Soddy Daisy Family Care, NPI 1487995304
Pediatrics Physician in Soddy Daisy, TN, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1487995304
NPI Entity Type Organization
Provider Name Soddy Daisy Family Care
Former Legal Business Name
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 9089 Dayton Pike, Soddy Daisy, TN, US
Provider Mailing Address 9089 Dayton Pike, Soddy Daisy, TN, US, 37379
Is Sole Proprietor? No
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Organization Official

Official Name MRS. MD Shahla A Kaukab
Official Position OWNER
Phone 423-451-0623

Group Taxonomy

Taxonomy Code 193200000X
Taxonomy Name 193200000X MULTI-SPECIALTY GROUP
Definition A business group of one or more individual practitioners, who practice with different areas of specialization.

Primary Taxonomy

Taxonomy Code

208000000X

Taxonomy Name Pediatrics Physician
Classification

Pediatrics

Group

Allopathic & Osteopathic Physicians

License No. 37633
License State TN
Description A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Other Organization Name

Soddy Daisy Pediatrics
Former Legal Business Name

Business Address

Soddy Daisy Family Care
9089 Dayton Pike

Soddy Daisy, TN, US

Phone: 423-451-0622
Fax: 423-451-0624

Mailing Address

Soddy Daisy Family Care
9089 Dayton Pike
Soddy Daisy, TN, US
ZIP 37379
Phone: 423-451-0622
Fax: 423-451-0624

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

207R00000X

Allopathic & Osteopathic Physicians

Internal Medicine

29446 TN No

208000000X

Allopathic & Osteopathic Physicians

Pediatrics

28243 TN No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
1509389 TN MEDICAID 05
3887638 TN MEDICAID 05
1511723 TN MEDICAID 05

Other Providers in TN, US

NPI Name Taxonomy Address

1417615469

MRS. RN Emily Rae Johnson

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PHARMD Rebecca Brittany Clegg

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Christopher Byrd

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Maynardville, TN

1154882843

MD Shalacia Palmer Leblanc

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Family Medicine Physician

3400 Lebanon Rd

Murfreesboro, TN

1306575014

DR. DNP, CRNA Mark Timothy Cresap

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Knoxville, TN

1366099269

Khumalo Foot And Ankle Clinic, Inc

Organization

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Union City, TN

1154053643

CCC-SLP Azjah Watson

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70 Timber Creek Dr

Cordova, TN

1841915113

MS. DNP Ala'a Mitoubsi

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1926 Alcoa Hwy

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1215652680

NEMT Olivia Williams

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Non-emergency Medical Transport (VAN)

8097 Waterford Cir Apt 204

Memphis, TN

1306561774

Megan Nichole Trujillo

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Behavior Technician

2740 Saint Andrews Dr

Murfreesboro, TN

1598727380

M.D. David D. Buckman

Individual

Family Medicine Physician

2320 Wilma Rudolph Blvd.

Clarksville, TN

1437874807

Ashley Myers

Individual

Registered Nurse

1211 Medical Center Dr

Nashville, TN

1477278844

Jessica Gomez

Individual

Behavior Technician

1727 N Germantown Pkwy Ste 107

Cordova, TN

1881736122

Park Center

Organization

Adult Mental Health Clinic/Center

1935 21st Ave S

Nashville, TN

1174056428

DR. M.D. Melissa Lynn Mckittrick

Individual

Pain Medicine (Anesthesiology) Physician

3400 Lebanon Rd

Murfreesboro, TN

1083339444

FNP-BC Misty Renee Nichols

Individual

Family Nurse Practitioner

2216 Rainbow Ln

New Market, TN

1376569210

MD Douglas Todd Cannon

Individual

Physical Medicine & Rehabilitation Physician

8000 Centerview Pkwy

Suite 500

Cordova, TN

1386369734

Dovamed Medical

Organization

Durable Medical Equipment & Medical Supplies

545 Mainstream Dr Ste 102

Nashville, TN

1487379830

Taylor Woods

Individual

Registered Nurse

6019 Walnut Grove Rd

Memphis, TN

1285909903

MRS. PA-C Brittany C Smith

Individual

Physician Assistant

1265 Union Ave

Memphis, TN

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