DOWNTOWN WEST MEDICAL CENTER, PLLC (NPI# 1558825125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558825125 |
| Entity Type | Organization |
| Organization Name | DOWNTOWN WEST MEDICAL CENTER, PLLC |
| Practice Address |
1612 Downtown West Blvd Knoxville TN 37919-5408 |
| Practice Telephone | 8653578861 |
| Practice Fax Number | 8653576666 |
| Mailing Telephone | 8653578861 |
| Mailing Fax Number | 8653576666 |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2019-10-15 |
| Authorized Official Name | FRAN INCANDELA (ADMIN) |
| Authorized Official Telephone | 8653578861 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Street Address |
1612 DOWNTOWN WEST BLVD |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37919-5408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386622033 | Andrew Sugantharaj | Internal Medicine | 1612 Downtown West Blvd, Knoxville, TN 37919-5408 | 2006-01-04 |
| 1093202137 | Mdconnect Healthcare Corporation | Pathology | 1612 Downtown West Blvd, Knoxville, TN 37919-5408 | 2018-04-14 |
| 1609236546 | Atlas Therapy LLC | Clinic/Center | 1612 Downtown West Blvd, Knoxville, TN 37919-5408 | 2016-03-04 |
| 1841675352 | Mary Rachel Cole | Nurse Practitioner | 1612 Downtown West Blvd, Knoxville, TN 37919-5408 | 2015-07-26 |
| 1467884981 | Northstar LLC | Eyewear Supplier (Equipment, not the service) | 1612 Downtown West Blvd, Suite B, Knoxville, TN 37919-5408 | 2013-08-07 |
| 1760524029 | Complete Family Care of Knoxville Pllc | Internal Medicine | 1612 Downtown West Blvd, Knoxville, TN 37919-5408 | 2007-02-13 |
| 1992818975 | Audrey Marcelle Smith | Emergency Medicine | 1612 Downtown West Blvd, Knoxville, TN 37919-5408 | 2006-08-16 |
| 1487602090 | Rajesh Dinesh Patel | Physical Therapist | 1612 Downtown West Blvd, Suite B, Knoxville, TN 37919-5408 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760099188 | Edp Biotech Corporation | Clinical Medical Laboratory | 6701 Baum Dr, Suite 110, Knoxville, TN 37919 | 2020-09-29 |
| 1649836248 | Jessica Diane Moody | Counselor | 6070 Lyons View Pike, Knoxville, TN 37919 | 2019-05-20 |
| 1952802571 | Maisie Drew Buckner | Physical Therapist | 301 S Gallaher View Rd Ste 105, Knoxville, TN 37919 | 2018-02-28 |
| 1992217400 | Jay S. Desvaux, D.d.s. | Dentist | 6311 Kingston Pike #27w, Knoxville, TN 37919 | 2017-10-25 |
| 1346768975 | Marilyn Lee | Occupational Therapist | 7014 Lawford Road, Knoxville, TN 37919 | 2017-09-04 |
| 1558884254 | Jck Holdings LLC | Family Medicine | 2270 Sutherland Avenue, Knoxville, TN 37919 | 2017-07-25 |
| 1295255503 | Emily M King | Marriage & Family Therapist | 131 N. Concord St, Knoxville, TN 37919 | 2017-06-27 |
| 1487105128 | Kathleen Rachelle Matteson | Physician Assistant | 2461 University Commons Way, Knoxville, TN 37919 | 2016-10-18 |
| 1689046161 | Meagan Lynn Ogunrinde | Registered Nurse | 265 Brockview Centre Way, Suite 400, Knoxville, TN 37919 | 2015-10-23 |
| 1720467624 | Chizoba Ngesina | Emergency Medicine | Teamhealth, 265 Brookview Centre Way Suite 400, Knoxville, TN 37919 | 2015-05-26 |
| Find all providers in zip 37919 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518515733 | Chs Tennessee Medical P C | Clinic/Center | 800 Howard Baker Ave # Jr, Knoxville, TN 37915-2509 | 2019-08-30 |
| 1750817003 | Tailor Made Outreach Company LLC | Clinic/Center | 301 Higgins Ave Ste 108, Knoxville, TN 37920-3006 | 2017-05-05 |
| 1912458282 | Chs Tennessee Medical PC | Clinic/Center | 3131 Morris Avenue, Knoxville, TN 37909-1512 | 2016-10-20 |
| 1629471131 | Volunteer Urgent and Primary Care, P.C. | Clinic/Center | 118 Legacy View Way, Knoxville, TN 37918-8230 | 2014-09-29 |
| 1245661800 | Independent Physical Therapy, LLC | Clinic/Center | 4635 Greenway Dr Unit B, Knoxville, TN 37918-2118 | 2013-12-09 |
| 1942501077 | Independent Physical Therapy | Clinic/Center | 2927 Alcoa Hwy, Knoxville, TN 37920-4788 | 2010-11-05 |
| 1144450537 | Independent Physical Therapy | Clinic/Center | 259 N Peters Rd Ste 102, Knoxville, TN 37923-4926 | 2009-07-20 |
| 1982871646 | Independent Physical Therapy | Clinic/Center | 2723 Asbury Rd Ste 101, Knoxville, TN 37914-6441 | 2008-05-13 |
| 1447808654 | Chs Tennessee Medical P C | Clinic/Center | 400 W Main St, Knoxville, TN 37902-2405 | 2019-08-30 |
| 1164995445 | Chs Tennessee Medical P C | Clinic/Center | 550 Frank Gardner Lane, Knoxville, TN 37932-9998 | 2019-01-09 |
| Find all providers in KNOXVILLE | ||||
Please comment or provide details below to improve the information on DOWNTOWN WEST MEDICAL CENTER, PLLC.
| 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.