PAUL BURT SERRELL (NPI# 1407849649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407849649 |
| Entity Type | Individual |
| Full Name | PAUL BURT SERRELL |
| Credential | MD |
| Practice Address |
2018 Western Ave Knoxville TN 37921-5718 |
| Mailing Address |
6350 W Andrew Johnson Hwy Department 100 Talbott TN 37877-8605 |
| Practice Telephone | 8655440406 |
| Practice Fax Number | 8655440480 |
| Mailing Telephone | 8003553565 |
| Mailing Fax Number | 4237142355 |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2020-09-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
MD10143 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | RAILROAD MEDICARE | 390007315 | 01 |
| TN | BLUE CROSS/BLUE SHIELD | 3149814 | 01 |
| TN | 3723987 | 05 |
| Street Address |
2018 WESTERN AVE |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37921-5718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841298031 | Tammy Renee Feehan | Pediatrics | 2018 Western Ave, Knoxville, TN 37921-5718 | 2005-07-12 |
| 1295335396 | Britney Lashea Love | Technician, Pathology | 2018 Western Ave, Knoxville, TN 37921-5718 | 2020-10-28 |
| 1518564269 | Amanda Ashley Collazo | Case Manager/Care Coordinator | 2018 Western Ave, Knoxville, TN 37921-5718 | 2020-10-06 |
| 1548867203 | Rachel Marie Koch | Case Manager/Care Coordinator | 2018 Western Ave, Knoxville, TN 37921-5718 | 2020-10-06 |
| 1881209864 | Roger Mitchell Nooe Jr. | Social Worker | 2018 Western Ave, Knoxville, TN 37921-5718 | 2020-09-15 |
| 1770196859 | Kerri Dominique Harris | Case Manager/Care Coordinator | 2018 Western Ave, Knoxville, TN 37921-5718 | 2020-08-28 |
| 1073124228 | Patrick Joseph Mcnicholas | Student in an Organized Health Care Education/Training Program | 2018 Western Ave, Knoxville, TN 37921-5718 | 2020-08-12 |
| 1932710217 | Madeline Elyse Chelko | Registered Nurse | 2018 Western Ave, Knoxville, TN 37921-5718 | 2020-08-11 |
| 1831708601 | Anne Elise Russell | Case Manager/Care Coordinator | 2018 Western Ave, Knoxville, TN 37921-5718 | 2020-07-28 |
| 1790393957 | Sydney Taylor Younginer | Student in an Organized Health Care Education/Training Program | 2018 Western Ave, Knoxville, TN 37921-5718 | 2020-07-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902425366 | Marissa Michelle Sharp | Home Health Aide | 6224 Western Avenue, Knoxville, TN 37921 | 2020-04-15 |
| 1245860352 | Keshyra Paulsha Robinson | Nurse's Aide | 1754 Texas Avenue, Knoxville, TN 37921 | 2020-01-17 |
| 1700435443 | Velissa Ann Caffey | Licensed Practical Nurse | 5203 Ball Camp Pk, Knoxville, TN 37921 | 2019-09-05 |
| 1720551641 | Lindsey Michelle Yarnell | Behavior Technician | 5203 Ball Camp Pike, Knoxville, TN 37921 | 2019-01-03 |
| 1205354255 | Kylee Blair Dick | Case Manager/Care Coordinator | 600 Arthur Street, Knoxville, TN 37921 | 2017-08-30 |
| 1134658230 | Nicole Elaine Roberts | Pharmacist | 3588 Workman Rd Suite 101, Knoxville, TN 37921 | 2017-06-12 |
| 1710312053 | Megan Marie Pfeifer | Counselor | 626 Bernard Avenue, Knoxville, TN 37921 | 2013-09-05 |
| 1366601775 | Drd Management, Inc | Counselor | 412 Citico, Knoxville, TN 37921 | 2008-06-02 |
| 1457521320 | Tamara Flowers | Advanced Practice Midwife | 1925 B Ailor Avenue, Knoxville, TN 37921 | 2008-03-07 |
| 1790823722 | Oxygen and Sleep Associates, Inc. | Durable Medical Equipment & Medical Supplies | 1701 Louisville Dr, Ste. 107, Knoxville, TN 37921 | 2007-02-02 |
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| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184031965 | Knoxville Nephrology Associates LLC | Internal Medicine | 6826 Tice Ln, Knoxville, TN 37918-5240 | 2014-07-14 |
| 1821173121 | Mazen Ahmad Abu Hatab | Internal Medicine | 8044 Ray Mears Blvd, Ste 116, Knoxville, TN 37919 | 2006-10-26 |
| 1629061874 | Urath Suresh | Internal Medicine | 1932 Alcoa Hwy, Ste C-460, Knoxville, TN 37920-1527 | 2005-08-23 |
| 1013900273 | Thomas Robert Miller | Internal Medicine | 3734 Martin Mill Pike, Knoxville, TN 37920-2453 | 2005-08-23 |
| 1538169305 | Kendra S Hendon | Internal Medicine | 320 Park 40 North Blvd, Suite A, Knoxville, TN 37923-3624 | 2005-07-22 |
| 1871599084 | Gerald Scott Borrelli | Internal Medicine | 2001 Laurel Ave, Ste 206, Knoxville, TN 37916-1865 | 2005-06-22 |
| 1306446133 | Kaitlin M Green | Internal Medicine | 1932 Alcoa Hwy Ste C460, Knoxville, TN 37920-1587 | 2020-10-30 |
| 1821278474 | Asif Sultan | Internal Medicine | 2001 Laurel Ave, Suite 202, Knoxville, TN 37916-1810 | 2007-11-13 |
| 1104016617 | Suresh Narayan Kumar | Internal Medicine | 939 E Emerald Ave Ste 610, Knoxville, TN 37917-4569 | 2007-07-31 |
| 1518084656 | Daniela Ilioska | Internal Medicine | 320 Park 40 North Blvd, Suite A, Knoxville, TN 37923-3624 | 2007-03-23 |
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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.