Landon A Colquitt Iv (NPI# 1629054556, PAC ID# 6204929276) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
Nation Provider ID (NPI) | 1629054556 |
PAC ID by PECOS | 6204929276 |
Professional Enrollment ID | I20110328000447 |
Full Name | Landon A Colquitt Iv |
Organization Legal Name | HIGHLANDS PATHOLOGY CONSULTANTS, P.C. |
Address |
130 W Ravine Rd Kingsport TN 37660-3810 |
Phone Number | 4232246700 |
Gender | M |
Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON |
Graduation Year | 1981 |
Primary Specialty | PATHOLOGY |
Group Practice PAC ID | 3173515715 |
Number of Group Practice Members | 12 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
440017 | WELLMONT HOLSTON VALLEY MEDICAL CENTER |
490114 | LONESOME PINE HOSPITAL |
440032 | WELLMONT HAWKINS COUNTY MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
130 W Ravine Rd, Kingsport, TN 37660-3810 | 4232246700 | HIGHLANDS PATHOLOGY CONSULTANTS, P.C. |
Organization Legal Name | HIGHLANDS PATHOLOGY CONSULTANTS, P.C. |
Physicians | 13 |
Name | Specialty | Organization | Address |
---|---|---|---|
David R Hudgens | Pathology | Highlands Pathology Consultants, P.C. | 1 Medical Park Blvd, Bristol, TN 37620-7430 |
Michael Wayne Rentz | Pathology | Highlands Pathology Consultants, P.C. | 1 Medical Park Blvd, Bristol, TN 37620-7430 |
Emanuela Fernandes Veras | Pathology | Highlands Pathology Consultants, P.C. | 1 Medical Park Blvd, Bristol, TN 37620-7430 |
Laura Evelyn Stewart | Pathology | Highlands Pathology Consultants, P.C. | 130 W Ravine Rd, Kingsport, TN 37660-3810 |
Kristin A Pierce | Pathology | Highlands Pathology Consultants, P.C. | 130 W Ravine Rd, Kingsport, TN 37660-3810 |
Christopher Todd Heitz | Pathology | Highlands Pathology Consultants, P.C. | 130 W Ravine Rd, Kingsport, TN 37660-3810 |
Don E Asberry | Pathology | Highlands Pathology Consultants, P.C. | 1 Medical Park Blvd, Bristol, TN 37620-7430 |
Kimberly M Helms | Pathology | Highlands Pathology Consultants, P.C. | 1 Medical Park Blvd, Bristol, TN 37620-7430 |
Evan Loren Kulbacki | Pathology | Highlands Pathology Consultants, P.C. | 130 W Ravine Rd, Kingsport, TN 37660-3810 |
Gregory Alan Stancel | Pathology | Highlands Pathology Consultants, P.C. | 1 Medical Park Blvd, Bristol, TN 37620-7430 |
Street Address |
130 W RAVINE RD |
City | KINGSPORT |
State | TN |
Zip | 37660-3810 |
Name | Specialty | Organization | Address |
---|---|---|---|
Stacey A Ryder | Certified Registered Nurse Anesthetist (crna) | Wps Providers Inc | 130 W Ravine Rd, Kingsport, TN 37660-3831 |
George M Testerman Jr. | General Surgery | Wps Providers Inc | 130 W Ravine Rd, Kingsport, TN 37660-3831 |
Scott A Davis | Certified Registered Nurse Anesthetist (crna) | Wps Providers Inc | 130 W Ravine Rd, Kingsport, TN 37660-3831 |
Kimberly L Hixson | Certified Registered Nurse Anesthetist (crna) | Wps Providers Inc | 130 W Ravine Rd, Kingsport, TN 37660-3831 |
Kathryn A Harris | Nurse Practitioner | Wellmont Medical Associates Inc | 130 W Ravine Rd, Kingsport, TN 37660-3837 |
Trey M Vanzant | Certified Registered Nurse Anesthetist (crna) | Wps Providers Inc | 130 W Ravine Rd, Kingsport, TN 37660-3831 |
Jeffrey Vaughn | Family Medicine | Wps Providers Inc | 130 W Ravine Rd, Kingsport, TN 37660-3831 |
Marc Campbell | General Surgery | Wps Providers Inc | 130 W Ravine Rd, Kingsport, TN 37660-3831 |
Rachel A Phillips | Nurse Practitioner | Wellmont Medical Associates Inc | 130 W Ravine Rd, Kingsport, TN 37660-3837 |
Laura Evelyn Stewart | Pathology | Highlands Pathology Consultants, P.C. | 130 W Ravine Rd, Kingsport, TN 37660-3810 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Lucinda Miller | Critical Care (intensivists) | Wellmont Medical Associates Inc | 4485 W Stone Dr, Suite 200, Kingsport, TN 37660-1050 |
Daniel D Carroll | Family Medicine | Wellmont Medical Associates Inc | 4485 W Stone Dr, Suite 200, Kingsport, TN 37660-1050 |
Wendy Vogel | Nurse Practitioner | Wellmont Medical Associates Inc | 4485 W Stone Dr, Suite 200, Kingsport, TN 37660-1050 |
Jennifer Leigh Cox | Nurse Practitioner | Wellmont Medical Associates Inc | 4485 W Stone Dr, Suite 200, Kingsport, TN 37660-1050 |
Marsha G Rose | Clinical Social Worker | 2005 Venture Park, Kingsport, TN 37660-1098 | |
Shelley Hilton | Nurse Practitioner | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
Hannah Ruth Cook | Physician Assistant | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
Carri Beth Homoky | Dermatology | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
Joni Glavan Sago | Dermatology | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
Darrell Ray Millsap | Physician Assistant | Dermatology Associates of Kingsport, P.C. | 2300 W Stone Dr, Kingsport, TN 37660-2360 |
Find all physicians in zip 37660 |
City | KINGSPORT |
Zip Code | 37660 |
Specialty | PATHOLOGY |
City + Specialty | KINGSPORT + PATHOLOGY |
Please comment or provide details below to improve the information on Landon A Colquitt Iv.
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.