DR. JERRY V. BUCHANAN (NPI# 1821106543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821106543 |
| Entity Type | Individual |
| Full Name | DR. JERRY V. BUCHANAN |
| Credential | PH.D. |
| Practice Address |
Psychology Service (116b2) James H. Quillen Va Medical Center Mountain Home TN 37684 |
| Mailing Address |
408 Lambeth Dr Johnson City TN 37601-1042 |
| Practice Telephone | 4239261171 |
| Practice Fax Number | 4239793447 |
| Mailing Telephone | 4239261171 |
| Mailing Fax Number | 4239793447 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
P1044 | TN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558381830 | Jerry B Buchanan | Radiology | 200 Abraham Flexner Way, Louisville, KY 40202-1818 | 2006-07-20 |
| Street Address |
PSYCHOLOGY SERVICE (116B2) JAMES H. QUILLEN VA MEDICAL CENTER |
| City | MOUNTAIN HOME |
| State | TN |
| Zip Code | 37684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730524 | Kendra Lee Thorne | Psychologist | Corner of Lamont St and Veterans Way, Building 160, Mountain Home, TN 37684 | 2020-11-04 |
| 1255930160 | Maximillian Scott Crockett | Optometrist | James. H Quillen Vamc, Eye Clinic 112e, Mountain Home, TN 37684 | 2020-10-21 |
| 1699393256 | Joshua Thomas Spencer | Pharmacist | Veterans Way and Lamont St, Mountain Home, TN 37684 | 2020-07-10 |
| 1073140265 | James Hankil Kim | Student in an Organized Health Care Education/Training Program | Building 52/lake Drive, Mountain Home, TN 37684 | 2020-03-26 |
| 1932736030 | Trishna Sharma | Student in an Organized Health Care Education/Training Program | Building 52/lake Drive Mountain Home, Johnson City, TN 37684 | 2020-03-26 |
| 1508421884 | Sarvatit Patel | Student in an Organized Health Care Education/Training Program | 52 Lake Dr, Mountain Home, TN 37684 | 2019-05-02 |
| 1902366024 | Katelyn Cserjes | Student in an Organized Health Care Education/Training Program | Building 52 Lake Drive Va Medical Center, Mountain Home, TN 37684 | 2019-03-24 |
| 1114404282 | Anesa Ellen Hughes | Pharmacist | Veterans Way and Lamont St Mountain Home, Mountain Home, TN 37684 | 2018-07-23 |
| 1508352287 | Leon Nguyen | Optometrist | James H. Quillen Vamc - Lamont St & Veterans Way, Eye Clinic 112e, Mountain Home, TN 37684 | 2018-07-06 |
| 1649761750 | Bahaaeldin Ibrahim Mahmoud Youssef | Student in an Organized Health Care Education/Training Program | Va Building 1 Carl A Jones Hall, Dogwood Avenue, Mountain Home, TN 37684 | 2018-05-24 |
| Find all providers in zip 37684 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457858615 | Samuel Nekvasil | Psychologist | 809 Lamont St, Mountain Home, TN 37684 | 2018-04-12 |
| 1649301755 | Linda Stills | Psychologist | 8 Medical Plz, Mountain Home, AR 72653-2919 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720609498 | Kevin Matthew Fry | Psychologist | 208 Conference Center Building 600 Henley Street, Knoxville, TN 37996-0001 | 2020-05-04 |
| 1013536762 | Angela N Hilton | Psychologist | 1400 N 6th Ave Ste A7, Knoxville, TN 37917-6043 | 2020-04-13 |
| 1306477963 | Ecounseling Connection, Pllc | Psychologist | 1050 Glenbrook Way Ste 480-406, Hendersonville, TN 37075-1241 | 2020-01-31 |
| 1457991093 | Cynthia Gay Luther | Psychologist | 702 Weakley Ln, Smyrna, TN 37167-4805 | 2020-01-12 |
| 1962044198 | Mary B Beasley | Psychologist | 1080 Little Marrowbone Rd, Ashland City, TN 37015 | 2019-10-09 |
| 1427603554 | University of Memphis | Psychologist | 4055 North Park Loop, Suite 1000, Memphis, TN 38152 | 2019-08-06 |
| 1134639636 | Jennifer A Moore | Psychologist | 310 S Walnut Bend Rd Ste 2, Cordova, TN 38018-7282 | 2017-10-10 |
| 1104360049 | Calisha Brooks | Psychologist | 7220 Autumn Crossing Way, Brentwood, TN 37027-8828 | 2016-12-12 |
| 1770843369 | Eric D Manley | Psychologist | 420 W Morris Blvd Ste 130, Morristown, TN 37813-2255 | 2012-05-17 |
| 1518254168 | Kalpana Gowda | Psychologist | 304b Uptown Sq Ste 4, Murfreesboro, TN 37129-0574 | 2011-07-05 |
| Find all providers with the same taxonomy | ||||
| City | MOUNTAIN HOME |
| Zip Code | 37684 |
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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.