Provider Demographics
NPI:1053779587
Name:TEAM HEALTH USA, LLC
Entity type:Organization
Organization Name:TEAM HEALTH USA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:S
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:270-251-0907
Mailing Address - Street 1:1011 PARIS RD
Mailing Address - Street 2:SUITE 341
Mailing Address - City:MAYFIELD
Mailing Address - State:KY
Mailing Address - Zip Code:42066-3306
Mailing Address - Country:US
Mailing Address - Phone:270-251-0907
Mailing Address - Fax:
Practice Address - Street 1:1011 PARIS RD
Practice Address - Street 2:SUITE 341
Practice Address - City:MAYFIELD
Practice Address - State:KY
Practice Address - Zip Code:42066-3306
Practice Address - Country:US
Practice Address - Phone:270-251-0907
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-28
Last Update Date:2016-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3010068363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty