UNIVERSITY OF TENNESSEE (NPI# 1376910653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376910653 |
Entity Type | Organization |
Organization Name | UNIVERSITY OF TENNESSEE |
Other Organization Name | UTC SPORTS MEDICINE |
Practice Address |
615 Mccallie Ave Chattanooga TN 37403-2504 |
Mailing Address |
Po Box 650850 Dallas TX 75265-0850 |
Practice Telephone | 4234255637 |
Practice Fax Number | 9723673451 |
Mailing Telephone | 8005559073 |
Mailing Fax Number | 9723673452 |
Enumeration Date | 2015-08-21 |
Last Update Date | 2015-08-21 |
Authorized Official Name | MOUZON BASS III (AGENT) |
Authorized Official Telephone | 9723674845 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
UTC Sports Medicine | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902278179 | University of Tennessee | Anaplastologist | 875 Union Ave., Rooms S510b, Memphis, TN 38163-0001 | 2015-10-27 |
1740577428 | University of Tennessee | Student in an Organized Health Care Education/Training Program | 62 N Main St, Memphis, TN 38103 | 2011-07-01 |
1366756082 | University of Tennessee | Clinical Nurse Specialist | 220 Langland Street, Knoxville, TN 37915 | 2010-08-05 |
1033345541 | University of Tennessee | Special Hospital | 60 Harbor Town Sq, Memphis, TN 38103-8850 | 2009-06-10 |
1518037183 | University of Tennessee | Medical Genetics, Ph.D. Medical Genetics | 1930 Alcoa Hwy Ste 435, Ut Genetics Center, Knoxville, TN 37920-1520 | 2006-11-09 |
1427064880 | University of Tennessee | Clinic/Center | 711 Jefferson Avenue, Memphis, TN 38105-5003 | 2006-07-31 |
1386625846 | University of Tennessee | Audiologist | 1600 Peyton Manning Pass, Knoxville, TN 37996-0001 | 2005-11-10 |
1780686170 | University of Tennessee | Family Medicine | 1301 Primacy Pkwy, Memphis, TN 38119-0213 | 2005-08-15 |
1912556895 | University of Tennessee | Dentist | 848 Adams Ave., Suite 101, Memphis, TN 38103-2816 | 2019-09-04 |
1235666793 | University of Tennessee | General Acute Care Hospital | 920 Madison Ave, Suite 447, Memphis, TN 38103-3438 | 2017-05-16 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | UNIVERSITY OF TENNESSEE | 304 Administration Bldg, Martin, TN 38238-0001 |
System for Award Management (SAM) Entities | UNIVERSITY OF TENNESSEE AT CHATTANOOGA | 615 Mccallie Ave, Chattanooga, TN 37403-2504 |
System for Award Management (SAM) Entities | UNIVERSITY OF TENNESSEE BUSINESS AFFAIRS | 116 Administration Bldg, Martin, TN 38238-0001 |
System for Award Management (SAM) Entities | UNIVERSITY OF TENNESSEE INSTITUTE OF PUBLIC SERVICE/TENNESSEE LANGUAGE CENTER | 220 French Landing Dr Ste 1b, Nashville, TN 37243-1002 |
System for Award Management (SAM) Entities | UNIVERSITY OF TENNESSEE RESEARCH FOUNDATION | 600 Henley St Ste 211, Knoxville, TN 37996-0001 |
Street Address |
615 MCCALLIE AVE |
City | CHATTANOOGA |
State | TN |
Zip Code | 37403-2504 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639106362 | Gary Blaine Wilkerson | Specialist/Technologist | 615 Mccallie Ave, Department 6606, Chattanooga, TN 37403-2504 | 2006-06-27 |
1619587581 | Miller Anne Earhart | Nurse Practitioner | 615 Mccallie Ave, Chattanooga, TN 37403-2504 | 2020-08-05 |
1851918528 | Sydne Stepaniuk | Specialist/Technologist | 615 Mccallie Ave, Chattanooga, TN 37403-2504 | 2020-06-29 |
1619594314 | David May | Specialist/Technologist | 615 Mccallie Ave, Chattanooga, TN 37403-2504 | 2020-06-29 |
1033771613 | Elisabeth Kelley | Specialist/Technologist | 615 Mccallie Ave, Chattanooga, TN 37403-2504 | 2019-07-03 |
1700448339 | David Benjamin Eldridge | Specialist/Technologist | 615 Mccallie Ave, Chattanooga, TN 37403-2504 | 2019-07-03 |
1568024149 | Deborah Kostrub | Specialist/Technologist | 615 Mccallie Ave, Chattanooga, TN 37403-2504 | 2019-07-03 |
1629630124 | Mark T Carden | Specialist/Technologist | 615 Mccallie Ave, Chattanooga, TN 37403-2504 | 2019-07-03 |
1396307989 | Bry Alexi-ife Edwards | Specialist/Technologist | 615 Mccallie Ave, Chattanooga, TN 37403-2504 | 2019-07-03 |
1366004038 | Jeremy Page | Specialist/Technologist | 615 Mccallie Ave, Chattanooga, TN 37403-2504 | 2019-07-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033771332 | Jaimie Mills | Specialist/Technologist | 103 Metropolitan Building, Chattanooga, TN 37403 | 2019-07-08 |
1972092849 | Joshua Dale Gebhardt | Marriage & Family Therapist | 1024 East M L King Blvd, Chattanooga, TN 37403 | 2018-05-07 |
1528580750 | Klifford Hawkins | Physical Therapist | 1100 E 3rd St Ste G103, Chattanooga, TN 37403 | 2017-07-10 |
1861921470 | Jonathan Everett Burden | Student in an Organized Health Care Education/Training Program | 960 E 3rd St Ste 104, Chattanooga, TN 37403 | 2017-06-07 |
1992167092 | Majel Victoria Purvis Miles | Student in an Organized Health Care Education/Training Program | 979 E 3rd St Ste 401, Chattanooga, TN 37403 | 2016-03-28 |
1972942902 | Danielle Nessly | Nurse Practitioner | 730 East 11th Street, Chattanooga, TN 37403 | 2013-06-24 |
1023453271 | Nathan Claydon | Internal Medicine | 960 East 3rd St, Suite 104, Chattanooga, TN 37403 | 2013-05-01 |
1336482603 | Veronica Patterson Zachry | Student in an Organized Health Care Education/Training Program | 975 E. 3rd Street, Chattanooga, TN 37403 | 2013-04-04 |
1639420417 | Ctr. for Individual & Family Effectiveness | Community/Behavioral Health | 310 E. 8th St., Ste. C, Chattanooga, TN 37403 | 2012-09-20 |
1063773521 | Shelley L Murphy | Emergency Medicine | 1018 Blackford Street, Chattanooga, TN 37403 | 2012-05-31 |
Find all providers in zip 37403 |
Taxonomy Code | 207QS0010X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Sports Medicine |
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
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 Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770915928 | Chattanooga Sports Institute | Family Medicine | 4206 N Access Rd, Chattanooga, TN 37415-3801 | 2013-07-30 |
1265687917 | Chattanooga Family and Sports Medical Center, Pllc | Family Medicine | 6035 Shallowford Rd, Suite 101, Chattanooga, TN 37421-1688 | 2008-11-21 |
1003881061 | Bill Moore Smith Jr. | Family Medicine | 632 Morrison Springs Road, Suite #202, Chattanooga, TN 37415 | 2006-02-22 |
1982690038 | Sports Care of Chattanooga Pllc | Family Medicine | 501 Houston St, Chattanooga, TN 37403-3409 | 2005-09-23 |
1194090647 | Chattanooga Hamilton County Hospital Authority | Family Medicine | 1100 E 3rd St, Suite 102, Chattanooga, TN 37403-2241 | 2012-03-16 |
1447542881 | Bradford Lyle Mitchell | Family Medicine | 2415 Mccallie Avenue, Chattanooga, TN 37404 | 2011-05-04 |
1780992214 | Chattanooga Hamilton County Hospital Authority | Family Medicine | 1200 Pineville Rd, Chattanooga, TN 37405-2645 | 2010-09-17 |
1023141025 | Glenn A. Beasley | Family Medicine | 2158 Northgate Park Ln, Suite 104, Chattanooga, TN 37415-6957 | 2007-03-13 |
1750480174 | Jason Andrew Robertson | Family Medicine | 2415 Mccallie Ave, Chattanooga, TN 37404-3322 | 2006-09-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063936235 | Milligan College | Family Medicine | One Blowers Blvd., Athletics, Milligan College, TN 37682 | 2017-07-31 |
1205379989 | Elite Sports Medicine and Orthopaedic Center, Plc | Family Medicine | 356 24th Ave North, Nashville, TN 37203-1519 | 2016-11-29 |
1740527753 | Amg-hillside LLC | Family Medicine | 200 Hillside Dr, Pulaski, TN 38478-4566 | 2013-01-10 |
1841485018 | Crystal Shanelle Dyer | Family Medicine | 850 W Main St Ste 2, Rogersville, TN 37857-3663 | 2007-09-11 |
1053326876 | Laura N. Lendermon | Family Medicine | 9950 Crooked Creek Drive, Collierville, TN 38017 | 2006-07-30 |
1528097771 | Chris A Klenck | Family Medicine | 1551 Lake Loudon Blvd, Knoxville, TN 37996-2674 | 2006-07-01 |
1700860988 | James Norris Johnson | Family Medicine | 28 White Bridge Rd Ste 207, Nashville, TN 37205-1451 | 2005-12-01 |
1568905248 | Elite Sports Medicine and Orthopaedic Center, Plc | Family Medicine | 107 Glidepath Way, Lebanon, TN 37090-4133 | 2016-11-29 |
1720466741 | David Wallace Neblett | Family Medicine | 3601 The Vanderbilt Clinic, Nashville, TN 37232-9760 | 2015-05-11 |
1700274487 | Plateau Medical Specialist Pllc | Family Medicine | 57 W Adams St, Crossville, TN 38555-4836 | 2015-01-02 |
Find all providers with the same taxonomy |
City | CHATTANOOGA |
Zip Code | 37403 |
Please comment or provide details below to improve the information on UNIVERSITY OF TENNESSEE.
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.