JONATHAN N DEGNAN (NPI# 1215106158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215106158 |
| Entity Type | Individual |
| Full Name | JONATHAN N DEGNAN |
| Credential | MD |
| Practice Address |
501 19th St Suite 601 Knoxville TN 37916-1854 |
| Practice Telephone | 8655217662 |
| Practice Fax Number | 8655412895 |
| Mailing Telephone | 8655217662 |
| Mailing Fax Number | 8655412895 |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2008-05-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MD020653 | TN | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BLUE CROSS PROVIDER # | 121659 | 01 |
| TN | BLUECARE | 1215106158 | 01 |
| TN | U.S. DEPT. OF LABOR PROV. | 166410400 | 01 |
| TN | WAUSAU PROVIDER # | 21159366 | 01 |
| TN | 1215106158 | 05 | |
| TN | MEDICARE RAILROAD PROV. # | 200040430 | 01 |
| Street Address |
501 19TH ST SUITE 601 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37916-1854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538162896 | Larry Michael Fields | Obstetrics & Gynecology | 501 19th St, Suite 406, Knoxville, TN 37916-1854 | 2005-05-31 |
| 1386199347 | University Orthopedic Clinic Inc | Prosthetic/Orthotic Supplier | 501 19th St, Suite 601, Knoxville, TN 37916-1854 | 2016-08-19 |
| 1790131498 | Caitlin Austin | Genetic Counselor, MS | 501 19th St, Trustees Tower, Suite 401, Knoxville, TN 37916-1854 | 2016-05-11 |
| 1184094898 | Claude C. Frazier, IIi, Do | Dermatology | 501 19th St, Ste 309, Knoxville, TN 37916-1854 | 2015-10-07 |
| 1811302631 | Tracy Anne Dawson | Genetic Counselor, MS | 501 19th St, Suite 401, Knoxville, TN 37916-1854 | 2014-07-01 |
| 1013359108 | Elizabeth Cumberland | Nurse Practitioner | 501 19th St, Suite 600, Knoxville, TN 37916-1854 | 2013-07-18 |
| 1467770214 | Courtney Alexandra Hanna | Pathology | 501 19th St, Suite 301, Knoxville, TN 37916-1854 | 2010-05-04 |
| 1992039689 | Angela Isaacs Hartman | Physical Therapist | 501 19th St, Ste 430, Knoxville, TN 37916-1854 | 2009-09-28 |
| 1487815494 | Fort Sanders Obstetrical and Gynecological Group II LLC | Clinic/Center | 501 19th St, Suite 701, Knoxville, TN 37916-1854 | 2008-06-23 |
| 1356515662 | Knoxville Obgyn Consultants, PC | Special Hospital | 501 19th St, Ste 602, Knoxville, TN 37916-1854 | 2008-04-17 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457703894 | Robert Landon Oneill | Specialist | 9015 Ten Mile Rd Apt 55, Knoxville, TN 37923-3813 | 2016-07-11 |
| 1154701225 | Leconte Recovery Center | Specialist | 10341 Kingston Pike, Knoxville, TN 37922-3576 | 2015-06-04 |
| 1649676263 | Holly Grady | Specialist | 301 Cheshire Dr, Apartment, Knoxville, TN 37919-5823 | 2014-11-10 |
| 1083027015 | Diana Rune Oflynne | Specialist | 4832 Chase Hill Dr, Knoxville, TN 37918-8120 | 2014-06-06 |
| 1215373832 | Herbert Shubert Dodge | Specialist | 523 Dixon Rd, Knoxville, TN 37934-1308 | 2013-05-22 |
| 1720340300 | Stephanie L Roberts | Specialist | 805 Lake Glen Ln, Knoxville, TN 37920-5707 | 2012-06-11 |
| 1144529777 | Robbie Hakeem | Specialist | 1765 Redgrave Rd, Knoxville, TN 37922-9449 | 2011-03-22 |
| 1902111784 | Manoj M Tendolkar | Specialist | 113 Gossamer Way, Knoxville, TN 37923-4133 | 2010-08-17 |
| 1083851315 | Blue Ridge Physical Therapy, LLC | Specialist | 1833 Point of Rocks Rd, Knoxville, MD 21758-9024 | 2009-01-08 |
| 1881840684 | Julia Sherman | Specialist | 6515 Clinton Hwy, Suite 213, Knoxville, TN 37912-1116 | 2008-08-12 |
| Find all providers in KNOXVILLE | ||||
Please comment or provide details below to improve the information on JONATHAN N DEGNAN.
| 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.