MEDICAL CENTER CLINIC, INC. (NPI# 1689683427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689683427 |
| Entity Type | Organization |
| Organization Name | MEDICAL CENTER CLINIC, INC. |
| Practice Address |
409 Cawood Rd Tazewell TN 37879-3026 |
| Practice Telephone | 4232595850 |
| Practice Fax Number | 4232595853 |
| Mailing Telephone | 4232595850 |
| Mailing Fax Number | 4232595853 |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2018-10-18 |
| Authorized Official Name | SASHA LASHEA' BUSSELL (PRESIDENT/OWNER) |
| Authorized Official Telephone | 4232595850 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
409 CAWOOD RD |
| City | TAZEWELL |
| State | TN |
| Zip Code | 37879-3026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639379175 | Christina Kay Collins | Nurse Practitioner | 409 Cawood Rd, Tazewell, TN 37879 | 2007-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689174211 | Heather Hunley | Nurse Practitioner | 951 N. Broad St, Tazewell Express Care, Tazewell, TN 37879 | 2018-02-20 |
| 1225540495 | Amy Howe | Nurse Practitioner | 1582 N Broad St Ste 2, Tazewell, TN 37879 | 2017-10-28 |
| 1497063903 | Minton Family Dental Care | Dentist | 210 Cedar Fork Rd., Tazewell, TN 37879 | 2010-09-17 |
| 1528259470 | Foster Chiropractic, P.C. | Chiropractor | 2255 Hwy 25e, Suite 2, Tazwell, TN 37879 | 2007-08-06 |
| 1811075088 | Rondal Keith Brock | Physician Assistant | Tazewell Medical Clinic 1442 North Broad Street, Suite 7, Tazewell, TN 37879 | 2006-11-02 |
| 1922185644 | Tri State Sports Medicine and Rehabilitation Inc | Physical Therapist | 2255 Highway 25e Ste 4, Tazewell, TN 37879 | 2006-11-01 |
| 1407932387 | La Wanna Wallen Brock | Nurse Practitioner | 1442 North Broad Street, Suite 7, Tazewell, TN 37879 | 2006-10-31 |
| 1952493462 | Home Town Pharmacy Inc. | Pharmacy | 1410 N. Broadstreet, Tazewell, TN 37879 | 2006-09-29 |
| 1700892429 | Trail of The Cumberlands Anesthesia Associates | Nurse Anesthetist, Certified Registered | 1850 Old Knoxville Hwy, Claiborne County Hospital, Tazewell, TN 37879 | 2006-08-01 |
| 1598718587 | Rosemary Kay Hall | Chiropractor | 1450 Broad St, Suite 1, Tazewell, TN 37879 | 2006-05-18 |
| Find all providers in zip 37879 | ||||
| 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 |
|---|---|---|---|---|
| 1215040852 | Donald Herschel Deaton Jr. | Family Medicine | 1601 Tazewell Rd, Tazewell, TN 37879-3609 | 2006-08-17 |
| 1720008485 | Eduardo Torrefranca Tolosa | Family Medicine | 984 Benbolt Avenue, Tazewell, VA 24651 | 2006-07-19 |
| 1194784264 | William Eric Shrader | Family Medicine | 986 Ben Bolt Ave, Tazewell, VA 24651-9706 | 2006-03-18 |
| 1780228528 | Emily Mcclanahan | Family Medicine | 388 Ben Bolt Ave, Tazewell, VA 24651-5386 | 2019-11-05 |
| 1942695358 | Donald H. Deaton, Do | Family Medicine | 1601 Tazewell Rd, Tazewell, TN 37879-3609 | 2015-04-02 |
| 1932488327 | Livesay Family Medicine, PC | Family Medicine | 1610 Tazewell Rd, Ste 203, Tazewell, TN 37879-3600 | 2011-08-16 |
| 1801080247 | John Henry Pellegrini | Family Medicine | 141 Ben Bolt Ave, Tazewell, VA 24651-9700 | 2007-08-29 |
| 1194867952 | W. Eric Shrader Md PC | Family Medicine | 986 Ben Bolt Ave, Tazewell, VA 24651 | 2007-02-12 |
| 1972662138 | Richard D Clark | Family Medicine | 1601 Tazewell Rd, Tazewell, TN 37879-3609 | 2006-12-06 |
| 1447255401 | Stephen R Rinehart | Family Medicine | 123 Ben Bolt Ave, Tazewell, VA 24651-9700 | 2005-06-16 |
| Find all providers in TAZEWELL | ||||
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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.