EAST TENNESSEE WOMEN'S CARE, PC (NPI# 1457574345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457574345 |
| Entity Type | Organization |
| Organization Name | EAST TENNESSEE WOMEN'S CARE, PC |
| Other Organization Name | SOUTHEST GYNECOLOGIC ONCOLOGY ASSOCIATES |
| Practice Address |
930 Emerald Avenue Suite 615 Knoxville TN 37917 |
| Practice Telephone | 8656739250 |
| Practice Fax Number | 8656739255 |
| Mailing Telephone | 8656739250 |
| Mailing Fax Number | 8656739255 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. JULIE P. GADDIS (OFFICE MANAGER) |
| Authorized Official Telephone | 8656739248 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MD28234 | TN | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Southest Gynecologic Oncology Associates | Doing Business As Name - Organization |
| Street Address |
930 EMERALD AVENUE SUITE 615 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700088358 | Lowell L. Mccauley M.d.,p.c. | Specialist | 930 Emerald Avenue, Suite 515, Knoxville, TN 37917-4539 | 2007-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033601786 | Angela Marie Barnett | Licensed Practical Nurse | 201 W Springdale Ave # 203, Knoxville, TN 37917 | 2018-05-30 |
| 1790283588 | Kevin Johnson | Case Manager/Care Coordinator | 201 W. Springfield Ave, Knoxville, TN 37917 | 2018-01-26 |
| 1871011437 | Sara Portwood | Registered Nurse | 140 Dameron Ave., Knoxville, TN 37917 | 2017-09-05 |
| 1962926295 | Dara Steele | Counselor | 201 West Springdale, Knoxville, TN 37917 | 2017-07-28 |
| 1043740657 | Stacy Banks | Counselor | 201 West Springdale Ave., Knoxville, TN 37917 | 2017-06-15 |
| 1861921215 | Amy J Mccowan | Registered Nurse | 201 W. Springdale Ave., Knoxville, TN 37917 | 2017-06-08 |
| 1942756523 | Skyler Daegan Winkler | Counselor | 201 West Springvale Avenue, Knoxville, TN 37917 | 2016-09-01 |
| 1821454216 | Beth Cannon | Case Manager/Care Coordinator | 201 West Sprindale Ave, Knoxville, TN 37917 | 2016-01-14 |
| 1760874986 | Sierra Brooke Finley | Case Manager/Care Coordinator | 201 W. Springdale Ave, Knoxville, TENNESSEE 37917 | 2015-02-25 |
| 1568860377 | Megumi Takayama Maynard | Family Medicine | 900 E. Oak Hill Avenue, Knoxville, TN 37917 | 2014-12-10 |
| Find all providers in zip 37917 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457703894 | Robert Landon Oneill | Specialist | 9015 Ten Mile Rd Apt 55, Knoxville, TN 37923-3813 | 2016-07-11 |
| 1154701225 | Leconte Recovery Center | Specialist | 10341 Kingston Pike, Knoxville, TN 37922-3576 | 2015-06-04 |
| 1649676263 | Holly Grady | Specialist | 301 Cheshire Dr, Apartment, Knoxville, TN 37919-5823 | 2014-11-10 |
| 1083027015 | Diana Rune Oflynne | Specialist | 4832 Chase Hill Dr, Knoxville, TN 37918-8120 | 2014-06-06 |
| 1215373832 | Herbert Shubert Dodge | Specialist | 523 Dixon Rd, Knoxville, TN 37934-1308 | 2013-05-22 |
| 1720340300 | Stephanie L Roberts | Specialist | 805 Lake Glen Ln, Knoxville, TN 37920-5707 | 2012-06-11 |
| 1144529777 | Robbie Hakeem | Specialist | 1765 Redgrave Rd, Knoxville, TN 37922-9449 | 2011-03-22 |
| 1902111784 | Manoj M Tendolkar | Specialist | 113 Gossamer Way, Knoxville, TN 37923-4133 | 2010-08-17 |
| 1083851315 | Blue Ridge Physical Therapy, LLC | Specialist | 1833 Point of Rocks Rd, Knoxville, MD 21758-9024 | 2009-01-08 |
| 1881840684 | Julia Sherman | Specialist | 6515 Clinton Hwy, Suite 213, Knoxville, TN 37912-1116 | 2008-08-12 |
| 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.