FACULTY INTERNAL MEDICINE, PLLC (NPI# 1265457113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265457113 |
| Entity Type | Organization |
| Organization Name | FACULTY INTERNAL MEDICINE, PLLC |
| Practice Address |
11440 Parkside Dr Suite 302 Knoxville TN 37934-2658 |
| Practice Telephone | 8652881548 |
| Practice Fax Number | 8653771002 |
| Mailing Telephone | 8652881548 |
| Mailing Fax Number | 8653771002 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DANIEL S. ELY (MANAGING PARTNER) |
| Authorized Official Telephone | 8652881548 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | TN | Other Service Providers |
| Street Address |
11440 PARKSIDE DR SUITE 302 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37934-2658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508845942 | Endoscopy Center of Knoxville Lp | Clinic/Center | 11440 Parkside Dr, Suite 100, Knoxville, TN 37934-1973 | 2006-01-13 |
| 1518237668 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 11440 Parkside Dr, Suite 203, Knoxville, TN 37934-2658 | 2012-01-06 |
| 1760655179 | Ann E Blackwood-widner | Physical Therapist | 11440 Parkside Dr, Suite 301, Knoxville, TN 37934-2658 | 2008-04-07 |
| 1801068267 | Molly M Dobson | Speech-Language Pathologist | 11440 Parkside Dr, Suite 301, Knoxville, TN 37934-2658 | 2008-03-26 |
| 1053514547 | Wahid Hanna Md PC | Internal Medicine | 11440 Parkside Dr, Suite 202, Knoxville, TN 37934-2658 | 2007-06-11 |
| 1417095308 | Faculty Internal Medicine Pllc | Specialist | 11440 Parkside Dr, Suite 302, Knoxville, TN 37934-2658 | 2007-02-02 |
| 1750441341 | Tanya Johnson | Physical Therapist | 11440 Parkside Dr, Suite 303, Knoxville, TN 37934-2658 | 2006-12-12 |
| 1376619726 | Brian Keith Collier | Internal Medicine | 11440 Parkside Dr, Suite 302, Knoxville, TN 37934-2658 | 2006-11-28 |
| 1619043536 | Christina R Bennett | Clinic/Center | 11440 Parkside Dr, Suite 301, Knoxville, TN 37934-2658 | 2006-11-24 |
| 1669556916 | Orthotennessee, PC | Durable Medical Equipment & Medical Supplies | 11440 Parkside Dr, Suite 110, Knoxville, TN 37934-2658 | 2006-10-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437780905 | Knoxville Dentistry Group Pllc | Clinic/Center | 1119 Kingston Pike, Knoxville, TN 37934 | 2020-02-03 |
| 1073087714 | Farragut Modern Dentistry, PC | Dentist | 109 Campbell Station Rd., Farragut, TN 37934 | 2019-01-16 |
| 1669949764 | Cynthia Boger | Optometrist | 11289 Parkside Dr Spc 1108, Knoxville, TN 37934 | 2018-10-26 |
| 1306385927 | Lindsey A Kelley | Registered Nurse | 11217 West Point Drive, Suite 2, Knoxville, TN 37934 | 2017-02-15 |
| 1740736487 | Julie Noll | Occupational Therapy Assistant | 312 Rockwell Farm Lane, Knoxville, TN 37934 | 2016-09-01 |
| 1457719411 | Adrianne Whitelaw | Occupational Therapist | 10717 Deep Woods Lane, Knoxville, TN 37934 | 2016-02-05 |
| 1821486150 | Will Parrott | Physical Therapy Assistant | 917 Weatherly Hills Blvd, Knoxville, TN 37934 | 2015-01-09 |
| 1679988380 | Lutheran Medical Center | Health Maintenance Organization | 305 Dominick Pont, Knoxville, TN 37934 | 2014-06-23 |
| 1518396761 | Dr. Mark Lynn & Associates, Pllc | Eyewear Supplier (Equipment, not the service) | 10930 Parkside Dr., Knoxville, TN 37934 | 2013-11-08 |
| 1770879090 | Meredith Tonks | Optometrist | 12744 Kingston Pike Ste 108, Knoxville, TN 37934 | 2011-06-24 |
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| 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 |
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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.