MRS. AMY ELIZABETH KEENAN (NPI# 1528523719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528523719 |
| Entity Type | Individual |
| Full Name | MRS. AMY ELIZABETH KEENAN |
| Credential | PA-C |
| Practice Address |
701 Morganton Square Dr Maryville TN 37801-4796 |
| Mailing Address |
1275 Dick Lonas Rd Knoxville TN 37909-1382 |
| Practice Telephone | 8659846823 |
| Mailing Telephone | 8655844747 |
| Enumeration Date | 2019-02-01 |
| Last Update Date | 2019-12-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 3801 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
701 MORGANTON SQUARE DR |
| City | MARYVILLE |
| State | TN |
| Zip Code | 37801-4796 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871542233 | James David Proffitt Jr. | Internal Medicine | 701 Morganton Square Dr, Maryville, TN 37801-4796 | 2006-05-10 |
| 1477919074 | Staci Owen | Physician Assistant | 701 Morganton Square Dr, Maryville, TN 37801-4796 | 2016-01-12 |
| 1255572574 | Summit Medical Group, Pllc | Internal Medicine | 701 Morganton Square Dr, Maryville, TN 37801-4796 | 2009-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912536582 | Andrea Waldrop | Pharmacist | 103 Foothills Mall Drive, Maryville, TN 37801 | 2020-04-06 |
| 1134664147 | Complete Vision Care Pllc | Optometrist | 2410 Us Hwy 411 S, Maryville, TN 37801 | 2016-12-29 |
| 1144634114 | James Muscari | Dentist | 824 W. Lamar Alexander Pkwy, Maryville, TN 37801 | 2014-06-17 |
| 1245465483 | Respiratory Home Care of Bristol, LLC | Durable Medical Equipment & Medical Supplies | 637 Morganton Square Dr, Maryville, TN 37801 | 2009-05-18 |
| 1063682383 | William R Pedersen | Optometrist | 730 West Lamar Alexander Pkwy, Maryville, TN 37801 | 2008-03-03 |
| 1124218573 | Liberty Assisted Living LLC | Assisted Living Facility | 312 Mcmaster Pl, Liberty Assisted Living LLC, Maryville, TN 37801 | 2007-07-31 |
| 1447467493 | Amanda G Clement | Nurse Practitioner | 1427 William Blount Drive, Maryville, TN 37801 | 2007-05-17 |
| 1396873758 | David T Cope | Audiologist | 821 Ross Drive, Maryville, TN 37801 | 2007-02-28 |
| 1649345406 | Adult & Family Dentistry, Inc. | Dentist | 1740 Big Springs Rd, Maryville, TN 37801 | 2006-11-21 |
| 1225109523 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 330 Southdowne Dr, Maryville, TN 37801 | 2006-11-10 |
| Find all providers in zip 37801 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295298081 | Corinne S Murphy | Physician Assistant | 6800 State Route 162 # 215, Maryville, IL 62062-8500 | 2019-04-09 |
| 1104325091 | Jennifer M Oyler | Physician Assistant | 6812 State Route 162 Suite 120, Maryville, IL 62062 | 2018-02-06 |
| 1053796227 | Hillary Lynn Tipton | Physician Assistant | 2081 Colonial Cir, Maryville, TN 37803-2678 | 2015-07-29 |
| 1871905794 | Best Weigh Weight Loss Center LLC | Physician Assistant | 1805 W Broadway Ave, Maryville, TN 37801-5511 | 2014-05-27 |
| 1891092474 | Kimberly M Schneider | Physician Assistant | 20b Professional Park Drive, Maryville, IL 62062 | 2011-02-17 |
| 1487284360 | Rachel Hannah West | Physician Assistant | 827 E Lamar Alexander Pkwy, Maryville, TN 37804-5001 | 2020-01-20 |
| 1043856701 | Mallory Jean Stimac | Physician Assistant | 6800 State Route 162, Maryville, IL 62062-8521 | 2019-11-18 |
| 1356900492 | Amanda Margaret Altgilbers | Physician Assistant | 6812 State Route 162 Ste 120, Maryville, IL 62062-8586 | 2019-06-12 |
| 1891268355 | Eric Michael Watson | Physician Assistant | 6800 State Route 162, Maryville, IL 62062-8521 | 2019-01-08 |
| 1508331455 | Anna Grace Wooten | Physician Assistant | 250 Bmh Physicians Office Bldg, Maryville, TN 37804 | 2018-10-08 |
| Find all providers in MARYVILLE | ||||
Please comment or provide details below to improve the information on MRS. AMY ELIZABETH KEENAN.
| 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.