DR. SUSAN WEISBERG (NPI# 1073513255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073513255 |
| Entity Type | Individual |
| Full Name | DR. SUSAN WEISBERG |
| Credential | M.D. |
| Practice Address |
1400 Dowell Springs Blvd Suite 200 Knoxville TN 37909-2456 |
| Practice Telephone | 8655840291 |
| Practice Fax Number | 8655844426 |
| Mailing Telephone | 8655840291 |
| Mailing Fax Number | 8655844426 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2010-03-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME0055048 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 371685600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912326588 | Susan Weisberg | Social Worker | 2701 California Ave Sw, 246, Seattle, WA 98116-2405 | 2014-04-10 |
| Street Address |
1400 DOWELL SPRINGS BLVD SUITE 200 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37909-2456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376089698 | Genneuro, Pllc | Family Medicine | 1400 Dowell Springs Blvd, Suite 100, Knoxville, TN 37909-2456 | 2017-01-10 |
| 1346605607 | Healthstar Physicians, PC | Family Medicine | 1400 Dowell Springs Blvd, Building 1400, Suite 340, Knoxville, TN 37909-2456 | 2015-12-30 |
| 1932528338 | Echelon Sports Medicine, Pllc | Clinic/Center | 1400 Dowell Springs Blvd, Suite 140, Knoxville, TN 37909-2456 | 2014-04-14 |
| 1922311547 | Christopher L Bowlin | Podiatrist | 1400 Dowell Springs Blvd, Building 1400, Suite 340, Knoxville, TN 37909-2456 | 2010-07-24 |
| 1578874491 | James Wesley Franks | Physical Therapist | 1400 Dowell Springs Blvd, Suite 120, Knoxville, TN 37909-2456 | 2010-06-24 |
| 1245551860 | Provision Physical Therapy | Clinic/Center | 1400 Dowell Springs Blvd, Suite 100, Knoxville, TN 37909-2456 | 2010-06-17 |
| 1588997563 | Complementary Boutique | Durable Medical Equipment & Medical Supplies | 1400 Dowell Springs Blvd, Suite 200, Knoxville, TN 37909-2400 | 2009-09-09 |
| 1891926440 | Ryan Alexander Unger | Family Medicine | 1400 Dowell Springs Blvd, Building 1400, Suite 340, Knoxville, TN 37909-2456 | 2009-07-30 |
| 1750576922 | Imelda G Margulies | Nurse Practitioner | 1400 Dowell Springs Blvd, Suite 200, Knoxville, TN 37909-2456 | 2007-09-11 |
| 1518027846 | Margaret Rosalee Troxell | Family Medicine | 1400 Dowell Springs Blvd, Ste. 210, Knoxville, TN 37909-2456 | 2006-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326687534 | Rosalie Ting Mcglashen | Behavioral Analyst | 1508 Coleman Rd., Suites 105 and 110, Knoxville, TN 37909 | 2020-01-06 |
| 1770133597 | Renewal Healthcare | Family Medicine | 7035 Middlebrook Pike, Knoxville, TN 37909 | 2019-09-13 |
| 1417461211 | Lean Knox, LLC | Family Medicine | 1415 Old Weisgarber Rd. Ste 350, Knoxville, TN 37909 | 2017-12-01 |
| 1750757514 | Victor Brown | Counselor | 1451 Dowell Springs Blvd., Knoxville, TN 37909 | 2015-08-17 |
| 1083012488 | Melissa Wells Woodby | Marriage & Family Therapist | 6305 Lonas Dr, Knoxville, TN 37909 | 2014-12-17 |
| 1417375700 | David Francis Fair | Chiropractor | 1720 Tonalea Rd, Knoxville, TN 37909 | 2014-04-03 |
| 1295157519 | Danny Adkins, D.d.s. | Dentist | 1301 Old Weisgarber Road, Knoxville, TN 37909 | 2014-01-07 |
| 1376971085 | Quality Health Clinic LLC | Clinic/Center | 7348 Middlebrook Pike Suite D, Knoxville, TN 37909 | 2013-10-16 |
| 1952737942 | Martirea Fostine Jenkins Pratt | Nurse Practitioner | 930 Adell Ree Park Lane, Knoxville, TN 37909 | 2013-09-23 |
| 1104259324 | Dana Michelle Sweitzer | Nurse Practitioner | 1320 Old Weisgarber Road, Knoxville, TN 37909 | 2013-08-12 |
| Find all providers in zip 37909 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457703894 | Robert Landon Oneill | Specialist | 9015 Ten Mile Rd Apt 55, Knoxville, TN 37923-3813 | 2016-07-11 |
| 1154701225 | Leconte Recovery Center | Specialist | 10341 Kingston Pike, Knoxville, TN 37922-3576 | 2015-06-04 |
| 1649676263 | Holly Grady | Specialist | 301 Cheshire Dr, Apartment, Knoxville, TN 37919-5823 | 2014-11-10 |
| 1083027015 | Diana Rune Oflynne | Specialist | 4832 Chase Hill Dr, Knoxville, TN 37918-8120 | 2014-06-06 |
| 1215373832 | Herbert Shubert Dodge | Specialist | 523 Dixon Rd, Knoxville, TN 37934-1308 | 2013-05-22 |
| 1720340300 | Stephanie L Roberts | Specialist | 805 Lake Glen Ln, Knoxville, TN 37920-5707 | 2012-06-11 |
| 1144529777 | Robbie Hakeem | Specialist | 1765 Redgrave Rd, Knoxville, TN 37922-9449 | 2011-03-22 |
| 1902111784 | Manoj M Tendolkar | Specialist | 113 Gossamer Way, Knoxville, TN 37923-4133 | 2010-08-17 |
| 1083851315 | Blue Ridge Physical Therapy, LLC | Specialist | 1833 Point of Rocks Rd, Knoxville, MD 21758-9024 | 2009-01-08 |
| 1881840684 | Julia Sherman | Specialist | 6515 Clinton Hwy, Suite 213, Knoxville, TN 37912-1116 | 2008-08-12 |
| Find all providers in KNOXVILLE | ||||
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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.