DR. MALCOLM MATHEWS III (NPI# 1952378747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952378747 |
| Entity Type | Individual |
| Full Name | DR. MALCOLM MATHEWS III |
| Credential | MD |
| Practice Address |
2205 Pavilion Dr Suite 101 Kingsport TN 37660-4641 |
| Practice Telephone | 4238576466 |
| Practice Fax Number | 4238576456 |
| Mailing Telephone | 4238576466 |
| Mailing Fax Number | 4238576456 |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2017-02-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
0101232053 | VA | Allopathic & Osteopathic Physicians |
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
16245 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1952378747 | 05 | |
| TN | 3026910 | 05 | |
| VA | 005847966 | 05 | |
| TN | Q011077 | 05 |
| Street Address |
2205 PAVILION DR SUITE 101 |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37660-4641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861470080 | Adil Kabir Warsy | Emergency Medicine | 2205 Pavilion Dr, Suite 201b, Kingsport, TN 37660-4641 | 2006-01-06 |
| 1982080719 | Logan Cook | Nurse Practitioner | 2205 Pavilion Dr, Suite 201b, Kingsport, TN 37660-4641 | 2015-08-04 |
| 1164794525 | Blue Ridge Medical Management Corporation | Internal Medicine | 2205 Pavilion Dr, Suite 201b, Kingsport, TN 37660-4641 | 2012-02-01 |
| 1093087611 | Richard A Mcneilly | Internal Medicine | 2205 Pavilion Dr, Suite 201b, Kingsport, TN 37660 | 2012-01-27 |
| 1598995789 | Blue Ridge Medical Management Corporation | Internal Medicine | 2205 Pavilion Dr, Suite 101, Kingsport, TN 37660-4641 | 2009-07-22 |
| 1144458332 | Blue Ridge Medical Management Corporation | Physician Assistant | 2205 Pavilion Dr, Suite 102, Kingsport, TN 37660-4641 | 2009-06-25 |
| 1598885550 | Teresa June Burnette Lord | Internal Medicine | 2205 Pavilion Dr, Suite 101, Kingsport, TN 37660-4641 | 2007-03-30 |
| 1821115676 | Kelly M Hare | Nurse Practitioner | 2205 Pavilion Dr, Suite 201b, Kingsport, TN 37660-4641 | 2007-03-26 |
| 1780780882 | Robert Hughes Mcqueen | Internal Medicine | 2205 Pavilion Dr, Suite 201, Kingsport, TN 37660-4641 | 2006-09-15 |
| 1912910597 | Blue Ridge Medical Management Corporation | Internal Medicine | 2205 Pavilion Dr, Kingsport, TN 37660-4641 | 2006-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909891 | Nancy Gober | Pharmacist | Holston Valley Medical Center Inpatient Pharmacy, 130 W Ravine, Kingsport, TN 37660 | 2020-07-06 |
| 1700437621 | Tammy Denise Leblanc | Technician | 125 Lancer Rd, Kingsport, TN 37660 | 2019-09-23 |
| 1831743392 | Independent Physical Therapy | Occupational Therapist | 1704 E. Stone Dr. Ste 120, Kingsport, TN 37660 | 2019-08-01 |
| 1871095315 | Macie Anderson | Nurse Practitioner | 411 Clay St, Kingsport, TN 37660 | 2018-03-01 |
| 1053813527 | Pulitzer Orthodontics, LLC | Dentist | 1200 Pulitzer Place, Kingsport, TN 37660 | 2018-03-01 |
| 1174038749 | Sbh-kingsport | Psychiatric Hospital | 1025 Executive Park Blvd, Kingsport, TN 37660 | 2017-12-05 |
| 1548771447 | Sara B Ball | Registered Nurse | 111 W Stone Dr Ste 240, Kingsport, TN 37660 | 2017-10-18 |
| 1821525361 | Ashley Brook Weems | Nurse Practitioner | Six Sheridan Square Suite 100, Kingsport, TN 37660 | 2017-05-15 |
| 1639625643 | Stephanie H Garris | Nurse Practitioner | 117 W Sevier Ave Ste 120, Kingsport, TN 37660 | 2016-08-30 |
| 1073965679 | Teresa Anne Starke | Physician Assistant | 8 Sheridan Square, Suite 110, Kingsport, TN 37660 | 2016-07-07 |
| Find all providers in zip 37660 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295143378 | Blue Ridge Medical Management | Internal Medicine | 444 Clinchfield St, Unit 201b, Kingsport, TN 37660-3606 | 2014-08-01 |
| 1205016060 | Jamal Gerges Maatouk | Internal Medicine | 4485 W Stone Dr, Suite 200, Kingsport, TN 37660-1050 | 2007-11-09 |
| 1598885550 | Teresa June Burnette Lord | Internal Medicine | 2205 Pavilion Dr, Suite 101, Kingsport, TN 37660-4641 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003428400 | Tennessee Oncology, Pllc | Internal Medicine | 1208 Pointe Centre Dr Ste 110, Chattanooga, TN 37421-3989 | 2020-08-18 |
| 1538324587 | Stephen Benjamin Cantrell | Internal Medicine | 2001 Mallory Ln Ste 103, Franklin, TN 37067-8234 | 2008-07-18 |
| 1487825600 | Laura Vanini Grobovsky | Internal Medicine | 1929 Lone Oak Rd, Johnson City, TN 37604-3404 | 2008-03-14 |
| 1043408578 | Mailien Reed Rogers | Internal Medicine | 111h Building 8 Dogwood Avenue, James H Quillen Va Medical Center, Johnson City, TN 37601 | 2007-10-10 |
| 1912103425 | Jill Rene Tichy | Internal Medicine | 605 Glenwood Dr Ste 200, Chattanooga, TN 37404-1130 | 2007-06-22 |
| 1518052166 | Athens Physicians Practice LLC | Internal Medicine | 705 Cook Dr Ste 201, Athens, TN 37303-3494 | 2006-10-03 |
| 1801908223 | Timothy J Panella | Internal Medicine | 1926 Alcoa Hwy Ste 410, Knoxville, TN 37920-1545 | 2006-08-31 |
| 1306869110 | Robert E. Enck | Internal Medicine | #1 Professional Park Dr., Suite 21, Regional Cancer Center, Johnson City, TN 37604 | 2006-07-25 |
| 1578597704 | Ruth E Lamar | Internal Medicine | 4488 Carothers Pkwy Ste 300, Franklin, TN 37067-6583 | 2006-07-11 |
| 1801826185 | Stuart C Spigel | Internal Medicine | 103 Natchez Park Dr, Ste 103, Dickson, TN 37055-9013 | 2006-07-03 |
| Find all providers with the same taxonomy | ||||
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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.