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SKYRIDGE CLINICAL ASSOCIATES LLC NPI 1598933269


NPI Profile

NPI: 1598933269
Provider Name: SKYRIDGE CLINICAL ASSOCIATES LLC
Classification:Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 44D2105951

Address:
1060 PEERLESS CROSSING DR
SUITE 200
CLEVELAND, TN
ZIP 37312
Get Directions

Phone: (423) 479-4165

SKYRIDGE CLINICAL ASSOCIATES LLC is an internal medicine in Cleveland, TN. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. SKYRIDGE CLINICAL ASSOCIATES LLC NPI is 1598933269. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1060 PEERLESS CROSSING DR
SUITE 200
CLEVELAND, TN
ZIP 37312-785
Phone: (423) 479-4165
Fax: (423) 478-1884

The provider's authorized official is Debbie Brewer .
The authorized official title is Director and has the following contact phone number (877) 892-9813.

The CLIA number assigned to this NPI record is 44D2105951 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/15/2008 and was last updated on 2/24/2010.


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
1363L00000XNurse PractitionerNo
2363A00000XPhysician AssistantNo
3207R00000XInternal MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13370278MEDICARE PINTENNESSEE

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: 4/11/2021

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