| Wps Providers Inc | |
|
130 W Ravine Rd Kingsport TN 37660-3837 | |
| (423) 224-4000 | |
| Not Available |
| Full Name | Wps Providers Inc |
|---|---|
| Speciality | General Practice |
| Location | 130 W Ravine Rd, Kingsport, Tennessee |
| Authorized Official Name and Position | Cindy L Hallford (DIRECTOR OF PROFESSIONAL BILLING) |
| Authorized Official Contact | 4234087283 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wps Providers Inc 105 W Stone Dr Suite 6a Kingsport TN 37660-3365 Ph: (423) 408-7220 | Wps Providers Inc 130 W Ravine Rd Kingsport TN 37660-3837 Ph: (423) 224-4000 |
| NPI Number | 1003904095 |
|---|---|
| Provider Enumeration Date | 10/11/2006 |
| Last Update Date | 05/10/2017 |
| Medicare PECOS PAC ID | 7719079532 |
|---|---|
| Medicare Enrollment ID | O20070824000581 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003904095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Hiren B Patel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1225042831 PECOS PAC ID: 2961481437 Enrollment ID: I20040717000379 |
| Provider Name | Jean M Mancini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013914308 PECOS PAC ID: 7517934672 Enrollment ID: I20040916000937 |
| Provider Name | Suzanne E Patton |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1902801228 PECOS PAC ID: 4486552049 Enrollment ID: I20060220000554 |
| Provider Name | Kelley D Mayden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871526194 PECOS PAC ID: 9638188303 Enrollment ID: I20060410000137 |
| Provider Name | Marta J Wayt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316903099 PECOS PAC ID: 8426149048 Enrollment ID: I20070810000098 |
| Provider Name | Wendy Vogel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497748362 PECOS PAC ID: 2860551975 Enrollment ID: I20081104000720 |
| Provider Name | Douglass Green |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871590166 PECOS PAC ID: 3577504604 Enrollment ID: I20100604000383 |
| Provider Name | John A Green |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740288380 PECOS PAC ID: 5092782615 Enrollment ID: I20100604000405 |
| Provider Name | Thomas Green |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932106093 PECOS PAC ID: 1850332982 Enrollment ID: I20100607000036 |
| Provider Name | Liliana Murillo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861688533 PECOS PAC ID: 4981875390 Enrollment ID: I20110915000255 |
| Provider Name | Harry P Claybrook |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801892765 PECOS PAC ID: 1759376270 Enrollment ID: I20111114000498 |
| Provider Name | Bernard P Grunstra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558367417 PECOS PAC ID: 6305831819 Enrollment ID: I20111115000691 |
| Provider Name | Kimberly Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619251626 PECOS PAC ID: 0749447753 Enrollment ID: I20120202000585 |
| Provider Name | Robin E Bowman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629331178 PECOS PAC ID: 9638328917 Enrollment ID: I20121002000012 |
| Provider Name | Ryan W Shao |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1649406190 PECOS PAC ID: 1759521867 Enrollment ID: I20150801017376 |
| Provider Name | Amanda B Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063755502 PECOS PAC ID: 8729385802 Enrollment ID: I20160405001497 |
| Provider Name | Tamara L Musgrave |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1922018605 PECOS PAC ID: 5395837330 Enrollment ID: I20170424002093 |
| Provider Name | Carissa Depew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477079861 PECOS PAC ID: 7517232986 Enrollment ID: I20171011001258 |
| Provider Name | April A Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427564079 PECOS PAC ID: 4385904358 Enrollment ID: I20180712003404 |
| Provider Name | Misty Dawn Dockery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730655671 PECOS PAC ID: 4789925744 Enrollment ID: I20190401002254 |
| Provider Name | Shannon Fullen-roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245645118 PECOS PAC ID: 1951522127 Enrollment ID: I20191114003613 |
| Provider Name | Yonette Paul |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1790192565 PECOS PAC ID: 1355631714 Enrollment ID: I20200914001939 |
| Provider Name | Kara Elaine Bales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366102675 PECOS PAC ID: 7911394804 Enrollment ID: I20220422001918 |
| Provider Name | Laura Slaughter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063123412 PECOS PAC ID: 0941672752 Enrollment ID: I20230203001736 |
| Provider Name | Betty Christian Kinser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972077816 PECOS PAC ID: 2961867205 Enrollment ID: I20230420002019 |
| Provider Name | Gehan Botrus |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1275910911 PECOS PAC ID: 9537415625 Enrollment ID: I20230802000953 |
| Provider Name | Lauren Alexander Barrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326726449 PECOS PAC ID: 3173987161 Enrollment ID: I20230908002384 |
Sullivan And Partners Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2204 Pavilion Dr Ste 108, Kingsport, TN 37660 Phone: 423-392-6100 Fax: 423-392-0803 | |
Kingsport Primary Care, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1526 Bridgewater Ln, Kingsport, TN 37660 Phone: 423-246-0033 Fax: 423-245-0034 | |
Tri-cities Gastroenterology Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10461 Wallace Alley St, Kingsport, TN 37663 Phone: 423-279-1400 | |
Kingsport Consultants Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-224-4000 Fax: 423-224-4693 | |
Carl E Bendeck Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1328 Belmeade Dr, Kingsport, TN 37664 Phone: 423-578-3489 | |
A. Evan Lewis Phd Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1936 Brookside Dr Ste D, Kingsport, TN 37660 Phone: 423-392-5020 Fax: 423-392-5100 |