FIRST MEDICAL GROUP INC (NPI# 1700983210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700983210 |
Entity Type | Organization |
Organization Name | FIRST MEDICAL GROUP INC |
Practice Address |
1505 W Elk Ave Suite 1 Elizabethton TN 37643-2848 |
Practice Telephone | 4235437919 |
Practice Fax Number | 4235435323 |
Mailing Telephone | 4235437919 |
Mailing Fax Number | 4235435323 |
Enumeration Date | 2006-09-19 |
Last Update Date | 2010-06-09 |
Authorized Official Name | DR. BRENT DAVID LAING (SENIOR PARTNER) |
Authorized Official Telephone | 4235437919 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
MD15696 | TN | Allopathic & Osteopathic Physicians |
Street Address |
1505 W ELK AVE SUITE 1 |
City | ELIZABETHTON |
State | TN |
Zip Code | 37643-2848 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518902378 | First Medical Group Inc. | Health Maintenance Organization | 1505 W Elk Ave, Ste 2, Elizabethton, TN 37643-2848 | 2006-06-17 |
1457693996 | Blue Ridge Medical Management Corporation | Internal Medicine | 1505 W Elk Ave, Suite 2, Elizabethton, TN 37643-2848 | 2013-03-22 |
1467691857 | Rebecca P Wilkins | Nurse Practitioner | 1505 W Elk Ave, Elizabethton, TN 37643-2848 | 2009-02-09 |
1710140249 | Ryan Andrew Hackett | Family Medicine | 1505 W Elk Ave, Suite 2, Elizabethton, TN 37643-2848 | 2008-07-03 |
1801080171 | Rebekah Livingston Swink | Family Medicine | 1505 W Elk Ave, Suite 2, Elizabethton, TN 37643-2848 | 2007-08-30 |
1780774570 | Robert Edmund Walter | Medical Genetics, Ph.D. Medical Genetics | 1505 W Elk Ave, Suite 2, Elizabethton, TN 37643-2848 | 2006-10-13 |
1124118971 | Jerry L Gastineau | Medical Genetics, Ph.D. Medical Genetics | 1505 W Elk Ave, Suite 2, Elizabethton, TN 37643-2848 | 2006-10-13 |
1124119458 | David Kenneth Fenner | Medical Genetics, Ph.D. Medical Genetics | 1505 W Elk Ave, Suite 2, Elizabethton, TN 37643-2848 | 2006-09-28 |
1699867861 | Christopher Manoli Chrisohon | Medical Genetics, Ph.D. Medical Genetics | 1505 W Elk Ave, Suite 2, Elizabethton, TN 37643-2848 | 2006-09-28 |
1659486900 | John David Green | Obstetrics & Gynecology | 1505 W Elk Ave, Suite 1, Elizabethton, TN 37643-2848 | 2006-08-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558831115 | Blue Ridge Medical Management Corporation | Internal Medicine | 404 Bemberg Rd, Elizabethton, TN 37643 | 2018-11-27 |
1396269072 | Solutions Medical Centers Pllc | General Practice | Solutions Medical Centers, 851 W Elk Ave, Elizabethton, TN 37643 | 2017-08-03 |
1437533924 | Dr. Benjamin D. Parrish and Assoc Od. PC | Optometrist | 114 S. Sycamore St, Elizabethton, TN 37643 | 2015-07-14 |
1972980431 | Valerie Lynn Pierce | Nurse's Aide | 101 Crowe Rd, Elizabethton, TN 37643 | 2015-05-04 |
1679816730 | Jeremy Meyer | Surgery | 1497 W Elk Ave Ste 10, Elizabethton, TN 37643 | 2013-03-27 |
1649579087 | Melinda Lynn Jennings | Pharmacist | 507 West Elk Ave, Elizbethton, TN 37643 | 2011-03-24 |
1588987036 | Troy Kevin Covarrubias | Driver | 219 Coal Chute Rd, Elizabethton, TN 37643 | 2010-03-11 |
1649502048 | Derek Charles Rhoton | Physician Assistant | 1500 West Elk Ave, Elizabethton, TN 37643 | 2010-02-10 |
1144456047 | Peacock Medical Equipment and Home Health Care LLC | Home Health | 1201 Highway 19 E Bypass Suite 3, Elizabethton, TN 37643 | 2009-06-05 |
1235386434 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 1210 Militia Ct., Elizabethton, TN 37643 | 2008-08-19 |
Find all providers in zip 37643 |
Taxonomy Code | 207VX0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Obstetrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699161117 | Heather Michelle Wherry | Obstetrics & Gynecology | 7705 Poplar Ave Bldg B, Germantown, TN 38138-3930 | 2015-04-10 |
1194114033 | Woman's Clinic | Obstetrics & Gynecology | 242 Coatsland, Jackson, TN 38301 | 2015-01-15 |
1265766877 | Obstetrics and Medicine Pllc | Obstetrics & Gynecology | 6005 Park Ave Ste 310, Memphis, TN 38119-5213 | 2009-09-29 |
1275584716 | Kenneth R O'kelley | Obstetrics & Gynecology | 9430 Parkwest Blvd, Suite 320, Knoxville, TN 37923 | 2006-05-12 |
1003880493 | John Sindos Adams Sr. | Obstetrics & Gynecology | 929 Spring Creek Road, Suite 104, Chattanooga, TN 37412-3974 | 2006-02-14 |
1538162748 | Alfonzo S Arze | Obstetrics & Gynecology | 301 Med Tech Pkwy, Suite 200, Johnson City, TN 37604 | 2005-05-23 |
1275186504 | Tessa B Eckhardt | Obstetrics & Gynecology | 6845 Mountain View Rd, Ooltewah, TN 37363-6561 | 2019-07-16 |
1346641156 | Mistye Taylor Md Pllc | Obstetrics & Gynecology | 300 Stonecrest Blvd, 490, Smyrna, TN 37167-5688 | 2014-09-11 |
1588083943 | Stephanie Dallas | Obstetrics & Gynecology | 1161 21st Ave S, R-1214 Mcn, Nashville, TN 37232-2521 | 2014-04-15 |
1720407182 | Kreg Gosta Jonson | Obstetrics & Gynecology | 1511 Gunbarrel Rd Ste 111, Chattanooga, TN 37421-3897 | 2014-04-14 |
Find all providers with the same taxonomy |
City | ELIZABETHTON |
Zip Code | 37643 |
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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.