FREDERICK M MCLEAN (NPI# 1316927908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316927908 |
Entity Type | Individual |
Full Name | FREDERICK M MCLEAN |
Credential | MD |
Practice Address |
2001 Laurel Ave Suite N304 Knoxville TN 37916-1810 |
Practice Telephone | 8655469484 |
Mailing Telephone | 8655469484 |
Enumeration Date | 2006-01-19 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085N0700X |
Radiology Specialization: Neuroradiology |
MD26860 | TN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | 3372353 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447287859 | Frederick Wallace Mclean | Obstetrics & Gynecology | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-06-28 |
Street Address |
2001 LAUREL AVE SUITE N304 |
City | KNOXVILLE |
State | TN |
Zip Code | 37916-1810 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871599084 | Gerald Scott Borrelli | Internal Medicine | 2001 Laurel Ave, Ste 206, Knoxville, TN 37916-1865 | 2005-06-22 |
1891184131 | Medical Rehab Clinic Pllc | Physical Medicine & Rehabilitation | 2001 Laurel Ave, Suite 404, Knoxville, TN 37916-1810 | 2015-01-09 |
1720483308 | Jennifer Templeton | Physical Therapist | 2001 Laurel Ave, Suite 504, Knoxville, TN 37916-1810 | 2014-10-25 |
1407198302 | Mckesson Patient Care Solutions Inc. | Durable Medical Equipment & Medical Supplies | 2001 Laurel Ave, Suite Ng-6, Knoxville, TN 37916-1810 | 2013-03-19 |
1043443997 | Sung Yong Bae | Internal Medicine | 2001 Laurel Ave, Suite 206, Knoxville, TN 37916 | 2009-08-26 |
1619103918 | Healthtronix Lymphedema Management, Inc. | Durable Medical Equipment & Medical Supplies | 2001 Laurel Ave, Suite Ng6, Knoxville, TN 37916-1810 | 2009-06-02 |
1265666747 | East Tennessee Pediatric Cardiology, P.C. | Pediatrics | 2001 Laurel Ave, Suite Ng4, Knoxville, TN 37916-1810 | 2009-05-12 |
1356513998 | James Macdonald Burkhart Md | Durable Medical Equipment & Medical Supplies | 2001 Laurel Ave, Suite 601, Knoxville, TN 37916-1826 | 2008-03-24 |
1821278474 | Asif Sultan | Internal Medicine | 2001 Laurel Ave, Suite 202, Knoxville, TN 37916-1810 | 2007-11-13 |
1922207059 | Timothy Leslie Alder | Radiology | 2001 Laurel Ave, Suite N304, Knoxville, TN 37916-1810 | 2007-07-18 |
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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 |
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Taxonomy Code | 2085N0700X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Neuroradiology |
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679701791 | Harry R. Hixson Jr. | Radiology | 2001 Laurel Ave # N304, Knoxville, TN 37916-1810 | 2009-06-26 |
1043280274 | Samuel H Feaster | Radiology | 2001 Laurel Ave, Suite N304, Knoxville, TN 37916-1810 | 2006-01-23 |
1316927999 | Daryl L Harp | Radiology | 2001 Laurel Ave, Suite N304, Knoxville, TN 37916-1810 | 2006-01-19 |
1881691228 | John Douglas Simmons | Radiology | 1112 E Weisgarber Rd, Knoxville, TN 37909-2647 | 2005-06-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801091434 | Scott Nyshin Hwang | Radiology | 262 Danny Thomas Place, Mail Stop 220, St Jude Children's Research Hospital, Memphis, TN 38105-3678 | 2007-06-14 |
1679796486 | Richard Ian Gray | Radiology | 865 Jefferson Ave # F150, Uthsc Dept. of Radiology, Memphis, TN 38103-2807 | 2007-04-10 |
1851480776 | James Koonce | Radiology | 1301 Sunset Dr Ste 3, Mountain Empire Radiology, Johnson City, TN 37604-7906 | 2006-10-11 |
1366490617 | Jeffrey A Simon | Radiology | 750 Old Hickory Blvd Ste 1-260, Brentwood, TN 37027-4528 | 2006-05-05 |
1538143383 | Mark R Shaw | Radiology | 3310 Aspen Grove Dr, Suite 203, Franklin, TN 37067 | 2005-12-05 |
1730520842 | David Mitchell Ray | Radiology | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2013-07-17 |
1700220050 | Jacqueline Angel | Radiology | 7695 Poplar Pike Ste 101, Germantown, TN 38138-5947 | 2013-04-17 |
1134474711 | Allen Ardestani | Radiology | 7945 Wolf River Blvd, Germantown, TN 38138-1762 | 2012-07-19 |
1851688063 | Christopher Jordan Dela Houssaye | Radiology | 400 N State of Franklin Rd, Johnson City, TN 37604 | 2011-07-08 |
1114152410 | Ernest Robin Gray IIi | Radiology | 210 25th Ave N Ste 602, Nashville, TN 37203 | 2009-05-16 |
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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.