Suresh Thota, MD | |
143 Kennedy Dr, Martin, TN 38237-3309 | |
(731) 587-5321 | |
(731) 587-2145 |
Full Name | Suresh Thota |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 143 Kennedy Dr, Martin, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962480368 | NPI | - | NPPES |
7652703 | Other | TN | AETNA |
4107565 | Other | TN | BCBS |
3332991 | Medicaid | TN | |
000000169937 | Other | TN | UNISON |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 39395 (Tennessee) | Secondary |
207R00000X | Internal Medicine | 39395 (Tennessee) | Primary |
Entity Name | Southeastern Emergency Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050125000997 |
Entity Name | Emergency Coverage Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050207000666 |
Entity Name | Lexington Hospital Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083809669 PECOS PAC ID: 7719896414 Enrollment ID: O20090324000611 |
Entity Name | Apogee Medical Group Tennessee Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578717682 PECOS PAC ID: 4688721863 Enrollment ID: O20090403000215 |
Entity Name | Hospital Medicine Services Of Tennessee Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528433802 PECOS PAC ID: 9234432881 Enrollment ID: O20160114002673 |
Entity Name | Eagle Creek Emergency Group, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134627557 PECOS PAC ID: 2466714571 Enrollment ID: O20180329000029 |
Mailing Address | Practice Location Address |
---|---|
Suresh Thota, MD 7100 Commerce Way, Suite 180, Brentwood, TN 37027-2829 Ph: (615) 465-7000 | Suresh Thota, MD 143 Kennedy Dr, Martin, TN 38237-3309 Ph: (731) 587-5321 |
Ashraf Yahya Alqaqa, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 143 Kennedy Dr, Martin, TN 38237 Phone: 731-587-5321 | |
Dr. Nikhil R Patel, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 148 Mount Pelia Rd, Martin, TN 38237 Phone: 731-587-5170 Fax: 731-587-5270 | |
Michael W Hinds, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 215 Hawks Rd, Suite 6, Martin, TN 38237 Phone: 731-587-3454 Fax: 731-587-3460 | |
Anna K Hopla, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 148 Mount Pelia Rd, Martin, TN 38237 Phone: 731-200-0365 Fax: 731-200-0366 |