MR. NICHOLAS PETER XENOPOULOS (NPI# 1568548006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568548006 |
Entity Type | Individual |
Full Name | MR. NICHOLAS PETER XENOPOULOS |
Other Name | NICHOLAOS PETER XENOPOULOS |
Credential | MD |
Practice Address |
9330 Park West Blvd Suite 202 Knoxville TN 37923-4308 |
Practice Telephone | 8656914850 |
Practice Fax Number | 8655395073 |
Mailing Telephone | 8656914850 |
Mailing Fax Number | 8655395073 |
Enumeration Date | 2006-10-27 |
Last Update Date | 2020-06-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD39685 | TN | Allopathic & Osteopathic Physicians |
N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
01046596A | IN | Allopathic & Osteopathic Physicians |
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
32179 | KY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | ANTHEM SR. ADVANTAGE | 6113371060A12 | 01 |
KY | AETNA | 5156752 | 01 |
KY | PASSPORT HEALTH PLAN | 1116387 | 01 |
IN | 200106000 | 05 | |
KY | ANTHEM BCBS | 000000112862 | 01 |
IN | SIHO | 415632P | 01 |
KY | RAILROAD MEDICARE | 060058270 | 01 |
CHA PROVIDER NETWORK | 1166305 | 01 | |
KY | FEDERAL BLACK LUNG PROGRA | 299856 | 01 |
BCBS TENNESSEE | 3154073 | 01 | |
CIGNA | 7233954008 | 01 | |
KY | UNITED HEALTHCARE | 25-00486 | 01 |
KY | 64321797 | 05 |
Street Address |
9330 PARK WEST BLVD SUITE 202 |
City | KNOXVILLE |
State | TN |
Zip Code | 37923-4308 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912906991 | Rosalind Cadigan | Obstetrics & Gynecology | 9330 Park West Blvd, Ste 502, Knoxville, TN 37923-4308 | 2005-07-20 |
1326546664 | Lindsay Marie Grammes | Physician Assistant | 9330 Park West Blvd, Knoxville, TN 37923-4308 | 2018-01-31 |
1629524855 | Benjamin Seth Chaffins | Nurse Practitioner | 9330 Park West Blvd, Suite 100, Knoxville, TN 37923-4308 | 2016-08-28 |
1891154092 | Mary Beth Johnson | Nurse Practitioner | 9330 Park West Blvd, Knoxville, TN 37923-4308 | 2016-02-16 |
1699015727 | Tennessee Gyn | Obstetrics & Gynecology | 9330 Park West Blvd, Suite 409, Knoxville, TN 37923-4308 | 2013-02-27 |
1639419237 | Kara Neely | Physician Assistant | 9330 Park West Blvd, Knoxville, TN 37923-4308 | 2013-02-20 |
1003174350 | Andrew David Goins | Internal Medicine | 9330 Park West Blvd, Ste 402, Knoxville, TN 37923-4308 | 2012-04-24 |
1538437348 | Tennessee Orthopaedic Clinics PC | Clinic/Center | 9330 Park West Blvd, Suite 300, Knoxville, TN 37923-4308 | 2011-12-07 |
1639469919 | Feet First, Pllc | Skilled Nursing Facility | 9330 Park West Blvd, Suite #508, Knoxville, TN 37923-4308 | 2011-04-08 |
1366615734 | Ronald William Bryan | Specialist | 9330 Park West Blvd, Suite #103, Knoxville, TN 37923-4308 | 2008-04-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114541240 | Chloe Morgan | Registered Nurse | Parkwest Blvd, Knoxville, TN 37923 | 2020-06-04 |
1215551346 | Kaylee Huskey | Registered Nurse | Park West Blvd, Knoxville, TN 37923 | 2020-06-04 |
1942849914 | American Brace & Limb Enterprise, LLC | Prosthetic/Orthotic Supplier | 9333 Parkwest Blvd., 103, Knoxville, TN 37923 | 2019-12-23 |
1619510690 | Stacia Working | Speech-Language Pathologist | 310 Corporate Dr, Ste 101, Knoxville, TN 37923 | 2019-10-23 |
1497242903 | Mary Ensminger Loomis | Speech-Language Pathologist | 118 N Peters Rd Ste 174, Knoxville, TN 37923 | 2018-04-19 |
1831699602 | Shaun Elizabeth Hoffman | Counselor | 311 Directors Dr, Knoxville, TN 37923 | 2018-02-17 |
1962948737 | East Tennessee Binocular Vision Center Pllc | Optometrist | 9051 Executive Park Dr., Ste. 400, Knoxvville, TN 37923 | 2017-01-17 |
1467815761 | Hearing Conservation Associates Inc | Audiologist | 9301 Parkwest Blvd B-3, Knoxville, TN 37923 | 2016-04-04 |
1710354725 | Independent Physical Therapy, LLC | Occupational Therapist | 8905 Town and Country Cir Ste 9, Knoxville, TN 37923 | 2015-08-25 |
1568863553 | Kathryn Faye Ledbetter | Registered Nurse | 9352 Park W Blvd, Knoxville, TN 37923 | 2014-09-09 |
Find all providers in zip 37923 |
Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356630008 | John Noah Meriwether | Internal Medicine | 9320 Parkwest Blvd, Knoxville, TN 37923 | 2011-04-04 |
1083848733 | Benjamin I Shepple | Internal Medicine | 9153 Hailes Abbey Ln, Knoxville, TN 37922-8563 | 2009-05-11 |
1619154358 | Muddassir Mehmood | Internal Medicine | 1940 Alcoa Hwy Ste E310, Knoxville, TN 37920-2267 | 2008-01-24 |
1982816948 | Hitesh Jitendra Mehta | Internal Medicine | 1819 W Clinch Ave Ste 108, Knoxville, TN 37916-2435 | 2007-05-03 |
1114965902 | Mukesh K Sharma | Internal Medicine | 10810 Parkside Dr Ste 206, Knoxville, TN 37934-1981 | 2006-06-03 |
1083604623 | William C. Lindsay | Internal Medicine | 10800 Parkside Dr, Suite 331, Knoxville, TN 37934-1922 | 2005-10-25 |
1992795702 | Joseph Deleese | Internal Medicine | 10810 Parkside Dr, Suite 301, Knoxville, TN 37934-1979 | 2005-10-24 |
1811986623 | George Menees Krisle IIi | Internal Medicine | 1819 W Clinch Ave, Suite 108, Knoxville, TN 37916-2435 | 2005-10-14 |
1013906809 | Joseph Samuel Smith IIi | Internal Medicine | 1819 Clinch Avenue, Suite 108, Knoxville, TN 37916-2435 | 2005-10-14 |
1285621870 | Gregory Vaughn Brewer | Internal Medicine | 314 Prosperity Drive, Knoxville, TN 37923 | 2005-09-29 |
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.