Charles T Huddleston (NPI# 1609805431, PAC ID# 6608847496) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
Nation Provider ID (NPI) | 1609805431 |
PAC ID by PECOS | 6608847496 |
Professional Enrollment ID | I20040804001314 |
Full Name | Charles T Huddleston |
Organization Legal Name | MIDDLE TENNESSEE SURGICAL SPECIALISTS, LLC |
Address |
203 N Cedar Ave Cookeville TN 38501-2499 |
Phone Number | 9315281992 |
Gender | M |
Credential | MD |
Medical School | EAST TENNESSEE STATE UNIVERSITY, QUILLEN-DISHNER COLLEGE OF MEDICINE |
Graduation Year | 1991 |
Primary Specialty | GENERAL SURGERY |
Secondary Specialties | EMERGENCY MEDICINE |
Group Practice PAC ID | 9133014707 |
Number of Group Practice Members | 9 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
440059 | COOKEVILLE REGIONAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
203 N Cedar Ave, Cookeville, TN 38501-2499 | 9315281992 | MIDDLE TENNESSEE SURGICAL SPECIALISTS, LLC |
Organization Legal Name | MIDDLE TENNESSEE SURGICAL SPECIALISTS, LLC |
Physicians | 8 |
Name | Specialty | Organization | Address |
---|---|---|---|
Scott Anthony Copeland | General Surgery | Middle Tennessee Surgical Specialists, LLC | 203 N Cedar Ave, Cookeville, TN 38501-2499 |
Justin Link Cox | Physician Assistant | Middle Tennessee Surgical Specialists, LLC | 203 N Cedar Ave, Cookeville, TN 38501-2499 |
Jeffrey S Moore | General Surgery | Middle Tennessee Surgical Specialists, LLC | 203 N Cedar Ave, Cookeville, TN 38501-2499 |
Amber Renee Hyder | Nurse Practitioner | Middle Tennessee Surgical Specialists, LLC | 203 N Cedar Ave, Cookeville, TN 38501-2499 |
Christopher L Hicks | Nurse Practitioner | Middle Tennessee Surgical Specialists, LLC | 203 N Cedar Ave, Cookeville, TN 38501-2499 |
Jeffrey H Mccarter | General Surgery | Middle Tennessee Surgical Specialists, LLC | 203 N Cedar Ave, Cookeville, TN 38501-2499 |
Brian Gregory Gerndt | Vascular Surgery | Middle Tennessee Surgical Specialists, LLC | 203 N Cedar Ave, Cookeville, TN 38501-2499 |
Street Address |
203 N CEDAR AVE |
City | COOKEVILLE |
State | TN |
Zip | 38501-2499 |
Name | Specialty | Organization | Address |
---|---|---|---|
Scott Anthony Copeland | General Surgery | Middle Tennessee Surgical Specialists, LLC | 203 N Cedar Ave, Cookeville, TN 38501-2499 |
Justin Link Cox | Physician Assistant | Middle Tennessee Surgical Specialists, LLC | 203 N Cedar Ave, Cookeville, TN 38501-2499 |
Jeffrey S Moore | General Surgery | Middle Tennessee Surgical Specialists, LLC | 203 N Cedar Ave, Cookeville, TN 38501-2499 |
Amber Renee Hyder | Nurse Practitioner | Middle Tennessee Surgical Specialists, LLC | 203 N Cedar Ave, Cookeville, TN 38501-2499 |
Christopher L Hicks | Nurse Practitioner | Middle Tennessee Surgical Specialists, LLC | 203 N Cedar Ave, Cookeville, TN 38501-2499 |
Jeffrey H Mccarter | General Surgery | Middle Tennessee Surgical Specialists, LLC | 203 N Cedar Ave, Cookeville, TN 38501-2499 |
Brian Gregory Gerndt | Vascular Surgery | Middle Tennessee Surgical Specialists, LLC | 203 N Cedar Ave, Cookeville, TN 38501-2499 |
Name | Specialty | Organization | Address |
---|---|---|---|
Glenn T Webb | Psychiatry | Ten Broeck Tennessee Physicians | 1 Medical Ctr Blvd 5, Cookeville, TN 38501 |
Ronald S Miranda | Optometry | Dr. Mark Lynn and Associates, Pllc | 377 W Kaclspm, D1, Cookeville, TN 38501 |
Ralph Saunders | Orthopedic Surgery | Saint Thomas Medical Partners | 120 Walnut Commons Lane, Suite C, Cookeville, TN 38501 |
Melynie M Cagle | Nurse Practitioner | Ten Broeck Tennessee Physicians | 1 Medical Ctr Blvd 5, Cookeville, TN 38501 |
Carolyn A Ross | Family Medicine | Saint Thomas Medical Partners | 120 Walnut Commons Lane, Suite C, Cookeville, TN 38501 |
Carey M Reed | Nurse Practitioner | Ten Broeck Tennessee Physicians | 1 Medical Ctr Blvd 5, Cookeville, TN 38501 |
Kalyani M Kumar | Obstetrics/gynecology | Saint Thomas Medical Partners | 120 Walnut Commons Lane, Suite C, Cookeville, TN 38501 |
Leroy V Bilbrey | Psychologist, Clinical | 225 N Willow Ave, Cookeville, TN 38501-0225 | |
Tracy Harrison Epps | Nurse Practitioner | 1101 Primary Care, Pllc | 1101 Neal St, Cookeville, TN 38501-0901 |
Ernest G Buchanan Iv | Family Medicine | 1101 Neal St, Cookeville, TN 38501-0901 | |
Find all physicians in zip 38501 |
City | COOKEVILLE |
Zip Code | 38501 |
Specialty | GENERAL SURGERY |
City + Specialty | COOKEVILLE + GENERAL SURGERY |
Please comment or provide details below to improve the information on Charles T Huddleston.
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.