DR. NICOLE M MASIAN (NPI# 1902069933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902069933 |
| Entity Type | Individual |
| Full Name | DR. NICOLE M MASIAN |
| Credential | MD |
| Practice Address |
Magnolia and Fifth Street Building 6 Mountain Home TN 37684 |
| Mailing Address |
Box 70431 William L. Jenkins Forensic Center, Etsu/quillen Com Johnson City TN 37614 |
| Practice Telephone | 4234398038 |
| Practice Fax Number | 4234398070 |
| Mailing Telephone | 4234398038 |
| Mailing Fax Number | 4234398070 |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2013-06-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZF0201X |
Pathology Specialization: Forensic Pathology |
0101248381 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
MAGNOLIA AND FIFTH STREET BUILDING 6 |
| 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 | 207ZF0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Forensic Pathology |
| A forensic pathologist is expert in investigating and evaluating cases of sudden, unexpected, suspicious and violent death as well as other specific classes of death defined by law. The forensic pathologist serves the public as coroner or medical examiner, or by performing medicolegal autopsies for such officials. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pathology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093922650 | Teresa A Campbell | Pathology | Dogwood Ave Building 6, Va Medical Center, Mountain Home, TN 37684 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629543814 | Amy Hawes | Pathology | 2761 Sullins St, Knoxville, TN 37919-4672 | 2018-10-04 |
| 1588072177 | William Frederick Mccormick I | Pathology | 120 Niles Wheelock Rd, Jonesborough, TN 37659-3306 | 2014-07-27 |
| 1003166935 | Joseph Eugene Dyer | Pathology | 2443 Widgeon Dr, Clarksville, TN 37042-8509 | 2012-09-18 |
| 1770888745 | Thomas Anthony Deering | Pathology | 1850 R.s.gass Boulevard, Nashville, TN 37216 | 2011-01-21 |
| 1366693855 | O'brian Cleary Smith | Pathology | 9639 Rosemark Rd, Atoka, TN 38004-7539 | 2008-10-02 |
| 1356545834 | David Zimmerman | Pathology | 850 Rs Gass Blvd, Nashville, TN 37216-2640 | 2007-06-11 |
| 1689701823 | William Edwin Foree Jr. | Pathology | 1024 Woodward Ave, Athens, TN 37303-2747 | 2007-02-27 |
| 1598869455 | Andrew W Sexton | Pathology | 7311 Cresthill Dr, Apt# B-7, Knoxville, TN 37919-5915 | 2006-09-12 |
| 1659714087 | Randy Shahe Tashjian | Pathology | 850 Rs Gass Blvd, Nashville, TN 37216-2640 | 2013-04-16 |
| 1821363151 | Feng Li | Pathology | 850 Rs Gass Blvd, Nashville, TN 37216-2640 | 2012-03-20 |
| 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.