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MEDICAL SPECIALISTS OF COOKEVILLE PLLC NPI 1912984196


NPI Information

NPI: 1912984196
Provider Name: MEDICAL SPECIALISTS OF COOKEVILLE, PLLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
128 N WHITNEY AVE
COOKEVILLE, TN
ZIP 38501
Phone: (931) 528-7662
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MEDICAL SPECIALISTS OF COOKEVILLE, PLLC is an internal medicine in Cookeville, 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. MEDICAL SPECIALISTS OF COOKEVILLE, PLLC NPI is 1912984196. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

128 N WHITNEY AVE
COOKEVILLE, TN
ZIP 38501-450
Phone: (931) 528-7662
Fax: (931) 528-1266

The provider's authorized official is Cheryl M Myers .
The authorized official title is Practice Manager and has the following contact phone number (931) 528-7662.

The enumeration date for this NPI number is 12/28/2005 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine020230TENNESSEEYes
2207R00000XInternal Medicine33892TENNESSEEX
3207R00000XInternal Medicine38941TENNESSEEX
4207RG0100XInternal MedicineGastroenterology6496TENNESSEEX
5207RG0100XInternal MedicineGastroenterology13543TENNESSEEX
6207RN0300XInternal MedicineNephrology7522TENNESSEEX

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
13723270MEDICAIDTENNESSEE

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.