| Lisa L Shockley, MD | |
|
135 W Ravine Rd, Ste 5b, Kingsport, TN 37660-3847 | |
| (423) 224-3460 | |
| (423) 224-3465 |
| Full Name | Lisa L Shockley |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Location | 135 W Ravine Rd, Kingsport, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720089873 | NPI | - | NPPES |
| 031807 | Other | ANTHEM BCBS | |
| 5736099 | Medicaid | VA | |
| 64911829 | Medicaid | KY | |
| 3045909 | Other | BLUE SHIELD OF TN | |
| 3066975 | Medicaid | TN | |
| 00013859 | Other | NHC CARE ADMINISTRATORS | |
| 100010226 | Other | PHP TENNCARE | |
| 890575L | Medicaid | NC | |
| 050046532 | Other | RAILROAD MEDICARE | |
| TN0100 | Other | JOHN DEERE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 22142 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa L Shockley, MD Po Box 1308, Kingsport, TN 37662-1308 Ph: (423) 224-3460 | Lisa L Shockley, MD 135 W Ravine Rd, Ste 5b, Kingsport, TN 37660-3847 Ph: (423) 224-3460 |
Mark W Alley, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 135 W Ravine Rd, Suite 5-b, Kingsport, TN 37660 Phone: 423-224-3460 Fax: 423-224-3465 | |
Darryl Fontaine, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 4105 Fort Henry Drive, Suite 207, Kingsport, TN 37663 Phone: 423-239-5833 Fax: 423-239-9789 | |
Mia Lyn Templeton, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2000 Brookside Dr, Kingsport, TN 37660 Phone: 423-857-7000 | |
Ann Groce, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 135 W Ravine Rd, Ste 5b, Kingsport, TN 37660 Phone: 423-224-3460 Fax: 423-224-3465 | |
Dr. Thomas Garland Magruder V, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 135 W Ravine Rd, Ste 5b, Kingsport, TN 37660 Phone: 423-224-3460 Fax: 423-224-3465 | |
Kathryn Rosa Schott, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2202 N John B Dennis Hwy Ste 200, Kingsport, TN 37660 Phone: 423-232-6120 Fax: 423-232-6125 | |
Robert J Doell, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 135 W Ravine Rd, Ste 5-b, Kingsport, TN 37660 Phone: 423-224-3460 Fax: 423-224-3465 |