JOEL STANLEY BIRDWELL


Address: 1801 N Jackson St, Tullahoma, TN 37388-2201
Phone: 9313933000

JOEL STANLEY BIRDWELL (NPI# 1932195351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932195351
Entity Type Individual
Full Name JOEL STANLEY BIRDWELL
Credential M.D.
Practice Address 1801 N Jackson St
Tullahoma
TN 37388-2201
Mailing Address 4300 N Access Rd
Suite D
Chattanooga
TN 37415-3812
Practice Telephone 9313933000
Practice Fax Number 9313937806
Mailing Telephone 4238261276
Mailing Fax Number 4238261290
Enumeration Date 2005-09-21
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
MD0000012816 TN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TN 2002466 05

Office Location

Street Address 1801 N JACKSON ST
City TULLAHOMA
State TN
Zip Code 37388-2201

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720689698 Stephania Rose Colangione Registered Nurse 1801 N Jackson St, Tullahoma, TN 37388-8259 2020-11-05
1831798719 Vanderbilt Coffee Hospital LLC General Acute Care Hospital 1801 N Jackson St, Tullahoma, TN 37388-8259 2020-10-21
1750904041 Tullahoma Hma LLC Medicare Defined Swing Bed Unit 1801 N Jackson St, Tullahoma, TN 37388-8259 2020-05-21
1407492572 Savannah Brooke Carroll Nurse Practitioner 1801 N Jackson St, Tullahoma, TN 37388-8259 2019-11-22
1487164703 Lydia Grace Seibert Physician Assistant 1801 N Jackson St, Tullahoma, TN 37388-8259 2017-10-02
1891152104 Cardiology & Vascular Associates Internal Medicine 1801 N Jackson St, Suite 100, Tullahoma, TN 37388-2283 2016-01-19
1255742946 Tullahoma Hospitalist Group, Pllc Hospitalist 1801 N Jackson St, Tullahoma, TN 37388-8259 2014-05-15
1215357868 Red Rock Anesthesia, Pllc Anesthesiology 1801 N Jackson St, Tullahoma, TN 37388-8259 2014-04-22
1144568809 Samantha L Dawson Nurse Anesthetist, Certified Registered 1801 N Jackson St, Tullahoma, TN 37388-8259 2013-01-30
1083951834 James Estes Nurse Practitioner 1801 N Jackson St, Tullahoma, TN 37388-8259 2013-01-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588183628 Angela Michelle Sowers Dietitian, Registered 1801 North Jackson St, Tullahoma, TN 37388 2017-09-09
1194242669 Haley D Stewart Speech-Language Pathologist Top Rehab Services, Inc, 2110 N. Jackson Street, Tullahoma, TN 37388 2017-08-25
1295263150 Kelli Elaine Spencer Nurse Practitioner Partners for Healing, 109 West Blackwell Street, Tullahoma, TN 37388 2017-05-23
1932651486 Adam Snider Physical Therapy Assistant 1321 Cedar Lane, Tullahoma, TN 37388 2016-11-01
1891240743 Elizabeth Riddle Nurse Practitioner 1805 N Jackson St Ste 11, Tullahoma, TN 37388 2016-08-22
1720437189 Ronda Schrimsher Peer Specialist 108 E Lauderdale St, Tullahoma, TN 37388 2016-06-07
1003298639 Jeanetta Clark Counselor 1803 N. Jackson St, Centerstone of Tennessee, Tullahoma, TN 37388 2015-06-19
1285051698 Ashley Mcmurtry Physical Therapist 2110 N. Jackson Street, Tullahoma, TN 37388 2014-03-24
1093150575 Orthopedic Braces Case Management 206 Westside Dr, Tullahoma, TN 37388 2013-05-09
1427397199 Kristina Danette Carter Pharmacist 104 North Jackson Street, Tullahoma, TN 37388 2013-01-31
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396730842 Mittur N Ramprasad Md PC Radiology 509 Nw Atlantic St, Tullahoma, TN 37388-3504 2005-09-12
1801873708 Medical Imaging Consultants, PC Radiology 1801 N Jackson St, Tullahoma, TN 37388-2201 2005-12-30
1053307223 Mark R Russell Radiology 1801 N Jackson St, Tullahoma, TN 37388-2201 2005-09-23
1467448886 Grant D Ordiway Radiology 1801 N Jackson St, Tullahoma, TN 37388-2201 2005-09-21
1306831417 Tullahoma Orthopaedics & Sports Medicine Pllc Radiology 1816 N Washington St, Suite 100, Tullahoma, TN 37388-2222 2005-09-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1003417197 West Clinic, P. C. Radiology 5999 Manor Cv, Memphis, TN 38120-3105 2020-11-04
1114528205 West Clinic, P. C. Radiology 708 W Suggs Dr, Memphis, TN 38120-2741 2020-11-04
1447851530 West Clinic, P. C. Radiology 5740 The Forest Gate Rd, Memphis, TN 38120-2540 2020-11-04
1720689169 West Clinic, P. C. Radiology 5396 Gwynne Rd, Memphis, TN 38120-1908 2020-11-03
1558990788 Sanitas Medical Center of Tennessee PC Radiology 438 N Cleveland St, Memphis, TN 38104-7014 2020-04-08
1114551132 Lebanon Pet Scan Center, LLC Radiology 103 Physicians Way Ste 100, Lebanon, TN 37090-4129 2020-02-28
1407373053 Association of University Radiologists, PC Radiology 5779 Creekwood Park Blvd Ste 130, Lenoir City, TN 37772-1203 2017-08-24
1023481090 Richard Sanders Radiology 611 Bedford Forest Ct, Old Hickory, TN 37138-1006 2015-11-12
1972982569 Lee Van Carroll Jr. Radiology 3601 The Vanderbilt Clinic Department of Radiology, Nashville, TN 37232-3326 2015-05-28
1912394495 Eniola Oladosu Fagbongbe Radiology 1265 Union Ave, 7 Thomas Wing, Room 707, Memphis, TN 38104 2015-04-22
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Competitor

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City TULLAHOMA
Zip Code 37388

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Dataset Information

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.

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