ELK RIVER PHYSICIANS GROUP PLLC NPI 1386686806

NPI Information

  • NPI: 1386686806
  • Provider Name: ELK RIVER PHYSICIANS GROUP, PLLC
  • Classification: Surgery - 208600000X
  • Entity Type: Organization
  • CLIA Number: 44D0930712
  • Address: 155 HOSPITAL RD
    SUITE D
    WINCHESTER, TN
    ZIP 37398
  • Phone: (931) 967-8055

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NPI Details

ELK RIVER PHYSICIANS GROUP, PLLC is a surgery in Winchester, TN. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. ELK RIVER PHYSICIANS GROUP, PLLC NPI is 1386686806. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

155 HOSPITAL RD
SUITE D
WINCHESTER, TN
ZIP 37398-494
Phone: (931) 967-8055

The provider's authorized official is Jane Boyle .
The authorized official title is Ceo and has the following contact phone number (931) 968-6405.

The CLIA number assigned to this NPI record is 44D0930712 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/11/2006 and was last updated on 8/22/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgeryMD0000011992TENNESSEEYes
2207Q00000XFamily MedicineMD0000011440TENNESSEEX
3207R00000XInternal MedicineMD0000030284TENNESSEEX
4208800000XUrologyMD0000037542TENNESSEEX
5207X00000XOrthopaedic SurgeryDO0000001192TENNESSEEX
6207V00000XObstetrics & GynecologyMD0000026408TENNESSEEX
7207Y00000XOtolaryngologyMD0000037655TENNESSEEX
8208000000XPediatricsMD0000020791TENNESSEEX
9213E00000XPodiatristDPM0000000591TENNESSEEX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13733051MEDICAIDTENNESSEE

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: 3/30/2025

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