SAMUEL CHARLES PETTIGREW (NPI# 1437787306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437787306 |
| Entity Type | Individual |
| Full Name | SAMUEL CHARLES PETTIGREW |
| Credential | MD |
| Practice Address |
1924 Alcoa Hwy # U-109 Knoxville TN 37920-1511 |
| Practice Telephone | 8653059220 |
| Practice Fax Number | 8653059220 |
| Mailing Telephone | 8653059220 |
| Mailing Fax Number | 8653059216 |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2020-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1924 ALCOA HWY # U-109 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37920-1511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427496645 | Jennifer Castelbuono | Anesthesiology | 1924 Alcoa Hwy # U-109, Knoxville, TN 37920-1511 | 2013-06-10 |
| 1255947214 | Steven Quinton Bowling | Nurse Anesthetist, Certified Registered | 1924 Alcoa Hwy # U-109, Knoxville, TN 37920-1511 | 2020-09-16 |
| 1588279046 | Tabatha Ann Sparks | Nurse Anesthetist, Certified Registered | 1924 Alcoa Hwy # U-109, Knoxville, TN 37920-1511 | 2020-09-11 |
| 1619505708 | Brett Barrilleaux | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Hwy # U-109, Knoxville, TN 37920-1511 | 2020-04-01 |
| 1134757669 | Jackson Harris | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Hwy # U-109, Knoxville, TN 37920-1511 | 2020-03-30 |
| 1376171017 | William Bobo Majors IIi | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Hwy # U-109, Knoxville, TN 37920-1511 | 2020-03-30 |
| 1710515648 | Adam Michael Seal | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Hwy # U-109, Knoxville, TN 37920-1511 | 2020-03-27 |
| 1659908820 | Corey Andrew Ernst Stack | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Hwy # U-109, Knoxville, TN 37920-1511 | 2020-03-26 |
| 1154958361 | Tara Keil | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Hwy # U-109, Knoxville, TN 37920-1511 | 2020-03-26 |
| 1306496658 | Ana R. Gonzalez | Nurse Anesthetist, Certified Registered | 1924 Alcoa Hwy # U-109, Knoxville, TN 37920-1511 | 2019-09-18 |
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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 | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134730849 | William Trey E Johnson IIi | Student in an Organized Health Care Education/Training Program | 2930 Beaverwood Dr, Knoxville, TN 37918-4606 | 2020-08-14 |
| 1801417613 | Andrea Nicole Overman | Student in an Organized Health Care Education/Training Program | 10329 Boston Ln, Knoxville, TN 37932-2145 | 2020-05-04 |
| 1851910749 | Ahmed Hussein | Student in an Organized Health Care Education/Training Program | 1712 Wynrush Cir, Knoxville, TN 37923-7316 | 2020-04-11 |
| 1316575806 | Joshua Logan Pickett | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Hwy Ste 127, Knoxville, TN 37920-1511 | 2020-03-30 |
| 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 |
| 1750937520 | Alykhan Moez Premji | Student in an Organized Health Care Education/Training Program | 10900 Hunters Knoll Ln, Knoxville, TN 37932-1148 | 2019-08-16 |
| 1659832962 | Marta R Hernandez-hermann | Student in an Organized Health Care Education/Training Program | 203a Alba Street, Knoxville, PA 16928 | 2019-03-28 |
| 1861957904 | Warren Phillips | Student in an Organized Health Care Education/Training Program | 3115 Culpepper Rd, Knoxville, TN 37917-3520 | 2019-02-03 |
| 1518433713 | Katelyn Nicole Gibbs | Student in an Organized Health Care Education/Training Program | 9015 Richfield Ln, Knoxville, TN 37924-4580 | 2018-10-16 |
| Find all providers in KNOXVILLE | ||||
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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.