TRACUT LLC (NPI# 1962753681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962753681 |
| Entity Type | Organization |
| Organization Name | TRACUT LLC |
| Practice Address |
127 Crestview Park Dr 207 Dickson TN 37055-2855 |
| Mailing Address |
345 23rd Ave N 212 Nashville TN 37203-1513 |
| Practice Telephone | 6153272055 |
| Mailing Telephone | 6153272055 |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2012-09-20 |
| Authorized Official Name | DR. MITCHELL WIATRAK (CHEIF MANAGER) |
| Authorized Official Telephone | 6153272055 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | CENTER FOR UROLOGICAL TREATMENT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821347196 | Tracut LLC | Clinic/Center | 345 23rd Ave N, 212, Nashville, TN 37203-1513 | 2012-09-02 |
| Street Address |
127 CRESTVIEW PARK DR 207 |
| City | DICKSON |
| State | TN |
| Zip Code | 37055-2855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073516001 | David L Ross | Internal Medicine | 127 Crestview Park Dr, Dickson, TN 37055-2850 | 2005-05-23 |
| 1669987012 | Daniel David Ring | Physician Assistant | 127 Crestview Park Dr, Dickson, TN 37055-2855 | 2017-12-07 |
| 1578082178 | Anna C Gorzny | Nurse Practitioner | 127 Crestview Park Dr, Dickson, TN 37055-2855 | 2017-09-14 |
| 1417209941 | Jennifer Lee Taylor | Nurse Practitioner | 127 Crestview Park Dr, Dickson, TN 37055-2855 | 2012-10-08 |
| 1477822336 | Dickson Orthotics & Prosthetics | Durable Medical Equipment & Medical Supplies | 127 Crestview Park Dr, Suite 104, Dickson, TN 37055-2855 | 2011-12-22 |
| 1265729925 | Maria D. Lastovka | Nurse Practitioner | 127 Crestview Park Dr, Suite 205, Dickson, TN 37055-2855 | 2011-07-01 |
| 1437386349 | Dickson Medical Equipment, Inc. | Prosthetic/Orthotic Supplier | 127 Crestview Park Dr, Ste. 104, Dickson, TN 37055-2850 | 2009-06-18 |
| 1881834687 | Dickson Medical Associates, PC | Allergy & Immunology | 127 Crestview Park Dr, Dickson, TN 37055-2850 | 2009-03-06 |
| 1003099359 | Luma Kharabsheh | Internal Medicine | 127 Crestview Park Dr, Dickson, TN 37055-2855 | 2007-12-10 |
| 1043435068 | Sowmini Oomman | Psychiatry & Neurology | 127 Crestview Park Dr, Suite 201, Dickson, TN 37055 | 2007-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801406186 | Raven Julia Jackson | Dentist | 445 Tn-46 S, Dickson, TN 37055 | 2020-08-03 |
| 1336767839 | Logan Newman | Student in an Organized Health Care Education/Training Program | 102 Us70 East, Suite 2, Dickson, TN 37055 | 2020-07-10 |
| 1720575012 | Vb Tennessee I Pllc | Dentist | 2027 Thornton Dr, Dickson, TX 37055 | 2018-04-23 |
| 1376075358 | Sharon Elizabeth Sharber | Nurse Practitioner | 111 Highway 70 E Ste E, Dickson, TN 37055 | 2017-03-29 |
| 1992255921 | Karen Alonzo | Occupational Therapy Assistant | 312 N Charlotte St, Dickson, TN 37055 | 2016-10-13 |
| 1356727408 | Aurora Pharmacy Inc | Pharmacy | 318 East College Street, Suite 102, Dickson, TN 37055 | 2015-07-30 |
| 1295121820 | Jeffrey Nicholas Williams | Pharmacy Technician | 120 Brazzell Rd, Dickson, TN 37055 | 2015-04-10 |
| 1760894398 | Joshua A. Vaughn | Physical Therapist | 766 Highway 46 South, Dickson, TN 37055 | 2014-06-02 |
| 1902217292 | Keith Payton | Dentist | 217 Highway 46 Ste D, Dickson, TN 37055 | 2014-05-08 |
| 1073953840 | John Harrison | Dentist | 134 Us-70, Dickson Pediatric Dentistry, Dickson, TN 37055 | 2013-06-26 |
| Find all providers in zip 37055 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477709319 | Dr. Schrock Chiropractor & Nutrition | Clinic/Center | 302 E College St, Dickson, TN 37055-1860 | 2008-08-12 |
| 1831303866 | Chiropractic & Migraine Center | Clinic/Center | 403 Henslee Dr, Dickson, TN 37055-2166 | 2007-05-09 |
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| 1689287997 | Asclepius Ai Inc | Clinic/Center | 800 Market St Ste 200, Chattanooga, TN 37402-2677 | 2020-08-26 |
| 1306459045 | Surgco, Plc | Clinic/Center | 107 Glen Oak Blvd Ste 201a, Hendersonville, TN 37075-3000 | 2020-08-24 |
| 1780207670 | Neelam Patel Md Inc | Clinic/Center | 276 Warfield Blvd, Clarksville, TN 37043-5952 | 2020-05-26 |
| 1306468152 | Advanced Spine and Wellness | Clinic/Center | 176 Thompson Ln Ste 102, Nashville, TN 37211-2468 | 2020-05-15 |
| 1821619560 | Takoma Regional Hospital, Inc. | Clinic/Center | 1021 Coolidge St Ste 5, Greeneville, TN 37743-4692 | 2020-05-05 |
| 1861013864 | Blue Ridge Medical Management C Orporation | Clinic/Center | 403 Princeton Rd Ste 10, Johnson City, TN 37601-2062 | 2020-04-30 |
| 1780205013 | Medworx | Clinic/Center | 4822 Old Hickory Blvd, Hermitage, TN 37076-2502 | 2020-04-28 |
| 1366078669 | Np Cares, LLC | Clinic/Center | 4515 Poplar Ave Ste 131, Memphis, TN 38117-7503 | 2020-03-18 |
| 1326670555 | East Memphis Urgent Medical Clinic PC | Clinic/Center | 6515 Poplar Ave Ste 106, Memphis, TN 38119-4878 | 2020-02-05 |
| 1225673395 | The Transformation Doctor, LLC Dba Wellnessmd | Clinic/Center | 3680 S Houston Levee Rd Ste 104, Collierville, TN 38017-9151 | 2019-11-13 |
| 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.