MEDICAL EDUCATION ASSISTANCE CORPORATION (NPI# 1770852733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770852733 |
| Entity Type | Organization |
| Organization Name | MEDICAL EDUCATION ASSISTANCE CORPORATION |
| Other Organization Name | COMMUNITY CARE WELLNESS CENTER |
| Practice Address |
350 Christian Church Rd Gray TN 37615-4500 |
| Mailing Address |
Po Box 2204 Johnson City TN 37605-2204 |
| Practice Telephone | 4232833060 |
| Practice Fax Number | 4232837441 |
| Mailing Telephone | 4234336050 |
| Mailing Fax Number | 4234336060 |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2011-12-21 |
| Authorized Official Name | RUSSELL E LEWIS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4234336050 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | MD31588 | TN | Allopathic & Osteopathic Physicians |
| Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
MD31588 | TN | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Community Care Wellness Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164062659 | Medical Education Assistance Corporation | Speech-Language Pathologist | 2423 Susannah St, Johnson City, TN 37601-1749 | 2020-01-13 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1194146894 | Medical Education Assistance Corporation | Psychiatry & Neurology | 2109 W Market St Ste 140, Johnson City, TN 37604 | 2013-12-23 |
| 1336408996 | Medical Education Assistance Corporation | Clinical Medical Laboratory | 1319 Sunset Dr Ste 103, Johnson City, TN 37604 | 2012-05-16 |
| 1013288810 | Medical Education Assistance Corporation | Family Medicine | 826 Meadow View Rd, Bristol, TN 37620 | 2012-01-25 |
| 1225309891 | Medical Education Assistance Corporation | Pediatrics | 201 E Myrtle Ave, Johnson City, TN 37601 | 2012-01-13 |
| 1518236538 | Medical Education Assistance Corporation | Psychologist | Lake Dr., Bldg. 52, Mountain Home, TN 37684-0699 | 2011-12-20 |
| 1750650875 | Medical Education Assistance Corporation | Pediatrics | 252 Sam Jenkins Rd, Attn: Dr. H. Patrick Stern, Gray, TN 37615 | 2011-12-19 |
| 1629346580 | Medical Education Assistance Corporation | Pediatrics | 2891 Highway 11 E, Attn: Dr. H. Patrick Stern, Telford, TN 37690 | 2011-12-07 |
| 1760655914 | Medical Education Assistance Corporation | Speech-Language Pathologist | 1000 Jason Witten Way, Elizabethton, TN 37643-2970 | 2008-04-09 |
| Street Address |
350 CHRISTIAN CHURCH RD |
| City | GRAY |
| State | TN |
| Zip Code | 37615-4500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295723013 | H Patrick Stern | Pediatrics | 350 Christian Church Rd, Gray, TN 37615-4500 | 2005-10-06 |
| 1720252554 | East Tennessee State University | Speech-Language Pathologist | 350 Christian Church Rd, Gray, TN 37615-4500 | 2008-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568962983 | Clayton Kilgore | Pharmacist | 208 Suncrest St Unit 1, Gray, TN 37615 | 2018-02-13 |
| 1346648268 | Jesse Mullins | Pharmacist | 121 Boone Ridge Dr, Suite 1006, Johnson City, TN 37615 | 2014-12-09 |
| 1750650875 | Medical Education Assistance Corporation | Pediatrics | 252 Sam Jenkins Rd, Attn: Dr. H. Patrick Stern, Gray, TN 37615 | 2011-12-19 |
| 1700018603 | Anna Lynne Deal | Nurse Practitioner | 119 Boone Ridge Dr., Ste. 201, Johnson City, TN 37615 | 2009-08-11 |
| 1285876631 | Leigh A Furman | Occupational Therapist | 253 Wiltshire Dr., Gray, TN 37615 | 2009-04-01 |
| 1811098908 | Fay Lynn Bembry | Nurse Practitioner | 119 Boone Ridge Drive Ste. 201, Johnson City, TN 37615 | 2006-09-25 |
| 1871528976 | Boones Creek Medical Pllc | Family Medicine | 2685 Boones Creek Road, Suite 104, Johnson City, TN 37615 | 2006-07-11 |
| 1568402048 | Joseph Vincent Pinyard Jr. | Family Medicine | 880 Boones Station Rd, Johnson City, TN 37615 | 2006-06-07 |
| 1548223084 | Pitchar Theerathorn | Internal Medicine | 119 Boone Ridge Drive, Suite 201, Johnson City, TN 37615 | 2006-04-07 |
| 1194717157 | Susan Kay Pennypacker | Nurse Practitioner | 140 Old Gray Station Rd, Suite 200, Gray, TN 37615 | 2005-08-16 |
| Find all providers in zip 37615 | ||||
| Taxonomy Code | 2080P0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Developmental – Behavioral Pediatrics |
| A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750650875 | Medical Education Assistance Corporation | Pediatrics | 252 Sam Jenkins Rd, Attn: Dr. H. Patrick Stern, Gray, TN 37615 | 2011-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629346580 | Medical Education Assistance Corporation | Pediatrics | 2891 Highway 11 E, Attn: Dr. H. Patrick Stern, Telford, TN 37690 | 2011-12-07 |
| 1477786473 | Centrosalud PC | Pediatrics | 2900 Kirby Road, Suite #11, Memphis, TN 38119 | 2009-08-25 |
| 1790905974 | John T Netterville Jr. | Pediatrics | The Attention & Behavior Clinic, 2001 Mallory Lane Ste 300, Franklin, TN 37067-8236 | 2007-04-27 |
| 1952354367 | Felicia Merriweather Knowles | Pediatrics | 2182 West St, Germantown, TN 38138-3829 | 2006-05-18 |
| 1215921226 | Ronald Rafael Espinal | Pediatrics | 711 Jefferson Ave, Memphis, TN 38105-5003 | 2005-09-06 |
| 1790102788 | Katelyn Rossow | Pediatrics | 2200 Children's Way, Monroe Carell Jr. Children's Hospital At Vanderbilt, Nashville, TN 37232 | 2014-03-27 |
| 1366785230 | Center for Developmental and Behavioral Pediatrics | Pediatrics | 6025 Lee Hwy, Ste. 447, Chattanooga, TN 37421-3099 | 2013-03-29 |
| 1912268608 | Jane Marie Martinez | Pediatrics | 1211 21st Ave S Ste 110, Nashville, TN 37212-2717 | 2012-05-30 |
| 1942577549 | Angela Ervin Stevens | Pediatrics | 4738 Walnut Grove Rd, Memphis, TN 38117-2524 | 2011-11-27 |
| 1972819217 | Cindy Elizabeth Chestaro Alburquerque | Pediatrics | 1101 Carter St, Chattanooga, TN 37402-5017 | 2010-08-24 |
| Find all providers with the same taxonomy | ||||
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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.