KNOXVILLE OMNICARE, PLLC (NPI# 1407240971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407240971 |
| Entity Type | Organization |
| Organization Name | KNOXVILLE OMNICARE, PLLC |
| Practice Address |
1924 Alcoa Hwy Knoxville TN 37920-1511 |
| Mailing Address |
1201 Southbreeze Cir Knoxville TN 37919-8441 |
| Practice Telephone | 8653055510 |
| Mailing Telephone | 8659348385 |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2015-03-23 |
| Authorized Official Name | DR. RYAN ALEXANDER UNGER (SOLE MEMBER, FOUNDER) |
| Authorized Official Telephone | 8659348385 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
49026 | TN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | MEDICARE ID | 10308I6537 | 01 |
| Street Address |
1924 ALCOA HWY |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37920-1511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588667786 | Kathleen B Hudson | Radiology | 1924 Alcoa Hwy, Knoxville, TN 37920-1511 | 2005-05-23 |
| 1356952675 | Kara B Caldwell | Registered Nurse | 1924 Alcoa Hwy, Knoxville, TN 37920-1511 | 2020-08-11 |
| 1366052672 | Anne Camille Reynolds | Physician Assistant | 1924 Alcoa Hwy, Knoxville, TN 37920-1511 | 2020-08-03 |
| 1194334748 | Rachel Taylor | Nurse Practitioner | 1924 Alcoa Hwy, Knoxville, TN 37920-1511 | 2020-07-29 |
| 1619585783 | Savannah Roberts Kidd | Physician Assistant | 1924 Alcoa Hwy, Knoxville, TN 37920-1511 | 2020-07-15 |
| 1508482811 | Anna Love | Pharmacist | 1924 Alcoa Hwy, Knoxville, TN 37920-1511 | 2020-06-23 |
| 1578183067 | Mackenzie Travis | Registered Nurse | 1924 Alcoa Hwy, Knoxville, TN 37920-1511 | 2020-04-24 |
| 1942820493 | Cody Miller | Radiologic Technologist | 1924 Alcoa Hwy, Knoxville, TN 37920-1511 | 2020-04-24 |
| 1396374666 | Anna Elisabeth Brewton | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Hwy, Knoxville, TN 37920-1511 | 2020-04-07 |
| 1821627423 | Hannah Marie Bernstein | Registered Nurse | 1924 Alcoa Hwy, Knoxville, TN 37920-1511 | 2020-04-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033747639 | Paul Connor Shanahan | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, U-109, Knoxville, TN 37920 | 2020-03-30 |
| 1952938904 | Eric Becker | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, U-60, Knoxville, TN 37920 | 2020-03-26 |
| 1174028336 | Taylor Boulware Tapscott | Nurse Practitioner | 3118 Alcoa Highway, Knoxville, TN 37920 | 2018-03-28 |
| 1255860672 | Eric Christopher Riedinger | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Hwy., Box U-11, Knoxville, TN 37920 | 2017-06-08 |
| 1740639277 | Claudia Nieuwoudt | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, Box U-27, Knoxville, Tn 37920, Knoxville, TN 37920 | 2016-06-06 |
| 1841657699 | Frances D Thompson | Physical Therapy Assistant | 717 Lower Pond Way, Knoxville, TN 37920 | 2016-01-25 |
| 1720457989 | Independent Physical Therapy, LLC | Occupational Therapist | 7558 Mountain Grove Dr, Knoxville, TN 37920 | 2015-09-17 |
| 1982071189 | Ryan Dulling | Physical Therapist | 4011 Chapman Hwy Ste J, Knoxville, TN 37920 | 2015-08-24 |
| 1154705614 | Kailyn Sorensen | Physical Therapist | 1926 Alcoa Hwy Ste 200, Knoxville, TN 37920 | 2015-07-15 |
| 1093196420 | James Michael Hart II | Family Medicine | 1925 Alcoa Hwy # 56, Knoxville, TN 37920 | 2015-06-11 |
| Find all providers in zip 37920 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316304629 | Deep River Wellness Center | Clinic/Center | 314 Knox Rd, Knoxville, TN 37918-2316 | 2016-01-19 |
| 1003012782 | East Tennessee Children's Hospital Association, Inc | Clinic/Center | 2100 West Clinch Avenue, Suite 510, Knoxville, TN 37916 | 2007-06-21 |
| 1598385361 | Better Life Medical PC | Clinic/Center | 1328 Papermill Pointe Way, Knoxville, TN 37909-1903 | 2020-04-22 |
| 1386282036 | Concord Recovery Center, LLC | Clinic/Center | 601 S Concord St Ste 108, Knoxville, TN 37919-3339 | 2019-12-12 |
| 1598148736 | Knoxville Endocrinology Clinic, LLC | Clinic/Center | 108 Lovell Rd, Knoxville, TN 37934-1903 | 2015-07-07 |
| 1932528338 | Echelon Sports Medicine, Pllc | Clinic/Center | 1400 Dowell Springs Blvd, Suite 140, Knoxville, TN 37909-2456 | 2014-04-14 |
| 1770722688 | East Tennessee Children's Hospital Association, Inc. | Clinic/Center | 2100 Clinch Ave Ste 130, Knoxville, TN 37916-2224 | 2009-02-17 |
| 1013166024 | Seasons of Farragut Pllc | Clinic/Center | 10607 Deerbrook Dr, Knoxville, TN 37922-1942 | 2008-09-15 |
| 1295908457 | Tennessee Valley Orthopedics & Sports Medicine Assoc PC | Clinic/Center | 11808 Kingston Pike, Suite 190, Knoxville, TN 37934-3803 | 2008-04-09 |
| 1891984712 | Great Expectations Ob/gyn/aesthetics, Pllc | Clinic/Center | 2001 Highland Ave, Knoxville, TN 37916-1217 | 2007-10-16 |
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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.