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MISS TAMARA LEA MUSGRAVE MD NPI 1922018605


NPI Information

NPI: 1922018605
Provider Name: MISS TAMARA LEA MUSGRAVE, MD
Classification: Internal Medicine - 207RH0003X
Entity Type: Individual

Specialization: Hematology & Oncology

Organization: WELLMONT MEDICAL ASSOCIATES INC

PECOS Registration: Yes

Address:
349 ISLAND RD
BRISTOL, VA
ZIP 24201
Phone: (276) 469-4200
Get Directions

MISS Tamara Lea Musgrave, MD is a hematology and oncology internal medicine in Bristol, VA with 40 years of experience. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. MISS Tamara Lea Musgrave, MD NPI is 1922018605. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduation Year:1984

The provider's business location address is:

349 ISLAND RD
BRISTOL, VA
ZIP 24201-009
Phone: (276) 469-4200
Fax: (276) 469-4249

The NPI 1922018605 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/8/2006 and was last updated on 4/27/2017.


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 Medicine32715KENTUCKYNo
2207RH0003XInternal MedicineHematology & Oncology32715KENTUCKYNo
3207RI0200XInternal MedicineInfectious Disease32715KENTUCKYNo
4207RI0200XInternal MedicineInfectious Disease17425TENNESSEENo
5207RH0003XInternal MedicineHematology & Oncology17425TENNESSEEYes

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
1G42448MEDICARE UPINKENTUCKY
21517916OTHERUMWA
310390I5602MEDICARE PINTENNESSEE
41638901MEDICARE PINKENTUCKY
564327158MEDICAIDKENTUCKY
63403736MEDICARE PINKENTUCKY

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: 11/14/2023

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.