In Good Health | |
1508 Tombras Ave East Ridge TN 37412-2720 | |
(423) 867-4969 | |
Not Available |
Full Name | In Good Health |
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Speciality | Clinic/Center |
Location | 1508 Tombras Ave, East Ridge, Tennessee |
Authorized Official Name and Position | Laurie Davis (NURSE PRACTITIONER) |
Authorized Official Contact | 4238674969 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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In Good Health 1508 Tombras Ave East Ridge TN 37412-2720 Ph: (423) 867-4969 | In Good Health 1508 Tombras Ave East Ridge TN 37412-2720 Ph: (423) 867-4969 |
NPI Number | 1386864296 |
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Provider Enumeration Date | 04/26/2007 |
Last Update Date | 08/27/2007 |
Medicare PECOS PAC ID | 3173615838 |
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Medicare Enrollment ID | O20070825000133 |
Identifier | Type | State | Issuer |
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1386864296 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | APN0000007173 (Tennessee) | Primary |
Provider Name | Tami L Lloyd |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851313126 PECOS PAC ID: 5597654400 Enrollment ID: I20040310001345 |
Provider Name | Carlos Baleeiro |
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Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1841223039 PECOS PAC ID: 2163312364 Enrollment ID: I20040319000743 |
Provider Name | Carlina L Pendon |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831150549 PECOS PAC ID: 8224089792 Enrollment ID: I20050202000672 |
Provider Name | Bruce A Pendley |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1881634483 PECOS PAC ID: 6709798010 Enrollment ID: I20050405001048 |
Provider Name | Laurie D Davis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659332385 PECOS PAC ID: 1951348705 Enrollment ID: I20050413000246 |
Provider Name | Randy R Heisser |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1689620999 PECOS PAC ID: 4284672965 Enrollment ID: I20050422000305 |
Provider Name | Deanna Duncan |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1750473039 PECOS PAC ID: 7012813041 Enrollment ID: I20051115000520 |
Provider Name | Gary A Moore |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1306888300 PECOS PAC ID: 6305812033 Enrollment ID: I20060829000036 |
Provider Name | Anne R Neumann |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023025301 PECOS PAC ID: 3678570496 Enrollment ID: I20061108000420 |
Provider Name | Jon C Huebschman |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1174597355 PECOS PAC ID: 2062413933 Enrollment ID: I20070216000668 |
Provider Name | Judith Boggess |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1457315848 PECOS PAC ID: 6406959717 Enrollment ID: I20070307000081 |
Provider Name | Gregory R Joyner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831242049 PECOS PAC ID: 3577663814 Enrollment ID: I20071119000196 |
Provider Name | Tina M Fox |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760632434 PECOS PAC ID: 5193886091 Enrollment ID: I20081210000853 |
Provider Name | Bruce E Dyer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417187626 PECOS PAC ID: 3971649484 Enrollment ID: I20091013000631 |
Provider Name | Joe Michael Mazzolini |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811908718 PECOS PAC ID: 5092606897 Enrollment ID: I20100922000924 |
Provider Name | Heather M Woods |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578968566 PECOS PAC ID: 4385960228 Enrollment ID: I20150311001849 |
Provider Name | Minna Deluca |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114397304 PECOS PAC ID: 4981913233 Enrollment ID: I20151027002811 |
Provider Name | Amin S Sohani |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134599715 PECOS PAC ID: 2264732676 Enrollment ID: I20151207002076 |
Provider Name | Amy D Latham |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225498090 PECOS PAC ID: 5395042295 Enrollment ID: I20170327001361 |
Provider Name | Shanna Magloire Regis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275058604 PECOS PAC ID: 1355613613 Enrollment ID: I20170821002934 |
Provider Name | Rebecca Dykes Henderson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528560414 PECOS PAC ID: 0042567075 Enrollment ID: I20180723002565 |
Provider Name | Melissa L Greywitt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821629494 PECOS PAC ID: 5092144964 Enrollment ID: I20200330001291 |
Provider Name | Hannah Chong |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033618228 PECOS PAC ID: 4981969045 Enrollment ID: I20200425000222 |
Provider Name | Leslie T Casteel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851918841 PECOS PAC ID: 2567881659 Enrollment ID: I20200923000186 |
Provider Name | Deborah Kibwage |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679166243 PECOS PAC ID: 1850706714 Enrollment ID: I20210226001788 |
Provider Name | Stephanie M Kibble |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235721408 PECOS PAC ID: 0749686434 Enrollment ID: I20210903000994 |
Provider Name | Christy M Wright |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467124859 PECOS PAC ID: 1759779598 Enrollment ID: I20211027000842 |
Benchmark Physical Therapy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1467 N Mack Smith Rd, East Ridge, TN 37412 Phone: 423-894-4403 Fax: 423-894-4513 |