Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WENDY TIPTON OBERDICK, MD
Deactivated Sole ProprietorWENDY TIPTON OBERDICK, MD is a Family Medicine healthcare provider located in KINGSPORT, Tennessee. NPI 1659374601 is deactivated in the NPPES registry. Verify at CMS.
Family Medicine · KINGSPORT, TN
This NPI has been deactivated.
The record was deactivated on May 23, 2005.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1659374601
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 23, 2005
- Last Updated
- Oct 20, 2011
- Deactivated
- May 23, 2005
- Licenses
-
200133 (LA)MD200133 (LA)MD46567 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
105 W STONE DRSTE 1FKINGSPORT, TN, 376603365Browse TN providers · Browse ZIP 37660
- Phone
- 4232302420
- Fax
- 4232302422
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in KINGSPORT, TN
| Name | Credential | NPI |
|---|---|---|
| DR. ARUNA SHAH | MD | 1316940091 |
| DR. PARVATI ANANTHULA | MD | 1669475448 |
| DR. THOMAS ROGERS | MD | 1891798575 |
| DR. EDWARD MONTY STIRMAN | M.D. | 1043213994 |
| EMILY HUBBS | M.D. | 1538162490 |
| DR. PETER B PLATZER | M.D. | 1285637124 |
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.