METHODIST MEDICAL CENTER (NPI# 1700870672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700870672 |
| Entity Type | Organization |
| Organization Name | METHODIST MEDICAL CENTER |
| Practice Address |
990 Oak Ridge Turnpike Oak Ridge TN 37831-2529 |
| Mailing Address |
Po Box 440457 Nashville TN 37244-0457 |
| Practice Telephone | 8658351000 |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2020-09-11 |
| Authorized Official Name | MR. KEVIN D BROWN (VP, PATIENT ACCOUNT SERVICES) |
| Authorized Official Telephone | 8653743090 |
| Is Organization Subpart | Y |
| Parent Organization Name | COVENANT HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 0000000001 | TN | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 0440034 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | METHODIST MEDICAL CENTER OF OAK RIDGE | 990 Oak Ridge Tpke, Oak Ridge, TN 37831-6976 |
| Street Address |
990 OAK RIDGE TURNPIKE |
| City | OAK RIDGE |
| State | TN |
| Zip Code | 37831-2529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386979573 | Rebecca Sams Layton | Physician Assistant | 990 Oak Ridge Turnpike, Methodist Medical Center, Oak Ridge, TN 37830 | 2009-10-06 |
| 1467674622 | Cary Chrisman | Pharmacist | 990 Oak Ridge Turnpike, Oak Ridge, TN 37830 | 2007-05-03 |
| 1912083379 | Lucas John Moersdorf | Registered Nurse | 990 Oak Ridge Turnpike, Mmc Anesthesia PC, Oak Ridge, TN 37830-6976 | 2006-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730526864 | Rickey Allen Cosby | Nurse Practitioner | Bldg 4500n Ms6184, Oak Ridge, TN 37831 | 2013-05-30 |
| 1902156177 | Doran M. Christensen | Emergency Medicine | 1299 Bethel Valley Road, Oak Ridge, TN 37831-0117 | 2012-09-14 |
| 1154372266 | Mark A. Greer | Optometrist | 127 E Division Rd, Oak Ridge, TN 37831-0587 | 2006-05-13 |
| 1801088158 | Greer Family Eyecare | Optometrist | 127 E Division Rd, Oak Ridge, TN 37831-0587 | 2007-08-10 |
| 1114361037 | Russ Reynolds | Psychologist | 301 Bear Creek Rd., Oak Ridge, TN 37831-2820 | 2013-04-22 |
| 1215266135 | Rubin Burt Prater | Specialist | Highway 58 - Gallaher Road, K-1007, Ms-7422, Oak Ridge, TN 37831-4699 | 2009-12-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902404080 | Ty Taubenheim | Nurse Practitioner | 109 Tamara Ln, Oak Ridge, TN 37830-6673 | 2020-10-12 |
| 1669087029 | Sara Cole | Dietitian, Registered | 13 Highland Rd, Oak Ridge, NJ 07438-9542 | 2020-09-12 |
| 1033723572 | Tamara L. Ellington | Registered Nurse | 158 Fairbanks Rd, Oak Ridge, TN 37830-7022 | 2020-09-02 |
| 1063025104 | Jerrold Anthony Williams | Home Health Aide | 109 Trevecca Ln, Oak Ridge, TN 37830-6616 | 2020-08-28 |
| 1639782139 | Haley Reicher | Registered Nurse | 180 Waterview Dr Apt 619, Oak Ridge, TN 37830-9064 | 2020-08-25 |
| 1215549175 | Penelope Fattebert | Acupuncturist | 103 W Tennessee Ave, Oak Ridge, TN 37830-6502 | 2020-08-20 |
| 1205454139 | Diane Helm | Registered Nurse | 6106 Chalet Dr, Oak Ridge, NC 27310-9697 | 2020-07-07 |
| 1689298556 | Integrity Home Care | Technician | 106 Administration Rd # 202, Oak Ridge, TN 37830-6954 | 2020-06-05 |
| 1033731666 | Brooke Lorraine Hamby | Registered Nurse | 145 Manhattan Ave, Oak Ridge, TN 37830-7055 | 2020-05-18 |
| 1861027765 | Angela Taylor Thompson | Licensed Practical Nurse | 106 Administration Rd Ste 202, Oak Ridge, TN 37830-6954 | 2020-03-11 |
| Find all providers in OAK RIDGE | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174033906 | Behavioral Health of Rocky Top, LLC | General Acute Care Hospital | 210 Industrial Park Dr, Rocky Top, TN 37769-2301 | 2017-10-06 |
| 1104290667 | Michelle Mcconnell Spradley | General Acute Care Hospital | 5006 Dell Dr, Mount Juliet, TN 37122-4157 | 2015-11-20 |
| 1215301981 | Cheryl Hall Wideman | General Acute Care Hospital | 3721 Russell Hurst Dr E, Bartlett, TN 38135-1965 | 2015-11-18 |
| 1104206135 | Vanderbilt University | General Acute Care Hospital | 62 Parks Ln, Fayetteville, TN 37334-6642 | 2015-06-04 |
| 1306247515 | Fort Sanders Regional Medical Center | General Acute Care Hospital | 614 Emory Oak Ct, Knoxville, TN 37909-3439 | 2014-09-07 |
| 1740609130 | Select Specialty | General Acute Care Hospital | 2000 Hayes St Ste 1502, Nashville, TN 37203-2318 | 2014-04-14 |
| 1710301320 | Veronica Blackman | General Acute Care Hospital | 447 Shelley Renee Ln, Cordova, TN 38018-4310 | 2014-02-18 |
| 1962826107 | Hoke Steven Fitzgerald | General Acute Care Hospital | 1073 Smithfield Rd, Tellico Plains, TN 37385-6137 | 2014-02-07 |
| 1336560598 | Vanderbilt University Medical Center | General Acute Care Hospital | 607 Medical Arts Building, 1121 21st Avenue South, Nashville, TN 37232-1320 | 2013-12-13 |
| 1710314554 | Centennial | General Acute Care Hospital | 552 Metroplex Dr, Nashville, TN 37211-3133 | 2013-10-10 |
| Find all providers with the same taxonomy | ||||
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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.