SDM TENNESSEE PC (NPI# 1720591084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720591084 |
| Entity Type | Organization |
| Organization Name | SDM TENNESSEE PC |
| Practice Address |
7100 Commerce Way Ste 160 Brentwood TN 37027-2875 |
| Mailing Address |
5955 Carnegie Blvd Ste 300 Charlotte NC 28209-4667 |
| Practice Telephone | 6156618818 |
| Mailing Telephone | 9802333220 |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2020-07-30 |
| Authorized Official Name | DAVID L BRYANT (CEO) |
| Authorized Official Telephone | 9802333200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
Allopathic & Osteopathic Physicians |
| Street Address |
7100 COMMERCE WAY STE 160 |
| City | BRENTWOOD |
| State | TN |
| Zip Code | 37027-2875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154323749 | Jill C Fichtel | Dermatology | 7100 Commerce Way Ste 160, Brentwood, TN 37027 | 2005-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154932762 | Amber Schalk | Behavioral Analyst | 333 Franklin Road Suite 135a-142, Brentwood, TN 37027 | 2020-08-17 |
| 1639795578 | Melissa Weitekamp | Counselor | 246 Wilson Pike Circle, Brentwood, TN 37027 | 2020-06-16 |
| 1528605979 | John David Murphy | Marriage & Family Therapist | 103 Continental Pl. Suite 120, Brentwood, TN 37027 | 2019-12-04 |
| 1548828130 | Hannah Dawn Harden | Counselor | 1604 Westgate Circle, Suite 220, Brentwood, TN 37027 | 2019-05-30 |
| 1790348142 | The Plastic Surgery Center Brentwood | Clinic/Center | 620 Church Street East, Brentwood, TN 37027 | 2019-04-20 |
| 1356803712 | Justin Kade Ellis | Dentist | 343 Franklin Rd Ste 103, Brentwood, TN 37027 | 2019-04-04 |
| 1073098190 | Harrison Roulaine Hall | Physical Therapist | 823 Woodburn Dr, Brentwood, TN 37027 | 2018-09-25 |
| 1275020273 | Merakey Allos | Home Health Aide | 5110 Maryland Way Ste 320, Brentwood, TN 37027 | 2018-04-16 |
| 1255836557 | Eleah Hyatt | Marriage & Family Therapist | 761 Old Hickory Blvd, Suite 101, Brentwood, TN 37027 | 2018-03-28 |
| 1386168607 | Brentwood Endodontics LLC | Dentist | 5111 Maryland Way Suite 209, Brentwood, TN 37027 | 2017-07-28 |
| Find all providers in zip 37027 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306937891 | Richard Bartholomew Gibbs | Dermatology | 1215 Poplar Ave, Memphis, TN 38104-7241 | 2006-09-27 |
| 1679585822 | Carla R Retief | Dermatology | 4301 Hillsboro Pike, Suite 200, Nashville, TN 37215-3345 | 2006-08-13 |
| 1710949508 | Claude Clinton Frazier IIi | Dermatology | 5410 Kingston Pike, Knoxville, TN 37919-5021 | 2006-04-05 |
| 1679129829 | Amber Godsey Mcmillin | Dermatology | 615 Volunteer Pkwy, Bristol, TN 37620-3640 | 2019-08-14 |
| 1669662516 | Bristol Dermatology, Pllc | Dermatology | 350 Blountville Hwy, Suite 201, Bristol, TN 37620-0213 | 2007-07-26 |
| 1225117476 | Maria C Arzubiaga | Dermatology | 3400 Lebanon Rd, Murfreesboro, TN 37129-1237 | 2006-11-06 |
| 1295705176 | Dan Alexander Dunaway | Dermatology | 5210 Poplar Ave, Suite 100, Memphis, TN 38119-3515 | 2006-01-24 |
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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.