DR. SELMA KOMINEK (NPI# 1750518544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750518544 |
| Entity Type | Individual |
| Full Name | DR. SELMA KOMINEK |
| Credential | MD |
| Practice Address |
701 Med Tech Pkwy Suite 300 Johnson City TN 37604-2365 |
| Practice Telephone | 4232328301 |
| Practice Fax Number | 4232328304 |
| Mailing Telephone | 4232328301 |
| Mailing Fax Number | 4232328304 |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2015-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 52473 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
701 MED TECH PKWY SUITE 300 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604-2365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659360071 | East Tennessee Ambulatory Surgery Center LLC | Clinic/Center | 701 Med Tech Pkwy, Johnson City, TN 37604-2259 | 2005-10-18 |
| 1902319585 | Josh Partin | Physician Assistant | 701 Med Tech Pkwy, Johnson City, TN 37604-2365 | 2017-11-06 |
| 1275959306 | Holly Whitt | Physical Therapist | 701 Med Tech Pkwy, Suite 301, Johnson City, TN 37604-2365 | 2014-03-13 |
| 1528482924 | Erin Douglas | Physician Assistant | 701 Med Tech Pkwy, Suite 300, Johnson City, TN 37604-2365 | 2014-02-06 |
| 1083046791 | Amber Preston Butler | Nurse Practitioner | 701 Med Tech Pkwy, Suite 300, Johnson City, TN 37604-2365 | 2013-08-05 |
| 1013257526 | Alliance Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 701 Med Tech Pkwy, Suite 300, Johnson City, TN 37604-2365 | 2013-02-20 |
| 1215276654 | Bailey Elizabeth Qualls | Physician Assistant | 701 Med Tech Pkwy, Suite 300, Johnson City, TN 37604-2365 | 2013-02-05 |
| 1780957738 | Richard Christopher Maupin | Physician Assistant | 701 Med Tech Pkwy, Suite 300, Johnson City, TN 37604-2365 | 2012-02-21 |
| 1134427149 | Catherine Moyer | Physical Therapist | 701 Med Tech Pkwy, Suite 301, Johnson City, TN 37604-2365 | 2011-03-01 |
| 1487978631 | Theresa Marie Huff | Physical Therapist | 701 Med Tech Pkwy, Suite 300, Johnson City, TN 37604-2365 | 2010-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| Find all providers in zip 37604 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922085497 | Saeed Bajwa | Neurological Surgery | 46 Harrison St, Johnson City, NY 13790 | 2005-12-27 |
| 1003152307 | Blue Ridge Medical Management Corporation | Neurological Surgery | 410 N State of Franklin Rd, Suite 120, Johnson City, TN 37604-6971 | 2012-12-14 |
| 1073870945 | Vikas Patel | Neurological Surgery | 30 Harrison St Ste 400, Johnson City, NY 13790-2176 | 2012-04-17 |
| 1629088364 | Timothy Michael Fullagar | Neurological Surgery | 701 Med Tech Pkwy, Suite 300, Johnson City, TN 37604-2365 | 2006-08-08 |
| 1073555934 | Blue Ridge Medical Management Corporation | Neurological Surgery | 408 N State of Franklin Rd, Suite 42, Johnson City, TN 37604-6089 | 2006-06-12 |
| 1528009198 | Scott C Dulebohn | Neurological Surgery | 410 N State of Franklin Rd, Suite 120, Johnson City, TN 37604-6971 | 2006-06-08 |
| 1770549453 | Steven C Hamel | Neurological Surgery | 408 N State of Franklin Rd, Suite 42, Johnson City, TN 37604-6089 | 2006-04-22 |
| 1053374835 | Barry J Pollack | Neurological Surgery | 46 Harrison St, Johnson City, NY 13790-2120 | 2006-04-11 |
| 1700863123 | Daniel D Galyon | Neurological Surgery | 46 Harrison St, Johnson City, NY 13790-2142 | 2005-12-28 |
| 1699752048 | Khalid Sethi | Neurological Surgery | 46 Harrison St, Johnson City, NY 13790-2142 | 2005-12-28 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
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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.