 2018-04-24 |
1376081547 | Chasidy Branch | Counselor | 640 U.S. Highway 51 Bypass E. Suite M, Dyersburg, TN 38024 | 2017-02-07 |
1548671845 | Shree Ramakant Mulay | Internal Medicine | 1575 Parr Ave Ste B, Dyersburg, TN 38024 | 2014-05-08 |
1588904965 | Selina Carol Purvis | Physical Therapy Assistant | 1900 Parr Avenue, Dyersburg, TN 38024 | 2013-02-22 |
1326396029 | Tennessee Sleep Managment LLC | Clinic/Center | 1190 Hwy 51 By-pass West, Suite C, Dyersburg, TN 38024 | 2012-08-28 |
Find all providers in zip 38024 |
Taxonomy Code | 335V00000X |
Grouping | Suppliers |
Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164829347 | Tennessee Mobile Diagnostics Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2874 Elm Hill Pike, Nashville, TN 37214-3718 | 2014-12-03 |
1003110271 | Pri X-ray, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4040 Mountain Creek Rd, Apartment 1304, Chattanooga, TN 37415-6034 | 2011-01-03 |
1316106578 | Professional Ultrasound Imaging LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 588 Vann Ln, Manchester, TN 37355-5002 | 2008-06-03 |
1225202765 | Hometown Medical Services LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 635 Highway 51 S, Covington, TN 38019-2427 | 2008-04-16 |
1982885190 | Med Lifts LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1700 S Holtzclaw Ave, Chattanooga, TN 37404-4803 | 2007-11-15 |
1902934110 | Com-rad Mobile Imaging, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 339 Benwood Trl Ne, Cleveland, TN 37323-5096 | 2007-03-01 |
1467594614 | Med-way Mobile X Ray LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 251 Mchenry Circle, Livingston, TN 38570 | 2007-02-13 |
1245376581 | Radiographics, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2135 Hillshire Cir, Memphis, TN 38133-6074 | 2007-01-30 |
1407967565 | Southeastern Mobile Imaging LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5004 Bayberry Dr, Knoxville, TN 37921-1401 | 2006-08-31 |
1316050172 | East Tennessee Mobile Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5913 Wooded Acres Dr, Knoxville, TN 37921-3924 | 2006-08-16 |
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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.