THE COOKEVILLE SURGERY CENTER (NPI# 1831283860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831283860 |
| Entity Type | Organization |
| Organization Name | THE COOKEVILLE SURGERY CENTER |
| Practice Address |
100 W 4th St Suite 100 Cookeville TN 38501-2448 |
| Practice Telephone | 9315268115 |
| Practice Fax Number | 9315267619 |
| Mailing Telephone | 9315268115 |
| Mailing Fax Number | 9315267619 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CINDY D SMITH (BUSINESS MANAGER) |
| Authorized Official Telephone | 9315268115 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
0000000036 | TN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3287222 | 05 |
| Street Address |
100 W 4TH ST SUITE 100 |
| City | COOKEVILLE |
| State | TN |
| Zip Code | 38501-2448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801895057 | Matthew Y. Faier | Nurse Anesthetist, Certified Registered | 100 W 4th St, Suite 310, Cookeville, TN 38501-2448 | 2005-07-19 |
| 1275174013 | Andrea Elizabeth Kooch | Physician Assistant | 100 W 4th St, Cookeville, TN 38501-2448 | 2019-10-02 |
| 1518348390 | Allergy Associates, Pa | Durable Medical Equipment & Medical Supplies | 100 W 4th St, Suite 250, Cookeville, TN 38501-2448 | 2015-06-17 |
| 1538568985 | John B. Averitt, Ph.d., Licensed Psychologist | Clinic/Center | 100 W 4th St, Suite 300, Cookeville, TN 38501-2448 | 2014-08-21 |
| 1932445384 | Kristina K Widdifield | Nurse Anesthetist, Certified Registered | 100 W 4th St, Ste 310, Cookeville, TN 38501-2448 | 2012-12-12 |
| 1972899722 | Karen Sue Brandt | Audiologist-Hearing Aid Fitter | 100 W 4th St, Suite 210, Cookeville, TN 38501-2448 | 2011-06-21 |
| 1720219371 | Jennie Barr Newton | Audiologist | 100 W 4th St, Suite 320, Cookeville, TN 38501-2448 | 2009-07-30 |
| 1871730804 | James E Delk | Nurse Anesthetist, Certified Registered | 100 W 4th St, Suite 310, Cookeville, TN 38501-2448 | 2009-01-13 |
| 1962664227 | Allergy Associates Pa | Specialist | 100 W 4th St, Suite 250, Cookeville, TN 38501-2448 | 2008-06-27 |
| 1295997690 | Audiology Management Services, Inc | Audiologist | 100 W 4th St, Ste 320, Cookeville, TN 38501-2448 | 2008-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596711 | Results-ast Jv, LLC | Physical Therapist | 627 James Campbell Blvd, South, Suite B, Columbia, TN 38501 | 2020-10-21 |
| 1376167080 | Melinda Jane Jetter | Registered Nurse | 320 North Willow Avenue, Cookeville, TN 38501 | 2020-05-29 |
| 1366950875 | Tara Beth Smith | Occupational Therapist | 315 N Washington Ave Ste 240, Cookeville, TN 38501 | 2018-01-18 |
| 1669990339 | Tonya Rachelle Perry | Counselor | 13 South Jefferson Ave, Cookeville, TN 38501 | 2017-09-01 |
| 1659896207 | Dustin Chase Rich | Physical Therapist | 105 S. Willow Ave, #100, Cookeville, TN 38501 | 2017-08-04 |
| 1487009668 | Holly Young | Physical Therapist | 315 North Washungton Ave., Suite 240, Cookeville, TN 38501 | 2016-04-26 |
| 1194190306 | Johnna Sprague | Nurse Practitioner | 620 S. Jefferson Ave, Suite 202, Cookeville, TN 38501 | 2015-12-14 |
| 1881099885 | Carlos Alberto Podesta | Internal Medicine | 238 W 4th St Ste 200, Cookeville, TN 38501 | 2014-11-03 |
| 1124445002 | Shashank Sarvepalli | Internal Medicine | 1 Medical Center Blvd Ste D, Cookeville, TN 38501 | 2014-03-27 |
| 1689095762 | Kendra Hicks | Licensed Practical Nurse | 701 County Services Drive, Cookeville, TN 38501 | 2013-12-17 |
| Find all providers in zip 38501 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013096700 | Clearer Vision, LLC | Clinic/Center | 1125 Perimeter Park Dr Ste 100, Cookeville, TN 38501-0912 | 2006-11-03 |
| 1548216914 | Upper Cumberland Physicians Surgery Center LLC | Clinic/Center | 467 N Whitney Ave, Cookeville, TN 38501-2454 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255939559 | Endoscopy Center of St Thomas Lp | Clinic/Center | 4230 Harding Pike Ste 309b, Nashville, TN 37205-2013 | 2020-10-09 |
| 1790344182 | Bristol Ambulatory Surgery Center, LLC | Clinic/Center | 350 Blountville Hwy Ste 108, Bristol, TN 37620-1676 | 2019-06-10 |
| 1528622321 | Premier-covenant Astc LLC | Clinic/Center | 6408 Papermill Dr Ste 220, Knoxville, TN 37919-4858 | 2019-04-26 |
| 1790348142 | The Plastic Surgery Center Brentwood | Clinic/Center | 620 Church Street East, Brentwood, TN 37027 | 2019-04-20 |
| 1326508045 | Eye Surgery Center of Lenoir City, LLC | Clinic/Center | 5491 Creekwood Park Blvd Ste B, Lenoir City, TN 37772-1204 | 2019-03-20 |
| 1629536826 | Meadowview Asc, LLC | Clinic/Center | 2033 Meadowview Ln Ste 210, Kingsport, TN 37660-7569 | 2019-03-06 |
| 1780157990 | Renaissance Surgery Center, LLC | Clinic/Center | 320 Bristol West Blvd Ste 1a, Bristol, TN 37620-8773 | 2019-01-10 |
| 1619487782 | Uch Vascular Access Asc LLC | Clinic/Center | 6490 Mt Moriah Rd Ext Ste 202, Memphis, TN 38115-3841 | 2017-10-03 |
| 1841712452 | Saint Thomas Surgery Center New Salem, LLC | Clinic/Center | 2755 New Salem Highway, Murfreesboro, TN 37128-3712 | 2017-07-14 |
| 1255860383 | Eye Surgery Center of Knoxville, LLC | Clinic/Center | 7739 Dannaher Drive, Powell, TN 37849 | 2017-06-12 |
| Find all providers with the same taxonomy | ||||
| City | COOKEVILLE |
| Zip Code | 38501 |
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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.