DEBORAH E. LECRAW (NPI# 1750498929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750498929 |
| Entity Type | Individual |
| Full Name | DEBORAH E. LECRAW |
| Credential | MD |
| Practice Address |
105 W Stone Dr Ste 1f Kingsport TN 37660-3365 |
| Mailing Address |
Po Box 9 Kingsport TN 37662-0009 |
| Practice Telephone | 4232302420 |
| Practice Fax Number | 4232302422 |
| Mailing Telephone | 4238572093 |
| Mailing Fax Number | 4233903340 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2020-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 27625 | TN | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | MD27625 | TN | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | MD27625 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3811998 | 05 | |
| VA | 1750498929 | 05 | |
| TN | 3811990 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 240 Medical Park Blvd Ste 1700, Bristol, TN 376207348 | 4239902466 | 4239902407 |
| Street Address |
105 W STONE DR STE 1F |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37660-3365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972142529 | Macy Cox | Nurse Practitioner | 105 W Stone Dr Ste 1f, Kingsport, TN 37660-3365 | 2019-12-30 |
| 1396256004 | Angela Millican | Nurse Practitioner | 105 W Stone Dr Ste 1f, Kingsport, TN 37660-3365 | 2017-10-20 |
| 1831622273 | Robyn Ashley Long | Emergency Medicine | 105 W Stone Dr Ste 1f, Kingsport, TN 37660-3365 | 2017-04-04 |
| 1033524970 | Suzanne C. Dargan | Registered Nurse | 105 W Stone Dr Ste 1f, Kingsport, TN 37660 | 2014-06-30 |
| 1427461755 | Robert Rutherford | Registered Nurse | 105 W Stone Dr Ste 1f, Kingsport, TN 37660 | 2014-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909891 | Nancy Gober | Pharmacist | Holston Valley Medical Center Inpatient Pharmacy, 130 W Ravine, Kingsport, TN 37660 | 2020-07-06 |
| 1700437621 | Tammy Denise Leblanc | Technician | 125 Lancer Rd, Kingsport, TN 37660 | 2019-09-23 |
| 1831743392 | Independent Physical Therapy | Occupational Therapist | 1704 E. Stone Dr. Ste 120, Kingsport, TN 37660 | 2019-08-01 |
| 1871095315 | Macie Anderson | Nurse Practitioner | 411 Clay St, Kingsport, TN 37660 | 2018-03-01 |
| 1053813527 | Pulitzer Orthodontics, LLC | Dentist | 1200 Pulitzer Place, Kingsport, TN 37660 | 2018-03-01 |
| 1174038749 | Sbh-kingsport | Psychiatric Hospital | 1025 Executive Park Blvd, Kingsport, TN 37660 | 2017-12-05 |
| 1548771447 | Sara B Ball | Registered Nurse | 111 W Stone Dr Ste 240, Kingsport, TN 37660 | 2017-10-18 |
| 1821525361 | Ashley Brook Weems | Nurse Practitioner | Six Sheridan Square Suite 100, Kingsport, TN 37660 | 2017-05-15 |
| 1639625643 | Stephanie H Garris | Nurse Practitioner | 117 W Sevier Ave Ste 120, Kingsport, TN 37660 | 2016-08-30 |
| 1073965679 | Teresa Anne Starke | Physician Assistant | 8 Sheridan Square, Suite 110, Kingsport, TN 37660 | 2016-07-07 |
| Find all providers in zip 37660 | ||||
| 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 |
|---|---|---|---|---|
| 1285155531 | Terry Curtis Fultz | Emergency Medicine | 2807 Wallace Ct, Kingsport, TN 37664-5832 | 2017-06-27 |
| 1437347606 | Michael Mathson | Emergency Medicine | 130 W. Ravine Rd., Kingsport, TN 37660 | 2007-10-12 |
| 1275727281 | Ben John Kerny Jr. | Emergency Medicine | 278 Stone Edge Cir, Kingsport, TN 37660-3489 | 2007-09-03 |
| 1689795007 | Elaine Frazier | Emergency Medicine | 410 Golf Ridge Dr, Kingsport, TN 37664 | 2007-04-03 |
| 1700983376 | Sivasubramanian Krishnamoorthy | Emergency Medicine | 1901 Brookside Dr, Kingsport, TN 37660-4617 | 2006-09-17 |
| 1629012927 | Lesley Wilcoxson | Emergency Medicine | 1020 Stagshaw Ln, Kingsport, TN 37660-1077 | 2006-06-16 |
| 1598709727 | Vijay R Singh | Emergency Medicine | 1201 N Wilcox Dr, Suite B, Kingsport, TN 37660-4967 | 2006-06-16 |
| 1780628891 | Michael L Bacon | Emergency Medicine | 130 West Ravine Road, Kingsport, TN 37662 | 2006-06-16 |
| 1861470080 | Adil Kabir Warsy | Emergency Medicine | 2205 Pavilion Dr, Suite 201b, Kingsport, TN 37660-4641 | 2006-01-06 |
| 1477539542 | Michael P Kauzlarich | Emergency Medicine | 444 Clinchfield Street, Suite 201, Kingsport, TN 37660-3606 | 2005-12-20 |
| Find all providers in KINGSPORT | ||||
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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.