SOUTHEASTERN OCCUPATIONAL PULMONARY SERVICES (NPI# 1255719688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255719688 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN OCCUPATIONAL PULMONARY SERVICES |
| Practice Address |
311 S Weisgarber Rd Ste D Knoxville TN 37919-7504 |
| Mailing Address |
Po Box 11484 Knoxville TN 37939-1484 |
| Practice Telephone | 8653427859 |
| Mailing Telephone | 8653427859 |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2015-05-18 |
| Authorized Official Name | DR. PAUL DAVID BANICK (OWNER/CMO) |
| Authorized Official Telephone | 8653427859 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
29453 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
311 S WEISGARBER RD STE D |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37919-7504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114941770 | Paul David Banick | Internal Medicine | 311 S Weisgarber Rd Ste D, Suite D, Knoxville, TN 37919-7504 | 2006-07-27 |
| 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 | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063830826 | Rachel Guthrie | Internal Medicine | 1900 N Winston Rd Ste 501, Knoxville, TN 37919-3605 | 2014-03-30 |
| 1174738421 | The Pulmonary and Sleep Consultants | Internal Medicine | 1508 Coleman Rd, Suite 107, Knoxville, TN 37909-3808 | 2007-05-11 |
| 1437264074 | D. Matthew Sellers, M.d., P.C. | Internal Medicine | 200 E Blount Ave Ste 201, Knoxville, TN 37920-1612 | 2006-08-21 |
| 1811250228 | University Health System, Inc | Internal Medicine | 1940 Alcoa Hwy, Ste E210, Knoxville, TN 37920-2244 | 2012-06-20 |
| 1962604140 | Arseniy V. Tsapenko | Internal Medicine | 1940 Alcoa Hwy, Suite E210, Knoxville, TN 37920-2244 | 2007-06-01 |
| 1841407939 | Seth Brant | Internal Medicine | 1940 Alcoa Hwy, E-210, Knoxville, TN 37920-2244 | 2007-05-17 |
| 1942413281 | Richard Alexander Obenour | Internal Medicine | 1924 Alcoa Hwy # U-114, Knoxville, TN 37920-1511 | 2007-05-07 |
| 1427105212 | Jared Noah Kravitz | Internal Medicine | 1940 Alcoa Hwy, Suite E-210, Knoxville, TN 37920-2244 | 2007-01-04 |
| 1932279346 | Summit Medical Group, Pllc | Internal Medicine | 2240 Sutherland Ave, Suite 103, Knoxville, TN 37919-2333 | 2006-11-09 |
| 1760491153 | Knoxville Pulmonary Group, P.a. | Internal Medicine | 1940 Alcoa Hwy, Suite E210, Knoxville, TN 37920-2244 | 2006-08-05 |
| 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.