EXODUS RECOVERY CENTER, PLLC. (NPI# 1184047516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184047516 |
| Entity Type | Organization |
| Organization Name | EXODUS RECOVERY CENTER, PLLC. |
| Practice Address |
4200 Martin Mill Pike Knoxville TN 37920-3033 |
| Practice Telephone | 2524147395 |
| Mailing Telephone | 2524147395 |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2014-01-21 |
| Authorized Official Name | DR. DAVID G NEWMAN (ORGANIZING MEMBER) |
| Authorized Official Telephone | 2524147395 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LA0401X |
Anesthesiology Specialization: Addiction Medicine |
MD20094 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
4200 MARTIN MILL PIKE |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37920-3033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033747639 | Paul Connor Shanahan | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, U-109, Knoxville, TN 37920 | 2020-03-30 |
| 1952938904 | Eric Becker | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, U-60, Knoxville, TN 37920 | 2020-03-26 |
| 1174028336 | Taylor Boulware Tapscott | Nurse Practitioner | 3118 Alcoa Highway, Knoxville, TN 37920 | 2018-03-28 |
| 1255860672 | Eric Christopher Riedinger | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Hwy., Box U-11, Knoxville, TN 37920 | 2017-06-08 |
| 1740639277 | Claudia Nieuwoudt | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, Box U-27, Knoxville, Tn 37920, Knoxville, TN 37920 | 2016-06-06 |
| 1841657699 | Frances D Thompson | Physical Therapy Assistant | 717 Lower Pond Way, Knoxville, TN 37920 | 2016-01-25 |
| 1720457989 | Independent Physical Therapy, LLC | Occupational Therapist | 7558 Mountain Grove Dr, Knoxville, TN 37920 | 2015-09-17 |
| 1982071189 | Ryan Dulling | Physical Therapist | 4011 Chapman Hwy Ste J, Knoxville, TN 37920 | 2015-08-24 |
| 1154705614 | Kailyn Sorensen | Physical Therapist | 1926 Alcoa Hwy Ste 200, Knoxville, TN 37920 | 2015-07-15 |
| 1093196420 | James Michael Hart II | Family Medicine | 1925 Alcoa Hwy # 56, Knoxville, TN 37920 | 2015-06-11 |
| Find all providers in zip 37920 | ||||
| Taxonomy Code | 207LA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Addiction Medicine |
| An anesthesiologist who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154436590 | Tracy P Jackson | Anesthesiology | 719 Thompson Ln Ste 22209, Nashville, TN 37204-4692 | 2006-08-19 |
| 1548212137 | Timothy Scott Smyth | Anesthesiology | 926 W Oakland Ave Ste 222, Johnson City, TN 37604-1445 | 2006-05-16 |
| 1003355652 | Pathway Healthcare Tennessee LLC | Anesthesiology | 37 Sandstone Cir, Suite 92, Jackson, TN 38305-2089 | 2017-02-15 |
| 1356699433 | Martin Phan Eason | Anesthesiology | 3114 Browns Mill Rd, Johnson City, TN 37604-1417 | 2012-08-21 |
| 1093935512 | Michael Douglas Hellman Sr. | Anesthesiology | 336 Poplar View Pkwy, Suite 2, Collierville, TN 38017-3436 | 2007-04-26 |
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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.