DR. JERRY ALLAN DEVANE (NPI# 1750322863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750322863 |
| Entity Type | Individual |
| Full Name | DR. JERRY ALLAN DEVANE |
| Credential | MD |
| Practice Address |
2650 Executive Park Nw Cleveland TN 37312-2746 |
| Practice Telephone | 4234799679 |
| Practice Fax Number | 4235599046 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 11041 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
2650 EXECUTIVE PARK NW |
| City | CLEVELAND |
| State | TN |
| Zip Code | 37312-2746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144662834 | Anna Kathleen Carden | Nurse Practitioner | 2650 Executive Park Nw, Cleveland, Tn, Cleveland, TN 37312-2746 | 2013-07-23 |
| 1326480112 | Angela Marie Coates | Nurse Practitioner | 2650 Executive Park Nw, Cleveland, TN 37312-2746 | 2013-07-23 |
| 1740545151 | Judith L Dedeker | Registered Nurse | 2650 Executive Park Nw, Suite 5, Cleveland, TN 37312-2746 | 2012-07-11 |
| 1386909760 | Stephan M Becker Md | Psychiatry & Neurology | 2650 Executive Park Nw, Suite 3, Cleveland, TN 37312-2746 | 2012-07-11 |
| 1699062554 | Diedre Fay Suits | Registered Nurse | 2650 Executive Park Nw, Suite 5, Cleveland, TN 37312-2746 | 2011-06-29 |
| 1184944365 | Patricia L Craig | Social Worker | 2650 Executive Park Nw, Suite 3, Cleveland, TN 37312-2746 | 2010-06-10 |
| 1952631889 | Timothy J Tatum | Counselor | 2650 Executive Park Nw, Suite 3, Cleveland, TN 37312-2746 | 2009-12-26 |
| 1063678795 | Stephan Max Becker | Psychiatry & Neurology | 2650 Executive Park Nw, Suite 3, Cleveland, TN 37312-2746 | 2008-08-01 |
| 1497921852 | William A Holland Jr. | Independent Medical Examiner | 2650 Executive Park Nw, Suite 5, Cleveland, TN 37312-2746 | 2008-05-06 |
| 1326228602 | Robert Stetson, Md, Pllc | Clinic/Center | 2650 Executive Park Nw, Suite #3, Cleveland, TN 37312-2746 | 2007-11-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041196 | Middle Tennessee Treatment Clinics, LLC | Clinic/Center | 3575 Keith Street Nw, Cleveland, TN 37312 | 2020-10-22 |
| 1922630870 | Samuel Anthony Pharr | Physical Therapist | 1090 Tasso Lane, Ne, Cleveland, TN 37312 | 2020-02-09 |
| 1508400235 | Paul E. Pinson | Anesthesiology | 3917 Georgetown Road, Nw, Cleveland, TN 37312 | 2019-11-06 |
| 1902456114 | Brittani P Munck | Technician | 147 Gable Dr Nw, Cleveland, TN 37312 | 2019-09-19 |
| 1053975243 | Christian Joy Mcgirt | Counselor | 4160 North Ocoee Street, Suite 8, Cleveland, TN 37312 | 2019-04-24 |
| 1629558812 | Back In Motion, Inc. | Chiropractor | 3771 Georgetown Rd. Nw, Cleveland, TN 37312 | 2018-08-16 |
| 1508342221 | Andre L James | Case Manager/Care Coordinator | 2600 Executive Drive, Cleveland, TN 37312 | 2018-07-16 |
| 1386152197 | Courtney Ferguson | Behavioral Analyst | 3505 Adkisson Dr Nw Ste 166, Cleveland, TN 37312 | 2018-01-15 |
| 1669992285 | Nurseprofessionals | Licensed Practical Nurse | 2901 Peerless Road, Cleveland, TN 37312 | 2017-06-24 |
| 1407383334 | I Care Eyecare LLC | Optometrist | 5546 Keith St. Ne, Walmart Vision Center, Cleveland, TN 37312 | 2017-05-23 |
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| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194255216 | Front Door Medicine Pllc | Emergency Medicine | 3276 Chestnut Cir Nw, Cleveland, TN 37312-2113 | 2017-06-13 |
| 1497173033 | Cathleen Bury | Emergency Medicine | 9105 Cedar Rd E Building, Cleveland, OH 44195-0001 | 2014-04-01 |
| 1033554290 | Robert Michael Hughes | Emergency Medicine | 111000 Euclid Ave., University Hospitals Case Medical Center, Cleveland, OH 44106 | 2013-05-01 |
| 1386987220 | Brian Christopher Rees | Emergency Medicine | 11100 Euclid Ave # B517, Cleveland, OH 44106-1716 | 2013-03-28 |
| 1821385436 | Matthew Christopher Kostura | Emergency Medicine | 9500 Euclid Ave / E19, Cleveland Clinic / Emergency Services Institute, Cleveland, OH 44195 | 2011-07-03 |
| 1235439670 | Er Doc 24 7 Pllc | Emergency Medicine | 705 E. Houston St., Cleveland, TX 77327 | 2010-11-02 |
| 1750545398 | Longhorn Emergency Physicians | Emergency Medicine | 1017 S Travis Street, Cleveland, TX 77327-5152 | 2008-07-14 |
| 1346440468 | Erin Murphy Gaugler | Emergency Medicine | 300 N Commons Blvd, Cleveland, OH 44143-1589 | 2007-07-18 |
| 1790986206 | Joshua Gabriel Kubit | Emergency Medicine | 9500 Euclid Ave # E19, Cleveland, OH 44195 | 2007-05-30 |
| 1306854351 | Patrick Lynch | Emergency Medicine | 934 Beech Hill Rd, Cleveland, OH 44143-3505 | 2006-08-04 |
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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.