Edward Melton Mcintire Jr. (NPI# 1184689788, PAC ID# 6608992664) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
Nation Provider ID (NPI) | 1184689788 |
PAC ID by PECOS | 6608992664 |
Professional Enrollment ID | I20100927001393 |
Full Name | Edward Melton Mcintire Jr. |
Organization Legal Name | TENN VALLEY UROLOGY CENTE |
Address |
400 Berywood Nwtrl B Cleveland TN 37312-5288 |
Phone Number | 4234723201 |
Gender | M |
Medical School | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
Graduation Year | 1992 |
Primary Specialty | UROLOGY |
Group Practice PAC ID | 2062538077 |
Number of Group Practice Members | 5 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
440185 | TENNOVA HEALTH CARE-CLEVELAND |
440068 | STARR REGIONAL MEDICAL CENTER ATHENS |
Address | Phone | Organization |
---|---|---|
400 Berywood Nwtrl B, Cleveland, TN 37312-5288 | 4234723201 | TENN VALLEY UROLOGY CENTE |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 68% | |
MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 99% |
Organization Legal Name | TENN VALLEY UROLOGY CENTE |
Physicians | 6 |
Name | Specialty | Organization | Address |
---|---|---|---|
Daniel Brent Box | Urology | Tenn Valley Urology Cente | 400 Berywood Nwtrl B, Cleveland, TN 37312-5288 |
Stephen William Jackson | Urology | Tenn Valley Urology Cente | 400 Berywood Nwtrl B, Cleveland, TN 37312-5288 |
Christopher Charles Thacker | Urology | Tenn Valley Urology Cente | 719 Cook Dr, Suite 110, Athens, TN 37303-3495 |
Xiao C Mu | Pathology | Tenn Valley Urology Cente | 400 Berywood Nwtrl B, Cleveland, TN 37312-5288 |
Grant Pegram Simmons | Urology | Tenn Valley Urology Cente | 400 Berywood Nwtrl B, Cleveland, TN 37312-5288 |
Street Address |
400 BERYWOOD NWTRL B |
City | CLEVELAND |
State | TN |
Zip | 37312-5288 |
Name | Specialty | Organization | Address |
---|---|---|---|
Daniel Brent Box | Urology | Tenn Valley Urology Cente | 400 Berywood Nwtrl B, Cleveland, TN 37312-5288 |
Stephen William Jackson | Urology | Tenn Valley Urology Cente | 400 Berywood Nwtrl B, Cleveland, TN 37312-5288 |
Xiao C Mu | Pathology | Tenn Valley Urology Cente | 400 Berywood Nwtrl B, Cleveland, TN 37312-5288 |
Grant Pegram Simmons | Urology | Tenn Valley Urology Cente | 400 Berywood Nwtrl B, Cleveland, TN 37312-5288 |
Name | Specialty | Organization | Address |
---|---|---|---|
Paul E Pinson | Pain Management | 3917 Georgetown Rd Nw, Cleveland, TN 37312-1806 | |
Brandon West | Physician Assistant | Voytik Center for Orthopedic Care, PC | 3913 Georgetown Rd Nw, Cleveland, TN 37312-1806 |
Gary J Voytik | Orthopedic Surgery | Voytik Center for Orthopedic Care, PC | 3913 Georgetown Rd Nw, Cleveland, TN 37312-1806 |
Candace Craven | Nurse Practitioner | Rmi Holding Corporation, Inc | 3852 Candies Creek Lane Nw, Cleveland, TN 37312-1863 |
David T Rahamut | Chiropractic | 3771 Georgetown Rd Nw, Cleveland, TN 37312-2565 | |
Marian W Rowland | Nurse Practitioner | Omni Community Health, Inc. | 2600 Executive Park Nw, Cleveland, TN 37312-2705 |
Ajitkumar G Kemkar | Internal Medicine | 2625 Executive Park Nw, Cleveland, TN 37312-2721 | |
Michael D Hill | Psychiatry | Volunteer Behavioral Health Care System | 2700 Executive Park Nw, Cleveland, TN 37312-2722 |
Melissa Sisco | Nurse Practitioner | Volunteer Behavioral Health Care System | 2700 Executive Park Nw, Cleveland, TN 37312-2722 |
Linda B Hudson | Clinical Social Worker | Volunteer Behavioral Health Care System | 2700 Executive Park Nw, Cleveland, TN 37312-2722 |
Find all physicians in zip 37312 |
City | CLEVELAND |
Zip Code | 37312 |
Specialty | UROLOGY |
City + Specialty | CLEVELAND + UROLOGY |
Please comment or provide details below to improve the information on Edward Melton Mcintire Jr..
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.