DR. AMANDA SURDOCK (NPI# 1093118754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093118754 |
| Entity Type | Individual |
| Full Name | DR. AMANDA SURDOCK |
| Credential | PH.D. |
| Practice Address |
162d Market Place Blvd Knoxville TN 37922-2337 |
| Mailing Address |
12187 Inglecrest Ln Farragut TN 37934-5321 |
| Practice Telephone | 8652126600 |
| Practice Fax Number | 8653132149 |
| Mailing Telephone | 9013381219 |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2020-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
3506 | TN | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
54-947 | MS | Behavioral Health & Social Service Providers |
| Street Address |
162D MARKET PLACE BLVD |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37922-2337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184132185 | Kimberly Zitko | Pharmacist | 400 Goody's Lane, Knoxville, TN 37922 | 2018-01-12 |
| 1366959314 | Matthew Smith | Physician Assistant | 1424 Randall Park Dr, Knoxville, TN 37922 | 2017-12-29 |
| 1174052823 | 24/7 Healthcare, Inc. | Nursing Care | 110 Center Park Drive, Suite 101, Knoxville, TN 37922 | 2017-06-07 |
| 1023543477 | Open Arms Care Corp | Intermediate Care Facility, Mentally Retarded | 12625 S Northshore Dr, Knoxville, TN 37922 | 2017-04-24 |
| 1275905440 | Milligan Surgical Associates, Pllc | Surgery | 1919 Pinnacle Pointe Way, Knoxville, TN 37922 | 2015-10-27 |
| 1275904096 | Medical Necessities & Services LLC | Durable Medical Equipment & Medical Supplies | 9327 S Northshore Dr, Knoxville, TN 37922 | 2015-10-20 |
| 1841668126 | Chad Szala | Behavioral Analyst | 10721 Chapman Hwy #22, Knoxville, TN 37922 | 2015-09-03 |
| 1275916470 | Nikki Nicole Peoples | Acupuncturist | 10406 Jackson Oaks Way Ste A, Knoxville, TN 37922 | 2015-07-07 |
| 1538577747 | Susan Carter | Optometrist | 2053 Thunderhead Rd, Knoxville, TN 37922 | 2014-07-31 |
| 1366868135 | Heartland Infusion | Clinic/Center | 9943 Kingston Pike, Knoxville, TN 37922 | 2014-03-17 |
| Find all providers in zip 37922 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710513890 | Elizabeth Katharine Collier Baker | Psychologist | 1800 Volunteer Blvd Fl 2, Knoxville, TN 37996-4522 | 2020-03-20 |
| 1275093304 | Marisa Whitley | Psychologist | 9217 Park West Blvd Ste D1, Knoxville, TN 37923-4420 | 2019-03-24 |
| 1265991673 | Michael Sanders | Psychologist | 100 Forest Ct, Knoxville, TN 37919-5079 | 2019-03-15 |
| 1407385289 | Savanna Nye Shepherd | Psychologist | 1128 E Weisgarber Rd Suite 210, Knoxville, TN 37909-2674 | 2017-06-06 |
| 1386014488 | Andrew Frazer | Psychologist | 1111 N. Northshore Dr., South Tower, Suite 490, Knoxville, TN 37919-2865 | 2015-10-01 |
| 1699142679 | James F Murray Phd Pllc | Psychologist | 4722 Old Kingston Pike, Knoxville, TN 37919-5206 | 2015-08-26 |
| 1033509369 | Kathryn Perkel | Psychologist | 1506 Callahan Dr, Knoxville, TN 37912-1207 | 2015-01-26 |
| 1811322241 | Kristin Nicole Lewis | Psychologist | 310 N Forest Park Blvd, Suite 202, Knoxville, TN 37919 | 2013-09-04 |
| 1497910293 | Diana Lynn Mccoy | Psychologist | 5019 Jacksboro Pike, Knoxville, TN 37918 | 2008-07-22 |
| 1669649463 | Janetta Jamerson | Psychologist | 923 Ashbrooke Way, Apt. 921, Knoxville, TN 37923-6389 | 2008-05-12 |
| 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.