PAIN MEDICINE ASSOCIATES, P.C. (NPI# 1962655696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962655696 |
| Entity Type | Organization |
| Organization Name | PAIN MEDICINE ASSOCIATES, P.C. |
| Practice Address |
101 Med Tech Pkwy Suite 200 Johnson City TN 37604-4007 |
| Practice Telephone | 4232326120 |
| Practice Fax Number | 4232326125 |
| Mailing Telephone | 4232326120 |
| Mailing Fax Number | 4232326125 |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |
| Authorized Official Name | MRS. TRACY BAYS (OFFICE MANAGER) |
| Authorized Official Telephone | 4232326120 |
| Authorized Official Credential | CPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 1084 | TN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | PREFERRED CARE | 134016XX | 01 |
| TN | DEPT OF LABOR | 373941500 | 01 |
| TN | ANTHEM VA - BRISTOL | 146990 | 01 |
| TN | ANTHEM VA - KPT | 146991 | 01 |
| TN | 3715213 | 05 | |
| TN | MEDICARE RAILROAD | CG3754 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477594364 | Pain Medicine Associates, P.C. | Physical Medicine & Rehabilitation | 101 Med Tech Pkwy, Suite 200, Johnson City, TN 37604-4007 | 2006-06-09 |
| Street Address |
101 MED TECH PKWY SUITE 200 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604-4007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205830536 | Fernando Bendfeldt | Psychiatry & Neurology | 101 Med Tech Pkwy, Ste 407, Johnson City, TN 37604-4000 | 2005-05-23 |
| 1558669986 | Caitlen M Petschke | Physician Assistant | 101 Med Tech Pkwy, Ste. 405, Johnson City, TN 37604-4007 | 2011-03-09 |
| 1023319290 | John Argerson | Specialist | 101 Med Tech Pkwy, Suite 402, Johnson City, TN 37604-4007 | 2010-11-04 |
| 1679722052 | Michael M Wilkinson | Anesthesiology | 101 Med Tech Pkwy, Johnson City, TN 37604-4007 | 2008-09-10 |
| 1548422355 | Pma Surgery Center LLC | Psychologist | 101 Med Tech Pkwy, Suite 205, Johnson City, TN 37604-4007 | 2008-07-02 |
| 1942475439 | Tri Cities Esthetics, Inc. | Specialist | 101 Med Tech Pkwy, Suite 402, Johnson City, TN 37604-4007 | 2008-04-25 |
| 1821158031 | Alison Repass Herrig | Nurse Practitioner | 101 Med Tech Pkwy, Suite 405, Johnson City, TN 37604-4007 | 2006-12-11 |
| 1053496901 | Mountain States Health Alliance | Durable Medical Equipment & Medical Supplies | 101 Med Tech Pkwy, Suite 100, Johnson City, TN 37604-4007 | 2006-10-26 |
| 1417031071 | Smokie Mountain Dialysis Inc. | Clinic/Center | 101 Med Tech Pkwy, Suite 406, Johnson City, TN 37604-4007 | 2006-10-24 |
| 1922191238 | James A Ross | Emergency Medicine | 101 Med Tech Pkwy, Suite 305, Johnson City, TN 37604-4007 | 2006-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| Find all providers in zip 37604 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720261316 | Jill Stinson | Psychologist | 166 Derosier Dr, Johnson City, TN 37614-5200 | 2007-12-06 |
| 1689888141 | Deborah L Sheffey | Psychologist | 128 Keith Ln, Johnson City, TN 37601-5479 | 2007-05-10 |
| 1265500615 | Dr Tedd Stephens Edd | Psychologist | 2112 N Roan St, 6th Fl, Johnson City, TN 37601 | 2006-12-02 |
| 1366522195 | Susan W. Blue | Psychologist | 804 Valley Plz, Johnson City, NY 13790-1009 | 2006-10-16 |
| 1780660431 | Susan Ilene Taub | Psychologist | 1604 E Oakland Ave, Johnson City, TN 37601-2151 | 2005-12-15 |
| 1558987875 | Kelly Moore Schirr | Psychologist | 166 Derosier Dr, Johnson City, TN 37614-5200 | 2020-06-23 |
| 1952897357 | Kristina S Roberts | Psychologist | 109 W Watauga Ave, Johnson City, TN 37604-5621 | 2018-07-09 |
| 1043728405 | Papillon Behavioral Health, LLC | Psychologist | 2514 1/2 Wesley St Ste 2, Johnson City, TN 37601 | 2018-01-18 |
| 1942651120 | Angela Dawn Tolley | Psychologist | 508 Princeton Rd, Suite 403, Johnson City, TN 37601-2060 | 2016-06-28 |
| 1104277656 | Ipc Pac Healthcare Services of Tennessee PC | Psychologist | 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 | 2016-06-27 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
Please comment or provide details below to improve the information on PAIN MEDICINE ASSOCIATES, P.C..
| 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.