TENNESSEE PODIATRIC CLINICS INC (NPI# 1023030988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023030988 |
Entity Type | Organization |
Organization Name | TENNESSEE PODIATRIC CLINICS INC |
Other Organization Name | CORP |
Practice Address |
9330 Park West Blvd Suite 300 Knoxville TN 37923 |
Mailing Address |
Po Box 32607 Knoxville TN 37930 |
Practice Telephone | 8655318449 |
Practice Fax Number | 8656929142 |
Mailing Telephone | 8655318449 |
Mailing Fax Number | 8656929142 |
Enumeration Date | 2006-07-23 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. DAVID E HAVERLY (CEO TENNESSEE PODIATRIC CLINIC INC) |
Authorized Official Telephone | 8655318449 |
Authorized Official Credential | DPM |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
Other Name | Type Code |
---|---|
Corp | Other Name - Individual/Organization |
Street Address |
9330 PARK WEST BLVD SUITE 300 |
City | KNOXVILLE |
State | TN |
Zip Code | 37923 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912906991 | Rosalind Cadigan | Obstetrics & Gynecology | 9330 Park West Blvd, Ste 502, Knoxville, TN 37923-4308 | 2005-07-20 |
1326546664 | Lindsay Marie Grammes | Physician Assistant | 9330 Park West Blvd, Knoxville, TN 37923-4308 | 2018-01-31 |
1629524855 | Benjamin Seth Chaffins | Nurse Practitioner | 9330 Park West Blvd, Suite 100, Knoxville, TN 37923-4308 | 2016-08-28 |
1891154092 | Mary Beth Johnson | Nurse Practitioner | 9330 Park West Blvd, Knoxville, TN 37923-4308 | 2016-02-16 |
1699015727 | Tennessee Gyn | Obstetrics & Gynecology | 9330 Park West Blvd, Suite 409, Knoxville, TN 37923-4308 | 2013-02-27 |
1639419237 | Kara Neely | Physician Assistant | 9330 Park West Blvd, Knoxville, TN 37923-4308 | 2013-02-20 |
1003174350 | Andrew David Goins | Internal Medicine | 9330 Park West Blvd, Ste 402, Knoxville, TN 37923-4308 | 2012-04-24 |
1538437348 | Tennessee Orthopaedic Clinics PC | Clinic/Center | 9330 Park West Blvd, Suite 300, Knoxville, TN 37923-4308 | 2011-12-07 |
1639469919 | Feet First, Pllc | Skilled Nursing Facility | 9330 Park West Blvd, Suite #508, Knoxville, TN 37923-4308 | 2011-04-08 |
1366615734 | Ronald William Bryan | Specialist | 9330 Park West Blvd, Suite #103, Knoxville, TN 37923-4308 | 2008-04-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114541240 | Chloe Morgan | Registered Nurse | Parkwest Blvd, Knoxville, TN 37923 | 2020-06-04 |
1215551346 | Kaylee Huskey | Registered Nurse | Park West Blvd, Knoxville, TN 37923 | 2020-06-04 |
1942849914 | American Brace & Limb Enterprise, LLC | Prosthetic/Orthotic Supplier | 9333 Parkwest Blvd., 103, Knoxville, TN 37923 | 2019-12-23 |
1619510690 | Stacia Working | Speech-Language Pathologist | 310 Corporate Dr, Ste 101, Knoxville, TN 37923 | 2019-10-23 |
1497242903 | Mary Ensminger Loomis | Speech-Language Pathologist | 118 N Peters Rd Ste 174, Knoxville, TN 37923 | 2018-04-19 |
1831699602 | Shaun Elizabeth Hoffman | Counselor | 311 Directors Dr, Knoxville, TN 37923 | 2018-02-17 |
1962948737 | East Tennessee Binocular Vision Center Pllc | Optometrist | 9051 Executive Park Dr., Ste. 400, Knoxvville, TN 37923 | 2017-01-17 |
1467815761 | Hearing Conservation Associates Inc | Audiologist | 9301 Parkwest Blvd B-3, Knoxville, TN 37923 | 2016-04-04 |
1710354725 | Independent Physical Therapy, LLC | Occupational Therapist | 8905 Town and Country Cir Ste 9, Knoxville, TN 37923 | 2015-08-25 |
1568863553 | Kathryn Faye Ledbetter | Registered Nurse | 9352 Park W Blvd, Knoxville, TN 37923 | 2014-09-09 |
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Taxonomy Code | 213E00000X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346531241 | Kelly Bumpus | Podiatrist | 1932 Alcoa Highway Suite C 480, Knoxville Footcare, Knoxville, TN 37920 | 2011-04-26 |
1912033606 | Dan Smugor Dpm | Podiatrist | 4608 Gillcrest Dr, Knoxville, TN 37938-3150 | 2007-02-26 |
1235247024 | Tho H Nguyen | Podiatrist | 10409 Hickory Path Way, Knoxville, TN 37922-3296 | 2006-08-29 |
1912918848 | William P Holt | Podiatrist | 312 Knox Rd, Knoxville, TN 37918-2316 | 2006-08-09 |
1649268194 | Margaret A Lubert | Podiatrist | 4313 Ball Camp Pike, Suite 201, Knoxville, TN 37921-3334 | 2005-10-10 |
1093847816 | Associated Podiatry of Knoxville PC | Podiatrist | 4313 Ball Camp Pike, Ste 201, Knoxville, TN 37921-3334 | 2007-03-09 |
1255413316 | Ivan N Cooper, Dpm, PC | Podiatrist | 1932 Alcoa Hwy, Suite C-480, Knoxville, TN 37920-1527 | 2006-10-19 |
1952491748 | Ivan N Cooper | Podiatrist | 1932 Alcoa Hwy, Suite C-480, Knoxville, TN 37920-1527 | 2006-10-13 |
1699787994 | East Tennessee Foot Consultants | Podiatrist | 9330 Park West Blvd, Suite 508, Knoxville, TN 37923-4308 | 2006-08-13 |
1881602787 | James Clifford Gilley | Podiatrist | 939 E Emerald Ave, Suite 706, Knoxville, TN 37917 | 2006-08-04 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.