Cyriac John, MD | |
130 W Ravine Rd, Kingsport, TN 37660-3837 | |
(423) 224-4000 | |
Not Available |
Full Name | Cyriac John |
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Gender | Male |
Speciality | Anesthesiology |
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 |
---|---|---|---|
1669470779 | NPI | - | NPPES |
3326318 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 33839 (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 |
Entity Name | Medical Center Anesthesia, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447591730 PECOS PAC ID: 2769629187 Enrollment ID: O20130502000265 |
Mailing Address | Practice Location Address |
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Cyriac John, MD Po Box 11764, Knoxville, TN 37939-1764 Ph: (865) 588-5181 | Cyriac John, MD 130 W Ravine Rd, Kingsport, TN 37660-3837 Ph: (423) 224-4000 |
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 |