Thaddeus David Wilson (NPI# 1417190869, PAC ID# 5395963805) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1417190869 |
| PAC ID by PECOS | 5395963805 |
| Professional Enrollment ID | I20190129003365 |
| Full Name | Thaddeus David Wilson |
| Organization Legal Name | TRI-CITIES REGIONAL EMERGENCY PHYSICIANS, PC |
| Address |
300 Med Tech Pkwy Johnson City TN 37604-2277 |
| Phone Number | 4233021000 |
| Gender | M |
| Medical School | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 3678859477 |
| Number of Group Practice Members | 79 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 300 Med Tech Pkwy, Johnson City, TN 37604-2277 | 4233021000 | TRI-CITIES REGIONAL EMERGENCY PHYSICIANS, PC |
| 400 N State of Franklin Rd, Johnson City, TN 37604-6035 | 4234316111 | TRI-CITIES REGIONAL EMERGENCY PHYSICIANS, PC |
| Organization Legal Name | TRI-CITIES REGIONAL EMERGENCY PHYSICIANS, PC |
| Physicians | 52 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony Tin-lung Pang-ng | Family Medicine | Tri-cities Regional Emergency Physicians, PC | 1501 W Elk Ave, Elizabethon, TN 37643-2874 |
| Jeffrey D Turner | Emergency Medicine | Tri-cities Regional Emergency Physicians, PC | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 |
| Vedire Vijaysen Reddy | Emergency Medicine | Tri-cities Regional Emergency Physicians, PC | 300 Med Tech Pkwy, Johnson City, TN 37604-2277 |
| John H Mullins | Nurse Practitioner | Tri-cities Regional Emergency Physicians, PC | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 |
| Alexis Paije Greene | Nurse Practitioner | Tri-cities Regional Emergency Physicians, PC | 300 Med Tech Pkwy, Johnson City, TN 37604-2277 |
| David W Hale Jr. | Emergency Medicine | Tri-cities Regional Emergency Physicians, PC | 2000 Brookside Dr, Kingsport, TN 37660-4627 |
| Shane M Adams | Family Medicine | Tri-cities Regional Emergency Physicians, PC | 1501 W Elk Ave, Elizabethon, TN 37643-2874 |
| Clifford G Williamson | Emergency Medicine | Tri-cities Regional Emergency Physicians, PC | 300 Med Tech Pkwy, Johnson City, TN 37604-2277 |
| Scott Denham | General Surgery | Tri-cities Regional Emergency Physicians, PC | 300 Med Tech Pkwy, Johnson City, TN 37604-2277 |
| Brett Reece | Nurse Practitioner | Tri-cities Regional Emergency Physicians, PC | 300 Med Tech Pkwy, Johnson City, TN 37604-2277 |
| Street Address |
300 MED TECH PKWY |
| City | JOHNSON CITY |
| State | TN |
| Zip | 37604-2277 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William M Parkhurst | Diagnostic Radiology | Mountain Empire Radiology Inc PC | 300 Med Tech Pkwy, Johnson City, TN 37604-2277 |
| Vedire Vijaysen Reddy | Emergency Medicine | Tri-cities Regional Emergency Physicians, PC | 300 Med Tech Pkwy, Johnson City, TN 37604-2277 |
| Alexis Paije Greene | Nurse Practitioner | Tri-cities Regional Emergency Physicians, PC | 300 Med Tech Pkwy, Johnson City, TN 37604-2277 |
| Jose Ernesto Picaza | Diagnostic Radiology | Mountain Empire Radiology Inc PC | 300 Med Tech Pkwy, Johnson City, TN 37604-2277 |
| Clifford G Williamson | Emergency Medicine | Tri-cities Regional Emergency Physicians, PC | 300 Med Tech Pkwy, Johnson City, TN 37604-2277 |
| Perry D Jernigan | Diagnostic Radiology | Mountain Empire Radiology Inc PC | 300 Med Tech Pkwy, Johnson City, TN 37604-2277 |
| Shivali Patel | Family Medicine | Southeastern Physician Services PC | 300 Med Tech Pkwy, Johnson City, TN 37604-2277 |
| Vincent G Becker | Diagnostic Radiology | Mountain Empire Radiology Inc PC | 300 Med Tech Pkwy, Johnson City, TN 37604-2277 |
| Scott Denham | General Surgery | Tri-cities Regional Emergency Physicians, PC | 300 Med Tech Pkwy, Johnson City, TN 37604-2277 |
| Brett Reece | Nurse Practitioner | Tri-cities Regional Emergency Physicians, PC | 300 Med Tech Pkwy, Johnson City, TN 37604-2277 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elnora Spradling | Medical Oncology | Blue Ridge Medical Management Corporation | 1 Professional Pk Dr, Suite 21, Johnson City, TN 37604 |
| Stephen A Cradic | Chiropractic | 206 Headtown Rd, Suite 100, Jonesbourough, TN 37604 | |
| Shweta Kharalkar | Hospitalist | Blue Ridge Medical Management Corporation | 408 N State of Franklin, Suite 24, Johnson City, TN 37604 |
| Devapiran Jaishankar | Medical Oncology | Blue Ridge Medical Management Corporation | 1 Professional Pk Dr, Suite 21, Johnson City, TN 37604 |
| Jamie E Carnell | Nurse Practitioner | Blue Ridge Medical Management Corporation | 1 Professional Pk Dr, Suite 21, Johnson City, TN 37604 |
| Sakshi Singal | Hematology/oncology | Blue Ridge Medical Management Corporation | 1 Professional Pk Dr, Suite 21, Johnson City, TN 37604 |
| Selma Zukic Kominek | Neurosurgery | Blue Ridge Medical Management Corporation | 1 Professional Pk Dr, Suite 21, Johnson City, TN 37604 |
| Kanishka Chakraborty | Medical Oncology | Blue Ridge Medical Management Corporation | 1 Professional Pk Dr, Suite 21, Johnson City, TN 37604 |
| Jessica Glasscock Mcgahey | Nurse Practitioner | Blue Ridge Medical Management Corporation | 400 N State of Franklin, Room Lk015, Johnson City, TN 37604-0000 |
| Adam Horn | Nurse Practitioner | Blue Ridge Medical Management Corporation | 403 N State of Franklin Rd, Johnson City, TN 37604-0000 |
| Find all physicians in zip 37604 | |||
| City | JOHNSON CITY |
| Zip Code | 37604 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | JOHNSON CITY + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Thaddeus David Wilson.
| 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.