# MEDICAL EDUCATION ASSISTANCE CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CEB I
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679842637
- **Authorized official:** RUSSELL E LEWIS (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (423) 433-6050

## Contact information

- **Practice address:** 325 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604
- **Practice address phone:** (423) 433-6050
- **Practice address fax:** (423) 433-6060
- **Mailing address:** PO BOX 2204, JOHNSON CITY, TN 37605-2204
- **Mailing address phone:** (423) 433-6050
- **Mailing address fax:** (423) 433-6060

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | MD19201 | TN | — |
| 207R00000X | Internal Medicine Physician | MD19625 | TN | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | MD26210 | TN | — |
| 207RI0200X | Infectious Disease Physician | MD39380 | TN | — |
| 207V00000X | Obstetrics & Gynecology Physician | MD40130 | TN | Yes |
| 207VM0101X | Maternal & Fetal Medicine Physician | MD13109 | TN | — |
| 207W00000X | Ophthalmology Physician | MD12599 | TN | — |
| 208000000X | Pediatrics Physician | MD45960 | TN | — |
| 2080A0000X | Pediatric Adolescent Medicine Physician | MD35095 | TN | — |
| 2080P0202X | Pediatric Cardiology Physician | MD34692 | TN | — |
| 2080P0208X | Pediatric Infectious Diseases Physician | MD43116 | TN | — |
| 2080P0210X | Pediatric Nephrology Physician | MD20802 | TN | — |
| 2080P0214X | Pediatric Pulmonology Physician | MD16312 | TN | — |
| 208200000X | Plastic Surgery Physician | MD25709 | TN | — |
| 208600000X | Surgery Physician | MD20468 | TN | — |

## Other

- **Enumeration date:** 12/21/2011
- **Last updated:** 09/11/2019