BRADLEY PETERSON JAQUITH (NPI# 1336448588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336448588 |
| Entity Type | Individual |
| Full Name | BRADLEY PETERSON JAQUITH |
| Credential | MD |
| Practice Address |
1819 W Clinch Ave Suite 100 Knoxville TN 37916 |
| Mailing Address |
9129 Cross Park Dr Ste 101 Knoxville TN 37923-4505 |
| Practice Telephone | 8655245365 |
| Practice Fax Number | 8655245047 |
| Mailing Telephone | 8656947725 |
| Mailing Fax Number | 8656738007 |
| Enumeration Date | 2011-03-26 |
| Last Update Date | 2020-02-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 54212 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q024105 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1819 W Clinch Ave, Suite 100, Knoxville, TN 379162434 | 8655245365 | 8655245047 |
| 744 Middle Creek Rd Ste 100, Sevierville, TN 378625036 | 8655245365 | 8656738007 |
| 9430 Park West Blvd Ste 130, Knoxville, TN 379234205 | 8656904861 | 8655608525 |
| Street Address |
1819 W CLINCH AVE SUITE 100 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811986623 | George Menees Krisle IIi | Internal Medicine | 1819 W Clinch Ave, Suite 108, Knoxville, TN 37916-2435 | 2005-10-14 |
| 1922551035 | Brittany Ellis | Dietitian, Registered | 1819 W Clinch Ave, Suite 200, Knoxville, TN 37916-2434 | 2016-07-26 |
| 1275907685 | Erik Taylor | Nurse Practitioner | 1819 W Clinch Ave, Suite 200, Knoxville, TN 37916-2434 | 2015-11-23 |
| 1447624457 | Julia Wegryn | Physician Assistant | 1819 W Clinch Ave, Suite 108, Knoxville, TN 37916-2434 | 2015-11-15 |
| 1194121723 | Lori A. Wilkerson | Nurse Practitioner | 1819 W Clinch Ave, Suite 114, Knoxville, TN 37916-2434 | 2014-11-10 |
| 1194124388 | Amanda Dawn Barnes | Nurse Practitioner | 1819 W Clinch Ave, Ste 108, Knoxville, TN 37916-2435 | 2014-08-14 |
| 1588088629 | Charles Peters | Physical Therapist | 1819 W Clinch Ave, Suite 106, Knoxville, TN 37916-2434 | 2014-02-10 |
| 1518202795 | Jennifer Jarrett Clark | Dietitian, Registered | 1819 W Clinch Ave, Suite 200, Knoxville, TN 37916-2434 | 2012-11-29 |
| 1720332232 | Caroline Bond Swann | Physician Assistant | 1819 W Clinch Ave, Suite 108, Knoxville, TN 37916-2434 | 2012-11-06 |
| 1669734323 | Joseph B Thurman | Surgery | 1819 W Clinch Ave, Suite 200, Knoxville, TN 37916-2434 | 2012-06-08 |
| 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 | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629317177 | Archer Wortman Bishop Jr. | Orthopaedic Surgery | 4 Forest Ct, Knoxville, TN 37919-5001 | 2013-02-04 |
| 1093071268 | Michael James Kern | Orthopaedic Surgery | 1926 Alcoa Hwy Ste 210, Knoxville, TN 37920 | 2012-04-02 |
| 1376836254 | William Ryan Mitchell | Orthopaedic Surgery | 10810 Parkside Dr Ste 209, Knoxville, TN 37934-1985 | 2011-05-25 |
| 1407174493 | Curtis Shannon Gaylord | Orthopaedic Surgery | 260 Fort Sanders West Blvd Bldg 6, Knoxville, TN 37922-3355 | 2010-05-14 |
| 1073747598 | Konstantinos Marino Triantafillou | Orthopaedic Surgery | 1926 Alcoa Hwy Bldg F, Suite 210, Knoxville, TN 37920 | 2009-05-12 |
| 1669616249 | David Holt | Orthopaedic Surgery | 260 Ft Sanders West Blvd, Knoxville, TN 37922-3355 | 2009-04-27 |
| 1518164235 | Family Orthopedic Clinic Pllc | Orthopaedic Surgery | 10810 Parkside Drive, Suite 109, Knoxville, TN 37934-1980 | 2007-06-27 |
| 1801980826 | Steven D Shonkwiler | Orthopaedic Surgery | 513 Newman St, Knoxville, IL 61448 | 2006-10-03 |
| 1750472650 | Orthotennessee, PC | Orthopaedic Surgery | 1422 Old Weisgarber Rd., Knoxville, TN 37909-2674 | 2006-09-27 |
| 1063498392 | Harold E Cates Jr. | Orthopaedic Surgery | 9430 Park West Blvd Ste 130, Knoxville, TN 37923-4205 | 2005-12-19 |
| Find all providers in KNOXVILLE | ||||
Please comment or provide details below to improve the information on BRADLEY PETERSON JAQUITH.
| 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.