PHYSICIAN ASSOCIATE RESOURCES, PLC (NPI# 1811458565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811458565 |
| Entity Type | Organization |
| Organization Name | PHYSICIAN ASSOCIATE RESOURCES, PLC |
| Other Organization Name | CLINICA FAMILIAR LATINOAMERICA |
| Practice Address |
1559 Highland Park Drive Lenoir City TN 37772 |
| Mailing Address |
1559 Highland Park Dr Lenoir City TN 37772-6237 |
| Practice Telephone | 8657485057 |
| Practice Fax Number | 8656358390 |
| Mailing Telephone | 8656358389 |
| Mailing Fax Number | 8656358390 |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2019-12-20 |
| Authorized Official Name | RUDY GARY HAMM (PROVIDER) |
| Authorized Official Telephone | 8656358389 |
| Authorized Official Credential | PA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3669684 | 05 | |
| TN | STATE OF TN | PA0000000203 | 01 |
| Other Name | Type Code |
|---|---|
| Clinica Familiar | Doing Business As Name - Organization |
| Clinica Familiar Latinoamerica | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1559 Highland Park Dr, Lenoir City, TN 377726237 | 8656358387 | |
| 1559 Highland Park Dr, Lenoir City, TN 377726237 | 8656358389 | 8656358390 |
| Street Address |
1559 HIGHLAND PARK DRIVE |
| City | LENOIR CITY |
| State | TN |
| Zip Code | 37772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447732235 | Back To Nu Low T Solutions, LLC | Nurse Practitioner | 2271 Highway 11 E Unit 1, Lenoir City, TN 37772 | 2018-08-29 |
| 1225519549 | Li Yin Chin Goode | Physical Therapist | 576 Ft Loudoun Med Ctr Dr Ste 100a, Lenoir City, TN 37772 | 2018-08-24 |
| 1982051298 | Louis I Reper II | Podiatrist | 125 Town Creek Rd E Ste 3, Lenoir City, TN 37772 | 2016-05-17 |
| 1407293293 | Summit Medical Group, Pllc | Internal Medicine | 4160 Medical Park Dr., Suite 107, Lenoir City, TN 37772 | 2013-06-03 |
| 1417080896 | Wendy L Taylor | Nurse Practitioner | 125 East Town Creek Rd., Suite 2b, Lenoir City, TN 37772 | 2007-03-14 |
| 1639213796 | Generations Obgyn,p.c. | Specialist | 576 Ft. Loudoun Profesional Bldg, Suite 207, Lenoir City, TN 37772 | 2007-02-20 |
| 1366584104 | Mary Louise Mortimer | Internal Medicine | 2771 Hwy 11 East, Suite 5, Lenoir City, TN 37772 | 2007-02-12 |
| 1366501892 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 802 Hall St, Ste 4, Lenoir City, TN 37772 | 2006-12-08 |
| 1093890733 | Howard Gene Holmes | Internal Medicine | 460 Medical Park Dr., Suite 102, Lenoir City, TN 37772 | 2006-10-25 |
| 1790878940 | Courtley Chiropractic Corporation | Chiropractor | 149 Kelsey Drive, Suite 102, Lenoir City, TN 37772 | 2006-10-02 |
| Find all providers in zip 37772 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487834107 | Justin Robert Cecil | Physician Assistant | 721 Highway 321 N Ste C, Lenoir City, TN 37771-5003 | 2007-11-09 |
| 1649270844 | Rudy Gary Hamm | Physician Assistant | 1559 Highland Park Dr, Lenoir City, TN 37772-6237 | 2005-07-28 |
| 1578751582 | Kelly J Piper | Physician Assistant | 423 Medical Park Dr, Suite 100, Lenoir City, TN 37772-5640 | 2007-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346840972 | Alexis Sierra Foster | Physician Assistant | 953 Prince Ave, Erwin, TN 37650-1445 | 2020-11-01 |
| 1972110831 | Marleen Yosef | Physician Assistant | 6 Whitsett Rd, Nashville, TN 37210-5345 | 2020-09-24 |
| 1538772744 | Kaitlyn Blair Barger | Physician Assistant | 2100 Clinch Ave Ste 120, Knoxville, TN 37916-2288 | 2020-08-26 |
| 1225653967 | Molly Ann Waggoner | Physician Assistant | 9050 Executive Park Dr Ste 100b, Knoxville, TN 37923-4616 | 2020-06-09 |
| 1134749922 | Mckenzie Jacobson | Physician Assistant | 302 Tyson Ave # B, Paris, TN 38242-4576 | 2020-04-21 |
| 1316580913 | Donald Jacob Calella | Physician Assistant | 8146 Propeller Dr, Ooltewah, TN 37363-9561 | 2019-10-26 |
| 1336617059 | Micaela L Goebel | Physician Assistant | 120 Tanner Pl Bldg H, Clinton, TN 37716-6684 | 2018-11-12 |
| 1700369162 | Lauren Peyton Hunley | Physician Assistant | 6890 W Andrew Johnson Hwy, Talbott, TN 37877-8610 | 2018-09-12 |
| 1275039471 | Jessica Taylor Epting | Physician Assistant | 107 Glen Oak Blvd Ste 200, Hendersonville, TN 37075-3162 | 2018-04-05 |
| 1457865370 | Kelsey Colley | Physician Assistant | 221 Lane Pkwy, Shelbyville, TN 37160-3108 | 2017-11-30 |
| Find all providers with the same taxonomy | ||||
| City | LENOIR CITY |
| Zip Code | 37772 |
Please comment or provide details below to improve the information on PHYSICIAN ASSOCIATE RESOURCES, PLC.
| 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.