DR. ANTONIO LAVALE KNOWLES (NPI# 1124188511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124188511 |
| Entity Type | Individual |
| Full Name | DR. ANTONIO LAVALE KNOWLES |
| Credential | DPM |
| Practice Address |
5362 Estate Office Dr Suite 1 Memphis TN 38119-3635 |
| Practice Telephone | 9015370078 |
| Practice Fax Number | 9015370096 |
| Mailing Telephone | 9015370078 |
| Mailing Fax Number | 9015370096 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 581 | TN | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3353517 | 05 |
| Street Address |
5362 ESTATE OFFICE DR SUITE 1 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38119-3635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407025935 | Adult and Pediatric Foot Center, LLC | Podiatrist | 5362 Estate Office Dr, Suite 1, Memphis, TN 38119-3635 | 2008-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417469628 | Jojuan Fullwiley | Behavioral Analyst | 6685 Quince Rd Ste 116, Memphis, TN 38119 | 2017-10-27 |
| 1336675297 | Jill Budynas Depriest | Counselor | 5583 Murray Ave Ste 203, Memphis, TN 38119 | 2017-05-11 |
| 1396279220 | Glen Matthew Stamps Jr. | Counselor | 5583 Murray Ave Ste 207, Memphis, TN 38119 | 2017-04-18 |
| 1598117442 | Hazel Aberdeen | Chiropractor | 1911 Memphis Tennessee, Memphis, TN 38119 | 2016-07-04 |
| 1831569060 | E-c-t Non Emergency Medical Transport | Non-emergency Medical Transport (VAN) | 6869 Woodlake Dr, Memphis, TN 38119 | 2015-09-30 |
| 1053781617 | Astrid Roman | Dietitian, Registered | 8020 Hillside Cv, Memphis, MS 38119 | 2015-09-25 |
| 1467857664 | Allan Jacob Katz | Counselor | 5668 Rex Rd, Suite 104, Memphis, TN 38119 | 2014-10-30 |
| 1962836015 | Judy Ann Harrick | Acupuncturist | 5575 Poplar Ave., #702, Memphis, TN 38119 | 2013-08-26 |
| 1366791949 | Jennifer Denyes Bidelman | Audiologist | 5625 Poplar Avenue, Memphis, TN 38119 | 2012-08-29 |
| 1578833620 | Elizabeth Mary Dion-douglass | Pharmacist | 2891 Kirby Parkway, Memphis, TN 38119 | 2012-01-06 |
| Find all providers in zip 38119 | ||||
| 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 |
|---|---|---|---|---|
| 1497049449 | Abdul Rahman Ba | Podiatrist | 3960 Knight Arnold Rd Ste 102, Memphis, TN 38118-3001 | 2011-06-07 |
| 1417166489 | Joel M. Cook, Dpm, Pa | Podiatrist | 5677 S Rex Rd, Memphis, TN 38119-3821 | 2007-05-22 |
| 1437278397 | Larry Baggett | Podiatrist | 3794 Park Ave, Memphis, TN 38111-6649 | 2007-03-29 |
| 1417964198 | Ronald E Rosenberg | Podiatrist | 920 Estate Drive, Suite 1, Memphis, TN 38119-0601 | 2006-08-02 |
| 1891743241 | Paul Hutchison | Podiatrist | 7878 Winchester Rd, Memphis, TN 38125-2307 | 2006-05-05 |
| 1538117411 | Joel Cook | Podiatrist | 3804 Elvis Presley Blvd, Memphis, TN 38116-4106 | 2006-05-04 |
| 1952371445 | Thomas E Ashbery | Podiatrist | 1038 S Yates Rd, Memphis, TN 38119-3708 | 2006-01-25 |
| 1871125146 | Seniorwell Pod of Tennessee LLC | Podiatrist | 5100 Poplar Ave Fl 27, Memphis, TN 38137-2701 | 2020-02-05 |
| 1336643121 | Ut Medical Group, Inc. | Podiatrist | 995 S Yates Rd Ste 2, Memphis, TN 38119-0882 | 2018-03-19 |
| 1588827109 | Shanta L. Griffin | Podiatrist | 1750 Madison Ave, Suite 260, Memphis, TN 38104-6492 | 2008-07-03 |
| Find all providers in MEMPHIS | ||||
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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.