MEDICAL EDUCATION ASSISTANCE CORPORATION NPI 1780953729

NPI Information

NPI: 1780953729
Provider Name: MEDICAL EDUCATION ASSISTANCE CORPORATION

Other Name: QUILLEN FERTILITY AND WOMEN'S SERVICES

Classification: Obstetrics & Gynecology - 207VE0102X
Entity Type: Organization

Specialization: Reproductive Endocrinology

Address:
1319 SUNSET DR
SUITE 103
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 439-7246
Get Directions

MEDICAL EDUCATION ASSISTANCE CORPORATION is a reproductive endocrinology obstetrics gynecology in Johnson City, TN. The provider is an obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. MEDICAL EDUCATION ASSISTANCE CORPORATION NPI is 1780953729. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Quillen Fertility And Women's Services.

The provider's business location address is:

1319 SUNSET DR
SUITE 103
JOHNSON CITY, TN
ZIP 37604-799
Phone: (423) 439-7246
Fax: (423) 282-4698

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 3/30/2015.

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
1	207V00000X	Obstetrics & Gynecology		MD35556	TENNESSEE	No
2	207VE0102X	Obstetrics & Gynecology	Reproductive Endocrinology	MD35556	TENNESSEE	Yes

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
1	3714470	MEDICARE PIN	TENNESSEE

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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