PARKWEST MEDICAL CENTER (NPI# 1154303162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154303162 |
| Entity Type | Organization |
| Organization Name | PARKWEST MEDICAL CENTER |
| Other Organization Name | PENINSULA LIGHTHOUSE PENINSULA OUTPATIENT CENTER |
| Practice Address |
6800 Baum Dr Knoxville TN 37919-7315 |
| Mailing Address |
Po Box 1999 Louisville TN 37777-1999 |
| Practice Telephone | 8659709800 |
| Practice Fax Number | 8653801461 |
| Mailing Telephone | 8659701295 |
| Mailing Fax Number | 8653801461 |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JOHN T GEPPI (EXECUTIVE VICE PRESIDENT CFO) |
| Authorized Official Telephone | 8653746872 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
L 2(14)M5-076-14 | TN | Ambulatory Health Care Facilities |
| X | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
L 2(14)M5-076-14 | TN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 0440173 | 05 |
| Other Name | Type Code |
|---|---|
| Peninsula Lighthouse Peninsula Outpatient Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366785867 | Parkwest Medical Center | Pharmacy | 220 Fort Sanders West Blvd Ste 104, Knoxville, TN 37922-3373 | 2013-04-03 |
| 1427132786 | Parkwest Medical Center | Residential Treatment Facility, Emotionally Disturbed Children | 2341 Jones Bend Rd, Louisville, TN 37777 | 2006-10-24 |
| 1801878830 | Parkwest Medical Center | Clinic/Center | 520 Cook St, Madisonville, TN 37354-1508 | 2005-11-16 |
| 1558343566 | Parkwest Medical Center | Psychiatric Hospital | 2347 Jones Bend Rd, Louisville, TN 37777-5213 | 2005-11-16 |
| 1508848516 | Parkwest Medical Center | Clinic/Center | 124 N Henderson Ave, Sevierville, TN 37862 | 2005-11-16 |
| 1922080936 | Parkwest Medical Center | Clinic/Center | 423 Medical Park Dr, Lenoir City, TN 37772-5640 | 2005-11-16 |
| 1396739165 | Parkwest Medical Center | Clinic/Center | 9352 Parkwest Blvd, Knoxville, TN 37923 | 2005-09-07 |
| 1851369243 | Parkwest Medical Center | Psychiatric Unit | 9352 Parkwest Blvd, Knoxville, TN 37923 | 2006-03-10 |
| 1699757609 | Parkwest Medical Center | Clinic/Center | 210 Simmons St, Maryville, TN 37801-4750 | 2005-11-16 |
| Street Address |
6800 BAUM DR |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37919-7315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609189505 | Benjamin Herwehe | Counselor | 6800 Baum Dr, Knoxville, TN 37919-7315 | 2010-07-20 |
| 1659694859 | Wayna Simmons | Licensed Practical Nurse | 6800 Baum Dr, Knoxville, TN 37919-7315 | 2010-03-03 |
| 1740510767 | Amanda Loosier | Licensed Practical Nurse | 6800 Baum Dr, Knoxville, TN 37919-7315 | 2010-01-14 |
| 1386974392 | Lugenia Bachman | Counselor | 6800 Baum Dr, Bldg. 1, Knoxville, TN 37919-7315 | 2010-01-14 |
| 1609100148 | Dennis K Hardison | Counselor | 6800 Baum Dr, Knoxville, TN 37919-7315 | 2009-10-01 |
| 1811221682 | Kristen O'shields | Counselor | 6800 Baum Dr, Knoxville, TN 37919-7315 | 2009-09-28 |
| 1184958878 | Helen Whitney Groff | Counselor | 6800 Baum Dr, Knoxville, TN 37919-7315 | 2009-09-28 |
| 1043443989 | Darilyne Tingle | Social Worker | 6800 Baum Dr, Building 2, Knoxville, TN 37919-7315 | 2009-08-26 |
| 1982836144 | Jessie Elisse Sokol | Counselor | 6800 Baum Dr, Building 1, Knoxville, TN 37919-7315 | 2009-08-20 |
| 1194952960 | Thomas Cox | Counselor | 6800 Baum Dr, Building 1, Knoxville, TN 37919-7315 | 2009-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760099188 | Edp Biotech Corporation | Clinical Medical Laboratory | 6701 Baum Dr, Suite 110, Knoxville, TN 37919 | 2020-09-29 |
| 1649836248 | Jessica Diane Moody | Counselor | 6070 Lyons View Pike, Knoxville, TN 37919 | 2019-05-20 |
| 1952802571 | Maisie Drew Buckner | Physical Therapist | 301 S Gallaher View Rd Ste 105, Knoxville, TN 37919 | 2018-02-28 |
| 1992217400 | Jay S. Desvaux, D.d.s. | Dentist | 6311 Kingston Pike #27w, Knoxville, TN 37919 | 2017-10-25 |
| 1346768975 | Marilyn Lee | Occupational Therapist | 7014 Lawford Road, Knoxville, TN 37919 | 2017-09-04 |
| 1558884254 | Jck Holdings LLC | Family Medicine | 2270 Sutherland Avenue, Knoxville, TN 37919 | 2017-07-25 |
| 1295255503 | Emily M King | Marriage & Family Therapist | 131 N. Concord St, Knoxville, TN 37919 | 2017-06-27 |
| 1487105128 | Kathleen Rachelle Matteson | Physician Assistant | 2461 University Commons Way, Knoxville, TN 37919 | 2016-10-18 |
| 1689046161 | Meagan Lynn Ogunrinde | Registered Nurse | 265 Brockview Centre Way, Suite 400, Knoxville, TN 37919 | 2015-10-23 |
| 1720467624 | Chizoba Ngesina | Emergency Medicine | Teamhealth, 265 Brookview Centre Way Suite 400, Knoxville, TN 37919 | 2015-05-26 |
| Find all providers in zip 37919 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033752597 | Tms of East Tennessee Pllc | Clinic/Center | 10241 Kingston Pike Ste 2, Knoxville, TN 37922-3240 | 2019-10-28 |
| 1104469931 | Trailhead Treatment Center | Clinic/Center | 2607 Kingston Pike Ste 2, Knoxville, TN 37919-3336 | 2019-10-24 |
| 1871954867 | Drd Management, Inc | Clinic/Center | 1910 Ailor Ave, Knoxville, TN 37921-5803 | 2016-03-17 |
| 1972905156 | Bearden Psychological and Wellness Center | Clinic/Center | 813 South Northsore Drive, Suite 105, Knoxville, TN 37919 | 2014-09-19 |
| 1710542592 | Cognitive Connections, LLC | Clinic/Center | 9041 Executive Park Drive, Ste 114, Knoxville, TN 37923 | 2019-05-07 |
| 1174059851 | Knoxville Neurofeedback Group | Clinic/Center | 7417 Kingston Pike Ste 103, Knoxville, TN 37919-5616 | 2017-05-02 |
| 1942750773 | Jessica Livingston Msn Aprn | Clinic/Center | 3720 N Broadway St, Knoxville, TN 37917-3120 | 2016-10-05 |
| 1093151003 | Drd Management, Inc | Clinic/Center | 626 Bernard Ave, Knoxville, TN 37921-6253 | 2013-05-16 |
| 1588784938 | Prime Provider Systems, Inc. | Clinic/Center | 1111 N Northshore Dr, Suite South 450, Knoxville, TN 37919-4005 | 2007-03-30 |
| 1659330686 | Helen Ross Mcnabb Center | Clinic/Center | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2006-03-20 |
| 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.