WHITE COUNTY PHYSICIAN SERVICES LLC (NPI# 1922332428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922332428 |
| Entity Type | Organization |
| Organization Name | WHITE COUNTY PHYSICIAN SERVICES LLC |
| Practice Address |
401 Sewell Dr Sparta TN 38583-1223 |
| Practice Telephone | 9317384347 |
| Practice Fax Number | 9317389236 |
| Mailing Telephone | 9317384347 |
| Mailing Fax Number | 9317389236 |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2013-09-09 |
| Authorized Official Name | MR. DANIEL S SLIPKOVICH (CEO) |
| Authorized Official Telephone | 6157643049 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3708493 | 05 |
| Street Address |
401 SEWELL DR |
| City | SPARTA |
| State | TN |
| Zip Code | 38583-1223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730186446 | Robert Plinke | Emergency Medicine | 401 Sewell Dr, Sparta, TN 38583-1223 | 2005-07-07 |
| 1154794865 | Botanical Emergency Physicians, LLC | Physician Assistant | 401 Sewell Dr, Sparta, TN 38583-1223 | 2015-11-03 |
| 1386025898 | Saint Thomas Highlands Hospital, LLC | Medicare Defined Swing Bed Unit | 401 Sewell Dr, Sparta, TN 38583-1223 | 2015-06-11 |
| 1659752210 | Saint Thomas Highlands Hospital, LLC | Psychiatric Unit | 401 Sewell Dr, Sparta, TN 38583-1223 | 2015-06-09 |
| 1922487966 | Saint Thomas Highlands Hospital, LLC | General Acute Care Hospital | 401 Sewell Dr, Sparta, TN 38583-1223 | 2015-05-22 |
| 1932460607 | Churchill Drive Emergency Physicians LLC | Emergency Medicine | 401 Sewell Dr, Sparta, TN 38583-1223 | 2012-05-30 |
| 1174644538 | Dawn Michelle Barlow | Internal Medicine | 401 Sewell Dr, Sparta, TN 38583-1223 | 2007-04-03 |
| 1083759112 | Southeastern Emergency Care, Pllc | Emergency Medicine | 401 Sewell Dr, Sparta, TN 38583-1223 | 2007-02-20 |
| 1336221928 | Aero Anesthesia, Pllc | Nurse Anesthetist, Certified Registered | 401 Sewell Dr, Sparta, TN 38583-1223 | 2006-10-20 |
| 1437231040 | Kenneth W Crawford | Nurse Anesthetist, Certified Registered | 401 Sewell Dr, Sparta, TN 38583-1223 | 2006-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538769047 | Results-ast Jv, LLC | Physical Therapist | 421 Sewell Road, Sparta, TN 38583 | 2020-10-26 |
| 1588282917 | Rock House Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 25 N Spring St, Sparta, TN 38583 | 2020-07-13 |
| 1881215333 | Nancy Marie Rutherford | Physical Therapist | 421 Sewell Drive, Sparta, TN 38583 | 2020-05-06 |
| 1942798210 | Oscar Dale Sims | Pharmacist | 202 Sam Walton Drive, Sparta, TN 38583 | 2018-04-23 |
| 1932622644 | Medicherla Shyam Sunder Kumar | Internal Medicine | 401 Sewell Road, Sparta, TN 38583 | 2017-07-25 |
| 1972852341 | Jtp Enterprises, LLC | Clinic/Center | 287 Turntable Rd., Sparta, TN 38583 | 2012-08-31 |
| 1154619898 | Abbie Howell | Pharmacist | 460 West Bockman Way, Sparta, TN 38583 | 2011-07-15 |
| 1164556759 | Leslie Ann Reagan | Pharmacist | 207 West Town Plaza, Sparta, TN 38583 | 2007-03-15 |
| 1497809875 | Waymon Haston | Dentist | 9-a Hampton Drive, Sparta, TN 38583 | 2007-01-22 |
| 1407920127 | Jeffry Alan Belknap | Internal Medicine | 809 W Bockman Way, Sparta, TN 38583 | 2006-11-17 |
| Find all providers in zip 38583 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750612503 | Carl Setford Schlageter | Family Medicine | 612 E Broadway St, Sparta, IL 62286-1818 | 2010-01-19 |
| 1154589091 | Velentino Vincent Sica | Family Medicine | 41 Balsam Parkway, Sparta, NJ 07871-2004 | 2008-05-28 |
| 1225258080 | New River Family Medicine | Family Medicine | 12 Willis St, Suite C, Sparta, NC 28675-9220 | 2007-04-26 |
| 1134291883 | Robert Francis Baker Jr. | Family Medicine | 207 E Bockman Way, Sparta, TN 38583-2041 | 2006-11-15 |
| 1215022207 | Share Ministry Inc | Family Medicine | 393 N Main Street, Sparta, NC 28675 | 2006-10-04 |
| 1427163146 | Georgia Latham | Family Medicine | 393 N Main St, Sparta, NC 28675-8896 | 2006-08-20 |
| 1063425650 | Paul Boyd Glynn | Family Medicine | 515 Hugh Ave, Sparta, MO 65753-1220 | 2006-08-14 |
| 1659311702 | Chad A Griffin | Family Medicine | 433 Sewell Dr, Sparta, TN 38583-1223 | 2006-06-07 |
| 1548227606 | Russell Coulter | Family Medicine | Family Health Centre, 207 South Burns Ave, Sparta, IL 62286 | 2006-05-01 |
| 1114984283 | Elvira Salarda | Family Medicine | Sparta Medical Office, 215 South Burns, Sparta, IL 62286 | 2006-05-01 |
| Find all providers in SPARTA | ||||
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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.