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MEDICAL EDUCATION ASSISTANCE CORPORATION NPI 1316216336


NPI Information

NPI: 1316216336
Provider Name: MEDICAL EDUCATION ASSISTANCE CORPORATION

Other Name: ST. JUDE'S TRI-CITIES AFFILIATE

Classification: Pediatrics - 2080P0207X
Entity Type: Organization

Specialization: Pediatric Hematology-Oncology

Address:
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 431-3950
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MEDICAL EDUCATION ASSISTANCE CORPORATION is a pediatric hematology-oncology pediatrics in Johnson City, TN. The provider is a pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. MEDICAL EDUCATION ASSISTANCE CORPORATION NPI is 1316216336. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is St. Jude's Tri-cities Affiliate.

The provider's business location address is:

400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 431-3950
Fax: (423) 431-3958

The provider's authorized official is Russell E Lewis .
The authorized official title is Executive Director and has the following contact phone number (423) 433-6050.

The enumeration date for this NPI number is 12/20/2011 and was last updated on 8/22/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0207XPediatricsPediatric Hematology-OncologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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