DAVID THEODORE HAMILOS (NPI# 1811986490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811986490 |
| Entity Type | Individual |
| Full Name | DAVID THEODORE HAMILOS |
| Practice Address |
508 Princeton Rd Ste 202 Johnson City TN 37601-2063 |
| Mailing Address |
508 Princeton Rd Suite 202 Johnson City TN 37601-2060 |
| Practice Telephone | 4239262741 |
| Practice Fax Number | 4239265782 |
| Mailing Telephone | 4239262741 |
| Mailing Fax Number | 4239265782 |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2020-03-25 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
000284 | TN | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3351538 | 05 | |
| TN | TN PODIATRY LICENSE | 000284 | 01 |
| TN | BCBS OF TENNESSEE | 85440 | 01 |
| Street Address |
508 PRINCETON RD STE 202 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37601-2063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295736569 | Carl W Eilers Jr. | Dentist | 508 Princeton Rd, Suite 204, Johnson City, TN 37601-2060 | 2005-08-09 |
| 1215469358 | Qc Family Practice | Clinic/Center | 508 Princeton Rd, Suite 104, Johnson City, TN 37601-2060 | 2017-03-29 |
| 1942651120 | Angela Dawn Tolley | Psychologist | 508 Princeton Rd, Suite 403, Johnson City, TN 37601-2060 | 2016-06-28 |
| 1538519491 | Marsha Litton-baker | Counselor | 508 Princeton Rd, Ste 403, Johnson City, TN 37601-2060 | 2016-06-21 |
| 1154779817 | Blue Ridge Medical Management Corporation | Psychiatry & Neurology | 508 Princeton Rd, Ste 403, Johnson City, TN 37601-2060 | 2016-06-02 |
| 1497085435 | Daniel Mcclaskey Auter | Dentist | 508 Princeton Rd, Suite 305, Johnson City, TN 37601-2060 | 2010-01-13 |
| 1609045806 | Connie R. Simpson | Counselor | 508 Princeton Rd, Suite 403, Johnson City, TN 37601-2060 | 2008-02-21 |
| 1982808424 | Elizabeth Forgey Cannon | Dentist | 508 Princeton Rd, Suite 303, Johnson City, TN 37601-2060 | 2007-06-11 |
| 1619187283 | Quinton W Carroll | Registered Nurse | 508 Princeton Rd, Suite 104, Johnson City, TN 37601-2060 | 2007-05-23 |
| 1467568360 | Jimmy Dale Westmoreland II | Dentist | 508 Princeton Rd, Johnson City, TN 37601 | 2006-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396381992 | Juan Carlos Simon Villegas Gomez | Specialist/Technologist | 1081 John Robert Bell Dr, Johnson City, TN 37601 | 2019-11-19 |
| 1629537279 | Jaima Suzanne Price | Hearing Instrument Specialist | 106 E Watauga Avenue, Johnson City, TN 37601 | 2019-03-13 |
| 1275004467 | Brittany Howell | Speech-Language Pathologist | 2114 E. Fairview Ave, Johnson City, TN 37601 | 2018-12-16 |
| 1194229948 | Heather Chantel Lester | Physical Therapist | 2114 E. Fairview Avenue, Johnson City, TN 37601 | 2018-03-19 |
| 1477061869 | Patrick Conway Reynolds | Specialist/Technologist | 1081 John Robert Bell Drive, Johnson City, TN 37601 | 2018-01-19 |
| 1790201135 | Surgical Services of East Tennessee PC | Surgery | 300 East Main St., Suite 301, Johnson City, TN 37601 | 2017-08-17 |
| 1073065694 | Davina Leah Reppond | Home Health | 1204 E Myrtle Ave, Johnsoncity, TN 37601 | 2016-10-31 |
| 1003365503 | Wendi Y Minutolo | Behavioral Analyst | 403 Princeton Rd Ste 3, Johnson City, TN 37601 | 2016-09-25 |
| 1306208798 | Rachel Anne Anderson | Nurse Practitioner | 1118 East Holston Avenue, Johnson City, TN 37601 | 2016-03-24 |
| 1932560976 | Kaydee Louise Davidson | Occupational Therapist | 3209 Bristol Highway, Johnson City, TN 37601 | 2016-03-18 |
| Find all providers in zip 37601 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447614136 | Sallee Taylor Randolph | Podiatrist | 1303 Sunset Dr Ste 6, Johnson City, TN 37604 | 2016-04-08 |
| 1437114865 | George William Stano Jr. | Podiatrist | James H. Quillen Va Med. Center, Sidney Street, Johnson City, TN 37684 | 2006-04-19 |
| 1619525961 | Podiatric Clinics of Northeast Tn | Podiatrist | 1303 Sunset Dr Ste 6, Johnson City, TN 37604-7905 | 2019-08-29 |
| 1275708778 | Ryan Jared Chatelain | Podiatrist | 325 N State of Franklin Rd Fl 3, Johnson City, TN 37604 | 2008-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821623638 | Advanced Diagnostic Imaging PC | Podiatrist | 179 Hancock St Ste 300, Gallatin, TN 37066-6347 | 2020-03-12 |
| 1366099269 | Khumalo Foot and Ankle Clinic, Inc | Podiatrist | 1109 E Reelfoot Ave Ste D, Union City, TN 38261-5866 | 2019-08-25 |
| 1154889533 | Cutting Edge Foot and Ankle | Podiatrist | 3443 Dickerson Pike Ste 310, Nashville, TN 37207-2523 | 2019-03-05 |
| 1902376346 | Family Foot and Ankle Pllc | Podiatrist | 120 Walnut Commons Ln Ste A120, Cookeville, TN 38501-6035 | 2018-11-28 |
| 1649757238 | Healthstar Physicians, P.C. | Podiatrist | 2435 Jacksboro Pike Ste 3, La Follette, TN 37766-2912 | 2018-07-26 |
| 1851817290 | Tennessee Foot & Ankle Specialists PC | Podiatrist | 515 Highland Ter Ste B, Murfreesboro, TN 37130-2424 | 2017-08-17 |
| 1386165694 | Lucy Jayne Barrow | Podiatrist | 300 20th Ave N Ste 103, Nashville, TN 37203-2132 | 2017-06-28 |
| 1982051298 | Louis I Reper II | Podiatrist | 125 Town Creek Rd E Ste 3, Lenoir City, TN 37772 | 2016-05-17 |
| 1982050217 | Francois V. Dijour | Podiatrist | 111 Highway 70 E Ste G, Dickson, TN 37055-2080 | 2016-05-05 |
| 1790160364 | Mitchell Paul Rider | Podiatrist | Bldg 20 Memorial Ave, Mountain Home, TN 37684-4000 | 2015-07-24 |
| Find all providers with the same taxonomy | ||||
| City | JOHNSON CITY |
| Zip Code | 37601 |
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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.