Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MICHAEL BACKUES, MSM, ATC, PA-C
ActivePhysician Assistant · COLUMBIA, TN
Registration Details
- NPI Number
- 1114900131
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 23, 2005 (20.426621229037 yrs)
- Last Updated
- Jan 9, 2020
- Licenses
-
627 (TN)2267 (TN)
Practice Information
- Address
-
1224 TROTWOOD AVECOLUMBIA, TN, 384014802Browse TN providers · Browse ZIP 38401
- Phone
- 9313811111
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in COLUMBIA, TN
| Name | Credential | NPI |
|---|---|---|
| JOHN NOVAK | PA | 1306807292 |
| KATHLEEN D SHERMAN | PA-C | 1144281932 |
| JOSEPH H COOPER | PA | 1386607588 |
| THERESA ANN WALSH | PA | 1669545281 |
| MR. JUSTIN LUKE BOREN | PA | 1053468199 |
| MIRANDA DAWN WOOD | PA | 1184751745 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.