| Dr Thomas Garland Magruder V, MD | |
|
135 W Ravine Rd, Ste 5b, Kingsport, TN 37660-3847 | |
| (423) 224-3460 | |
| (423) 224-3465 |
| Full Name | Dr Thomas Garland Magruder V |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 135 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 |
|---|---|---|---|
| 1063773810 | NPI | - | NPPES |
| 1063773810 | Medicaid | VA | |
| Q021941 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 51109 (Tennessee) | Primary |
| Entity Name | American Anesthesiology Of Tennessee Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609822998 PECOS PAC ID: 9931001922 Enrollment ID: O20040713001364 |
| Entity Name | Advanced Anesthesia Solutions Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164772109 PECOS PAC ID: 7315200664 Enrollment ID: O20180419000153 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas Garland Magruder V, MD Po Box 535744, Atlanta, GA 30353-5510 Ph: (844) 294-5114 | Dr Thomas Garland Magruder V, MD 135 W Ravine Rd, Ste 5b, Kingsport, TN 37660-3847 Ph: (423) 224-3460 |
Mark W Alley, MD Anesthesiology Medicare: Not Enrolled in Medicare 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 | |
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 |