EAST TENNESSEE MEDICAL GROUP, PC (NPI# 1942238902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942238902 |
| Entity Type | Organization |
| Organization Name | EAST TENNESSEE MEDICAL GROUP, PC |
| Practice Address |
266 Joule Street Alcoa TN 37701-2422 |
| Mailing Address |
Po Box 5358 Maryville TN 37802-5358 |
| Practice Telephone | 8659843864 |
| Practice Fax Number | 8653802131 |
| Mailing Telephone | 8656819148 |
| Mailing Fax Number | 8653802131 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2008-06-09 |
| Authorized Official Name | MR. RON GERMAN (CEO) |
| Authorized Official Telephone | 8659843864 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians | ||
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians | ||
| N | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
266 JOULE STREET |
| City | ALCOA |
| State | TN |
| Zip Code | 37701-2422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598070807 | Tennessee Vein Center, Pllc | Clinic/Center | 203 Corporate Place, Alcoa, TN 37701 | 2010-08-11 |
| 1790099638 | Bill Charles Barker | Pharmacist | 225 N. Hall Road, Walgreens, Alcoa, TN 37701 | 2010-08-03 |
| 1235365453 | Marsh Chiropractic & Wellness Center, LLC | Chiropractor | 1080 Hunters Crossing, Alcoa, TN 37701 | 2009-06-02 |
| 1457485187 | Romeo San Diego Gomez | Physical Therapist | 101 Gill Street, Alcoa, TN 37701 | 2007-03-15 |
| 1811039266 | Khaled Othman Abumayaleh | Optometrist | 1030 Hunters Crossing Lane, Alcoa, TN 37701 | 2007-02-13 |
| 1861558777 | Paula Kay Wolfe | Technician/Technologist | 237 N Calderwood St, Alcoa, TN 37701 | 2006-12-28 |
| 1194893883 | K Darrel Clagough | Dentist | 310 Sanderson Street, Alcoa, TN 37701 | 2006-12-01 |
| 1225106008 | David C Finch | Physical Therapist | 1107 N Hall Rd Ste 200, Alcoa, TN 37701 | 2006-12-01 |
| 1366517070 | Gabriel C Edaugal | Physical Therapist | 101 Gill St, Alcoa, TN 37701 | 2006-11-21 |
| 1386617462 | Alcoa Senior Center | Clinic/Center | 2445 Calderwood St., Suite C2, Alcoa, TN 37701 | 2006-02-09 |
| Find all providers in zip 37701 | ||||
| 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 |
|---|---|---|---|---|
| 1538768205 | Winbigler Medical, Pllc | Family Medicine | 1205 Lodge St, Alcoa, TN 37701-2092 | 2020-10-22 |
| 1336176056 | John D Rooke | Family Medicine | 117 Gill St, Alcoa, TN 37701-2672 | 2006-06-27 |
| 1386617314 | Britton Keith Bishop | Family Medicine | 230 Associates Blvd, Alcoa, TN 37701-1943 | 2006-02-09 |
| 1205327103 | William A Paczkowski | Family Medicine | 281 Cusick Rd, Alcoa, TN 37701 | 2018-05-25 |
| 1699201681 | Arieal Tiffany Felix | Family Medicine | 255 E Watt St, Alcoa, TN 37701-2236 | 2017-05-11 |
| 1326435397 | Delayne Long | Family Medicine | 266 Joule St, Alcoa, TN 37701 | 2015-04-17 |
| 1942566617 | Julie Mae Brewer | Family Medicine | 255 E Watt St, Alcoa, TN 37701-2236 | 2012-04-07 |
| 1396011722 | Justin A Bennett | Family Medicine | 266 Joule St, Alcoa, TN 37701-2422 | 2012-03-29 |
| 1528351657 | Travis John Groth | Family Medicine | 266 Joule St, Alcoa, TN 37701-2422 | 2011-05-23 |
| 1336469048 | Holly Crim | Family Medicine | 266 Joule St, Alcoa, TN 37701 | 2010-06-03 |
| Find all providers in ALCOA | ||||
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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.