Individual
SAMEH WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 MED TECH PKWY, SUITE 200, JOHNSON CITY, TN 37604-4007
(423) 232-6120
Mailing address
101 MED TECH PKWY, SUITE 200, JOHNSON CITY, TN 37604-4001
(423) 232-6120
(423) 232-6125
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
MD0000031480
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010063736
—
VA
01
—
13547
CARITEN
TN
01
—
146999
ANTHEM PPO
TN
01
—
147001
ANTHEM PPO
TN
01
—
147002
ANTHEM PPO
TN
05
—
3877225
—
TN
01
—
4039257
BLUE CROSS BLUE SHIELD
TN
01
—
7269213
AETNA
TN
01
—
9369903
CIGNA HEALTHCARE
TN
01
—
P00072297
MEDICARE RAILROAD
TN
01
—
TN0113
JOHN DEERE KINGSPORT
TN
01
—
TN0114
JOHN DEERE JOHNSON CITY
TN
Enumeration date
05/11/2006
Last updated
08/29/2017
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