Tabor Family Medicine PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO1379 Issued in TN

Legal business name

TABOR FAMILY MEDICINE PLLC

Practice address

406 N Whitney Ave Ste 3
Cookeville, TN 38501-2455

Phone

(931) 537-6367

NPI assigned

Jul 3, 2007

Last updated

Apr 23, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kimberly A Tabor, D.O.NPI 1609869684

Title

Owner

Phone

(931) 526-4600

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberly A Tabor, D.O.

  • Family Medicine Physician
  • McMinnville, TN
  • NPI 1609869684
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1417155292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 N WHITNEY AVE STE 3",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014243",
            "telephone_number": "931-537-6367",
            "fax_number": "931-526-4512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 N WHITNEY AVE STE 3",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012455",
            "telephone_number": "931-537-6367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TABOR FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "TABOR",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-526-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "DO1379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417155292",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgan Sweet
• Sara E Swift, B.S.
• Michael Alexander Sywak, MD
• Alyssa Szatmary, MOT, OTR/L
• Ayuk Eric Tabi, MD
• Tabitha Nicole Tabor, RN
• Heather Taillac, MD
• Claudia Talley, LPN
• James Byron Talmage, MD
• Venkata S Tammana, M.D.

• Family Medicine Physician in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.