Chad T Bishop, | |
130 W Ravine Rd, Kingsport, TN 37660-3837 | |
(423) 224-4000 | |
Not Available |
Full Name | Chad T Bishop |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 130 W Ravine Rd, Kingsport, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306583299 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 235348 (Tennessee) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 35493 (Tennessee) | Primary |
Entity Name | American Anesthesiology Of Tennessee Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609822998 PECOS PAC ID: 9931001922 Enrollment ID: O20040713001364 |
Mailing Address | Practice Location Address |
---|---|
Chad T Bishop, 498 Brinkleys Way, Johnson City, TN 37615-4887 Ph: (423) 943-2530 | Chad T Bishop, 130 W Ravine Rd, Kingsport, TN 37660-3837 Ph: (423) 224-4000 |
Mrs. Stacey Ann Ryder, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-224-4000 | |
Jeffry M Holweger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4128 Fort Henry Dr # D-226, Kingsport, TN 37663 Phone: 423-426-2121 | |
Geena Sollecito, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 10415 Wallace Alley St, Kingsport, TN 37663 Phone: 423-390-0451 | |
Jeri L Holweger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4128 Fort Henry Dr # D-226, Kingsport, TN 37663 Phone: 423-426-2122 | |
Mrs. Katherine A Miller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2000 Brookside Dr, Kingsport, TN 37660 Phone: 423-857-7144 | |
Bethany Kossick Seale, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-224-5711 | |
Sandra J White, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2000 Brookside Dr, Kingsport, TN 37660 Phone: 423-857-7000 |