Walter E Stephens Iii (NPI# 1205878220, PAC ID# 2769470855) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1205878220 |
| PAC ID by PECOS | 2769470855 |
| Professional Enrollment ID | I20040505001703 |
| Full Name | Walter E Stephens Iii |
| Organization Legal Name | ADVANCED DIAGNOSTIC IMAGING PC |
| Address |
200 Creekside Dr Dickson TN 37055-2176 |
| Phone Number | 6154416140 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7315848140 |
| Number of Group Practice Members | 449 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440046 | TRISTAR HORIZON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 200 Creekside Dr, Dickson, TN 37055-2176 | 6154416140 | ADVANCED DIAGNOSTIC IMAGING PC |
| 3443 Dickerson Pike, Suite 400, Nashville, TN 37207-2524 | 6156122146 | ADVANCED DIAGNOSTIC IMAGING PC |
| Organization Legal Name | ADVANCED DIAGNOSTIC IMAGING PC |
| Physicians | 403 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica D Lane | Nurse Practitioner | Advanced Diagnostic Imaging PC | 200 Creekside Dr, Dickson, TN 37055-2176 |
| Matthew S Hawkins | Physician Assistant | Advanced Diagnostic Imaging PC | 425 Henslee Dr, Dickson, TN 37055-2166 |
| Jaclyn R Cominotto | Nurse Practitioner | Advanced Diagnostic Imaging PC | 3024 Business Park Cir, Goodlettsville, TN 37072-3132 |
| James L Griffith | Dermatology | Advanced Diagnostic Imaging PC | 190 D Saundersville Rd, Hendersonville, TN 37075-8901 |
| Nassif Azzi | Nephrology | Advanced Diagnostic Imaging PC | 256 Seaboard Lane, Suite F101, Franklin, TN 37067 |
| Emily Schaheen | Orthopedic Surgery | Advanced Diagnostic Imaging PC | 570 Hartsville Pike, Gallatin, TN 37066-2450 |
| Jennifer C Dyer | Nurse Practitioner | Advanced Diagnostic Imaging PC | 2200 Murphy Ave B, Nashville, TN 37203-1826 |
| Jilliam Dimond | Nurse Practitioner | Advanced Diagnostic Imaging PC | 2004 Hayes St, Nashville, TN 37203-2318 |
| Stephen K Hollister | Colorectal Surgery (proctology) | Advanced Diagnostic Imaging PC | 345 23rd N Ave, Suite 300, Nashville, TN 37203-1513 |
| Krista D Gessler | Nurse Practitioner | Advanced Diagnostic Imaging PC | 112 Airport Business Park Dr, Suite G, Shelbyville, TN 37160-7453 |
| Street Address |
200 CREEKSIDE DR |
| City | DICKSON |
| State | TN |
| Zip | 37055-2176 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica D Lane | Nurse Practitioner | Advanced Diagnostic Imaging PC | 200 Creekside Dr, Dickson, TN 37055-2176 |
| Edward E Elliott Iii | Nurse Practitioner | Advanced Diagnostic Imaging PC | 200 Creekside Dr, Dickson, TN 37055-2176 |
| Steven T Busby | Nurse Practitioner | Advanced Diagnostic Imaging PC | 200 Creekside Dr, Dickson, TN 37055-2176 |
| Jeffrey D Kauppi | Physician Assistant | Advanced Diagnostic Imaging PC | 200 Creekside Dr, Dickson, TN 37055-2176 |
| Savita Fanta | Internal Medicine | Advanced Diagnostic Imaging PC | 200 Creekside Dr, Dickson, TN 37055-2176 |
| Sharon Krystal Beasley | Nurse Practitioner | Advanced Diagnostic Imaging PC | 200 Creekside Dr, Dickson, TN 37055-2176 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey Epley | Certified Registered Nurse Anesthetist (crna) | Anesthesia Medical Group, P.C. | 111 Hwy 70 E, Dickson, TN 37055 |
| Ron Nieberding | Psychologist, Clinical | 812 N Charlotte St, Dickson, TN 37055-1009 | |
| Jerry Neil Tidwell | Optometry | Drs. Tidwell, Faulks, and Allen - Optometry, Pllc | 610 Henslee Dr, Dickson, TN 37055-1211 |
| Stephen Grant Allen | Optometry | Drs. Tidwell, Faulks, and Allen - Optometry, Pllc | 610 Henslee Dr, Dickson, TN 37055-1211 |
| David Harold Faulks | Optometry | Drs. Tidwell, Faulks, and Allen - Optometry, Pllc | 610 Henslee Dr, Dickson, TN 37055-1211 |
| Lacie A Baker | Physician Assistant | Dickson Orthopaedic and Sports Medicine Pllc | 196 Hillview St, Dickson, TN 37055-1285 |
| Lucas Richie | Orthopedic Surgery | Dickson Orthopaedic and Sports Medicine Pllc | 196 Hillview St, Dickson, TN 37055-1285 |
| Jeffrey F Norton | Physician Assistant | Dickson Orthopaedic and Sports Medicine Pllc | 196 Hillview St, Dickson, TN 37055-1285 |
| Daniel J Adkisson | Physician Assistant | 219 Church St, Dickson, TN 37055-1303 | |
| Anthony Barry Harlow | Chiropractic | 207 Church St, Dickson, TN 37055-1303 | |
| Find all physicians in zip 37055 | |||
| City | DICKSON |
| Zip Code | 37055 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | DICKSON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Walter E Stephens Iii.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.