STEPHEN YALLOURAKIS (NPI# 1760486682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760486682 |
| Entity Type | Individual |
| Full Name | STEPHEN YALLOURAKIS |
| Credential | MD |
| Practice Address |
105 W Stone Dr Ste 1a Kingsport TN 37660-3256 |
| Mailing Address |
Po Box 9 Kingsport TN 37662-0009 |
| Practice Telephone | 4232468211 |
| Mailing Telephone | 4238572066 |
| Mailing Fax Number | 4238572070 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2009-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DS7016 | TN | Dental Providers |
| Y | 204E00000X | Oral & Maxillofacial Surgery | MD24477 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3075591 | 05 | |
| VA | 7322721 | 05 |
| Street Address |
105 W STONE DR STE 1A |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37660-3256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659374601 | Wendy Tipton Oberdick | Family Medicine | 105 W Stone Dr, Ste 1f, Kingsport, TN 37660-3365 | 2005-05-23 |
| 1235595919 | Everette Barton | Nurse Practitioner | 105 W Stone Dr, Ste 1j, Kingsport, TN 37660-3365 | 2016-01-11 |
| 1396118618 | Amy Galloway | Nurse Practitioner | 105 W Stone Dr, Ste 1f, Kingsport, TN 37660-3365 | 2015-11-09 |
| 1376928473 | Heather Harmon | Physical Therapist | 105 W Stone Dr, Ste 1d, Kingsport, TN 37660-3365 | 2015-07-30 |
| 1316322753 | Christina Danser | Nurse Practitioner | 105 W Stone Dr, Ste 1f, Kingsport, TN 37660-3365 | 2015-07-28 |
| 1679958995 | Wanda King | Nurse Practitioner | 105 W Stone Dr, Ste 4c, Kingsport, TN 37660-3365 | 2015-07-28 |
| 1538544473 | Lindsey Woodlief | Nurse Practitioner | 105 W Stone Dr, Ste 4c, Kingsport, TN 37660-3365 | 2015-07-21 |
| 1124414289 | Abram Arwood | Physical Therapist | 105 W Stone Dr, Ste 1d, Kingsport, TN 37660-3365 | 2015-04-15 |
| 1700204781 | Natasha Kanipe | Nurse Practitioner | 105 W Stone Dr, Ste 1f, Kingsport, TN 37660-3365 | 2014-04-07 |
| 1396187027 | Shane Adam Daniell | Physician Assistant | 105 W Stone Dr, Ste 3a, Kingsport, TN 37660-3365 | 2013-07-23 |
| Find all providers in the same location | ||||
| 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 | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720601230 | Johnson City Oral and Maxillofacial Surgery, LLC | Oral & Maxillofacial Surgery | 1021 W Oakland Ave Ste 109, Johnson City, TN 37604-2192 | 2020-05-19 |
| 1699312306 | Bundled Payment Services, LLC | Oral & Maxillofacial Surgery | 3319 W End Ave Ste 700, Nashville, TN 37203-6840 | 2019-12-02 |
| 1952954281 | Farragut Oral Surgery and Implant Center, PC | Oral & Maxillofacial Surgery | 1928 Alcoa Hwy Bldg B, Knoxville, TN 37920-1502 | 2019-07-16 |
| 1821586793 | Nicholas John Ledderhof | Oral & Maxillofacial Surgery | 1930 Alcoa Hwy. Medical Building A, Suite 335, Knoxville, TN 37920-1514 | 2018-04-26 |
| 1497263941 | Cumberland Surgical Arts and Associates, Pllc | Oral & Maxillofacial Surgery | 1275 Parkway Place, Clarksville, TN 37042 | 2018-01-18 |
| 1104202761 | Vanderbilt University Medical Center | Oral & Maxillofacial Surgery | 1301 22nd Ave S, Nashville, TN 37232-5100 | 2015-08-06 |
| 1629398417 | Steven Zambrano | Oral & Maxillofacial Surgery | 7535 Poplar Ave., Germantown, TN 38138 | 2010-06-03 |
| 1538327655 | Oral & Maxillofacial Surgery Assoc PC | Oral & Maxillofacial Surgery | 11213 W Point Dr Ste 501, Knoxville, TN 37934-2838 | 2008-05-27 |
| 1336226448 | J Sidney Boyd | Oral & Maxillofacial Surgery | 610 W Seventh North St, Morristown, TN 37814 | 2006-11-01 |
| 1730133695 | Cumberland Surgical Arts, Pllc | Oral & Maxillofacial Surgery | 2285 Rudolphtown Rd, Suite 200, Clarksville, TN 37043 | 2006-05-22 |
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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.