EAST TENNESSEE NEPHROLOGY PC (NPI# 1083622526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083622526 |
| Entity Type | Organization |
| Organization Name | EAST TENNESSEE NEPHROLOGY PC |
| Practice Address |
2001 Laurel Ave Ste 206 Knoxville TN 37916-1865 |
| Practice Telephone | 8655243131 |
| Practice Fax Number | 8652126323 |
| Mailing Telephone | 8655243131 |
| Mailing Fax Number | 8652126323 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2010-07-02 |
| Authorized Official Name | STEPHEN C KISS (PRESIDENT MD) |
| Authorized Official Telephone | 8655243131 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3721896 | 05 |
| Street Address |
2001 LAUREL AVE STE 206 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37916-1865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871599084 | Gerald Scott Borrelli | Internal Medicine | 2001 Laurel Ave, Ste 206, Knoxville, TN 37916-1865 | 2005-06-22 |
| 1891184131 | Medical Rehab Clinic Pllc | Physical Medicine & Rehabilitation | 2001 Laurel Ave, Suite 404, Knoxville, TN 37916-1810 | 2015-01-09 |
| 1720483308 | Jennifer Templeton | Physical Therapist | 2001 Laurel Ave, Suite 504, Knoxville, TN 37916-1810 | 2014-10-25 |
| 1407198302 | Mckesson Patient Care Solutions Inc. | Durable Medical Equipment & Medical Supplies | 2001 Laurel Ave, Suite Ng-6, Knoxville, TN 37916-1810 | 2013-03-19 |
| 1043443997 | Sung Yong Bae | Internal Medicine | 2001 Laurel Ave, Suite 206, Knoxville, TN 37916 | 2009-08-26 |
| 1619103918 | Healthtronix Lymphedema Management, Inc. | Durable Medical Equipment & Medical Supplies | 2001 Laurel Ave, Suite Ng6, Knoxville, TN 37916-1810 | 2009-06-02 |
| 1265666747 | East Tennessee Pediatric Cardiology, P.C. | Pediatrics | 2001 Laurel Ave, Suite Ng4, Knoxville, TN 37916-1810 | 2009-05-12 |
| 1356513998 | James Macdonald Burkhart Md | Durable Medical Equipment & Medical Supplies | 2001 Laurel Ave, Suite 601, Knoxville, TN 37916-1826 | 2008-03-24 |
| 1821278474 | Asif Sultan | Internal Medicine | 2001 Laurel Ave, Suite 202, Knoxville, TN 37916-1810 | 2007-11-13 |
| 1922207059 | Timothy Leslie Alder | Radiology | 2001 Laurel Ave, Suite N304, Knoxville, TN 37916-1810 | 2007-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151322 | Chelsea Raye Tanner | Registered Nurse | American Anesthesiology of Tennessee, 501 20th Street, Suite 606, Knoxville, TN 37916 | 2020-10-13 |
| 1003473372 | Mary Katrina Quist Rouse | Nurse Practitioner | 2100 Clinch Ave Ste 330, Knoxville, TN 37916 | 2019-05-22 |
| 1457881724 | Leslie Lynette Taylor | Physical Medicine & Rehabilitation | 2120 Highland Avenue, Knoxville, TN 37916 | 2017-06-19 |
| 1235547423 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 2429 University Commons Way, Knoxville, TN 37916 | 2014-07-31 |
| 1801182340 | Jessica Lee Sheah | Psychiatry & Neurology | 2100 W Clinch Avenue, Suite 210, Knoxville, TN 37916 | 2011-06-23 |
| 1326203548 | Bradley Jason Davis | Internal Medicine | 1819 Clinch Ave Ste 114, Knoxville, TN 37916 | 2008-07-28 |
| 1003012782 | East Tennessee Children's Hospital Association, Inc | Clinic/Center | 2100 West Clinch Avenue, Suite 510, Knoxville, TN 37916 | 2007-06-21 |
| 1922203108 | East Tennessee Children's Hospital Primary Care Center, Inc. | Clinic/Center | 611 22nd Street, Knoxville, TN 37916 | 2007-06-18 |
| 1699825984 | Orthodontic Design By Michael Sawaf | Dentist | 2220 White Ave, Knoxville, TN 37916 | 2007-01-11 |
| 1427115096 | Deborah Lynne Maples | Physical Therapy Assistant | Nhc Ft Sanders 2120 Highland Ave, Knoxville, TN 37916 | 2007-01-03 |
| Find all providers in zip 37916 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184031965 | Knoxville Nephrology Associates LLC | Internal Medicine | 6826 Tice Ln, Knoxville, TN 37918-5240 | 2014-07-14 |
| 1821173121 | Mazen Ahmad Abu Hatab | Internal Medicine | 8044 Ray Mears Blvd, Ste 116, Knoxville, TN 37919 | 2006-10-26 |
| 1629061874 | Urath Suresh | Internal Medicine | 1932 Alcoa Hwy, Ste C-460, Knoxville, TN 37920-1527 | 2005-08-23 |
| 1013900273 | Thomas Robert Miller | Internal Medicine | 3734 Martin Mill Pike, Knoxville, TN 37920-2453 | 2005-08-23 |
| 1538169305 | Kendra S Hendon | Internal Medicine | 320 Park 40 North Blvd, Suite A, Knoxville, TN 37923-3624 | 2005-07-22 |
| 1871599084 | Gerald Scott Borrelli | Internal Medicine | 2001 Laurel Ave, Ste 206, Knoxville, TN 37916-1865 | 2005-06-22 |
| 1306446133 | Kaitlin M Green | Internal Medicine | 1932 Alcoa Hwy Ste C460, Knoxville, TN 37920-1587 | 2020-10-30 |
| 1821278474 | Asif Sultan | Internal Medicine | 2001 Laurel Ave, Suite 202, Knoxville, TN 37916-1810 | 2007-11-13 |
| 1104016617 | Suresh Narayan Kumar | Internal Medicine | 939 E Emerald Ave Ste 610, Knoxville, TN 37917-4569 | 2007-07-31 |
| 1518084656 | Daniela Ilioska | Internal Medicine | 320 Park 40 North Blvd, Suite A, Knoxville, TN 37923-3624 | 2007-03-23 |
| 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.