SKIN WELLNESS CENTER PC (NPI# 1568515898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568515898 |
| Entity Type | Organization |
| Organization Name | SKIN WELLNESS CENTER PC |
| Practice Address |
10215 Kingston Pike # 200 Knoxville TN 37922-3222 |
| Practice Telephone | 8655848580 |
| Practice Fax Number | 8652519961 |
| Mailing Telephone | 8655848580 |
| Mailing Fax Number | 8652519961 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2013-02-04 |
| Authorized Official Name | MR. GEORGE SMITH (ADMINISTRATOR) |
| Authorized Official Telephone | 8652519942 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| Street Address |
10215 KINGSTON PIKE # 200 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37922-3222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801949151 | Meredith T Overholt | Specialist | 10215 Kingston Pike # 200, Knoxville, TN 37922-3222 | 2007-01-19 |
| 1083767966 | Janet D Breeding | Physician Assistant | 10215 Kingston Pike # 200, Knoxville, TN 37922-3222 | 2007-01-22 |
| 1073666335 | Kimberly K Grande | Specialist | 10215 Kingston Pike # 200, Knoxville, TN 37922-3222 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184132185 | Kimberly Zitko | Pharmacist | 400 Goody's Lane, Knoxville, TN 37922 | 2018-01-12 |
| 1366959314 | Matthew Smith | Physician Assistant | 1424 Randall Park Dr, Knoxville, TN 37922 | 2017-12-29 |
| 1174052823 | 24/7 Healthcare, Inc. | Nursing Care | 110 Center Park Drive, Suite 101, Knoxville, TN 37922 | 2017-06-07 |
| 1023543477 | Open Arms Care Corp | Intermediate Care Facility, Mentally Retarded | 12625 S Northshore Dr, Knoxville, TN 37922 | 2017-04-24 |
| 1275905440 | Milligan Surgical Associates, Pllc | Surgery | 1919 Pinnacle Pointe Way, Knoxville, TN 37922 | 2015-10-27 |
| 1275904096 | Medical Necessities & Services LLC | Durable Medical Equipment & Medical Supplies | 9327 S Northshore Dr, Knoxville, TN 37922 | 2015-10-20 |
| 1841668126 | Chad Szala | Behavioral Analyst | 10721 Chapman Hwy #22, Knoxville, TN 37922 | 2015-09-03 |
| 1275916470 | Nikki Nicole Peoples | Acupuncturist | 10406 Jackson Oaks Way Ste A, Knoxville, TN 37922 | 2015-07-07 |
| 1538577747 | Susan Carter | Optometrist | 2053 Thunderhead Rd, Knoxville, TN 37922 | 2014-07-31 |
| 1366868135 | Heartland Infusion | Clinic/Center | 9943 Kingston Pike, Knoxville, TN 37922 | 2014-03-17 |
| Find all providers in zip 37922 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316304629 | Deep River Wellness Center | Clinic/Center | 314 Knox Rd, Knoxville, TN 37918-2316 | 2016-01-19 |
| 1003012782 | East Tennessee Children's Hospital Association, Inc | Clinic/Center | 2100 West Clinch Avenue, Suite 510, Knoxville, TN 37916 | 2007-06-21 |
| 1598385361 | Better Life Medical PC | Clinic/Center | 1328 Papermill Pointe Way, Knoxville, TN 37909-1903 | 2020-04-22 |
| 1386282036 | Concord Recovery Center, LLC | Clinic/Center | 601 S Concord St Ste 108, Knoxville, TN 37919-3339 | 2019-12-12 |
| 1598148736 | Knoxville Endocrinology Clinic, LLC | Clinic/Center | 108 Lovell Rd, Knoxville, TN 37934-1903 | 2015-07-07 |
| 1407240971 | Knoxville Omnicare, Pllc | Clinic/Center | 1924 Alcoa Hwy, Knoxville, TN 37920-1511 | 2015-03-23 |
| 1932528338 | Echelon Sports Medicine, Pllc | Clinic/Center | 1400 Dowell Springs Blvd, Suite 140, Knoxville, TN 37909-2456 | 2014-04-14 |
| 1770722688 | East Tennessee Children's Hospital Association, Inc. | Clinic/Center | 2100 Clinch Ave Ste 130, Knoxville, TN 37916-2224 | 2009-02-17 |
| 1013166024 | Seasons of Farragut Pllc | Clinic/Center | 10607 Deerbrook Dr, Knoxville, TN 37922-1942 | 2008-09-15 |
| 1295908457 | Tennessee Valley Orthopedics & Sports Medicine Assoc PC | Clinic/Center | 11808 Kingston Pike, Suite 190, Knoxville, TN 37934-3803 | 2008-04-09 |
| 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.