DR. PAUL SANFORD PICKHOLTZ (NPI# 1568578979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568578979 |
| Entity Type | Individual |
| Full Name | DR. PAUL SANFORD PICKHOLTZ |
| Credential | MD |
| Practice Address |
7557 Dannaher Dr Suite 130 Powell TN 37849-3558 |
| Practice Telephone | 8658597330 |
| Practice Fax Number | 8658597339 |
| Mailing Telephone | 8658597330 |
| Mailing Fax Number | 8658597339 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2017-04-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MD49699 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | RR MEDICARE PTAN | P01203321 | 01 |
| WV | MEDICARE PTAN | WV0682A | 01 |
| WV | MEDICAID | 3810011422 | 01 |
| Street Address |
7557 DANNAHER DR SUITE 130 |
| City | POWELL |
| State | TN |
| Zip Code | 37849-3558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669913968 | Emily R Boyer | Physical Therapist | 7557 Dannaher Dr, Suite G30, Powell, TN 37849-3558 | 2017-03-20 |
| 1457715807 | Kathryn O'dell | Physical Therapist | 7557 Dannaher Dr, Suite G30, Powell, TN 37849-3558 | 2016-04-12 |
| 1457733958 | Garrett Rich | Physical Therapist | 7557 Dannaher Dr, Suite G3, Powell, TN 37849-3558 | 2015-06-22 |
| 1598146672 | William Ross Stevenson | Physical Therapist | 7557 Dannaher Dr, Suite G30, Powell, TN 37849-3558 | 2015-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104380930 | Fannon Drug Co. | Pharmacy | 606 E. Emory Rd, Powell, TN 37849 | 2019-01-25 |
| 1417472507 | New Haven, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8001 Conner Road Ste102, Powell, TN 37849 | 2017-08-09 |
| 1790207785 | Sarah Beuerlein Guerrette | Registered Nurse | 7730 Dannaher Drive, Powell, TN 37849 | 2017-07-11 |
| 1255860383 | Eye Surgery Center of Knoxville, LLC | Clinic/Center | 7739 Dannaher Drive, Powell, TN 37849 | 2017-06-12 |
| 1306375720 | Elizabeth Kathy Haun | Nurse Practitioner | 325 Strader Rd, Powell, TN 37849 | 2017-06-08 |
| 1063642593 | Emily H Griffith | Pharmacist | 430 Emory Road, Powell, TN 37849 | 2009-07-17 |
| 1497909428 | Carolyn E Pendergast | Occupational Therapist | 7557 Dannaher Lane, Suite G30, Powell, TN 37849 | 2008-11-04 |
| 1982883468 | Marcella June Greene | Surgery | 7557a Dannaher Dr, Suite 110, Powell, TN 37849 | 2007-10-31 |
| 1629260542 | Frances L Do | Physician Assistant | 7557 Dannaher Dr., Tennessee Urology Associates, Powell, TN 37849 | 2007-08-14 |
| 1780715870 | Diane Elizabeth Crabb | Registered Nurse | 7714 Conner Road, Ste 105, Powell, TN 37849 | 2007-03-08 |
| Find all providers in zip 37849 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1346205358 | Chad E Potteiger | Internal Medicine | 7557a Dannaher Drive, Suite 140, Powell, TN 37849 | 2006-04-20 |
| 1477716744 | Sirisha Jasti | Internal Medicine | 7557b Dannaher Dr Ste 225, Powell, TN 37849-3568 | 2008-07-08 |
| 1386681310 | Michael R Ellis | Internal Medicine | 7557b Dannaher Dr Ste 225, Powell, TN 37849-3568 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467739573 | Daniel E. Gremillion | Internal Medicine | 413 W Brookfield Dr, Nashville, TN 37205-4407 | 2011-11-03 |
| 1679879092 | Dhara Jesangbhai Chaudhari | Internal Medicine | 310 N State of Franklin Rd Ste 202, Johnson City, TN 37604-6063 | 2011-02-02 |
| 1750685889 | Howard E. Rosen | Internal Medicine | 64 Old Club Ct, Nashville, TN 37215-1100 | 2011-01-04 |
| 1427358886 | James Jeremiah Upshaw | Internal Medicine | 421 Avon Rd, Memphis, TN 38117-1808 | 2010-11-01 |
| 1154637122 | Digestive Healthcare of Central Tennessee, Pllc | Internal Medicine | 112 Airport Business Park Drive, Suite G, Shelbyville, TN 37160 | 2010-08-27 |
| 1326370784 | East Tennessee Gastroenterology, Pllc | Internal Medicine | 2404 Chambliss Ave Nw, Cleveland, TN 37311-3848 | 2010-02-09 |
| 1376703405 | Susanna Rae Crouch | Internal Medicine | 2341 Mccallie Avenue. Plaza 3, Ste. 406., Gastroenterology Associates of Chattanooga, PC, Chattanooga, TN 37404-3229 | 2008-06-12 |
| 1790984300 | Laxmi Parsa | Internal Medicine | 979 E 3rd St Ste C825, Chattanooga, TN 37403 | 2007-07-13 |
| 1407909187 | Nashville Gastroenterology Consultants, P. C. | Internal Medicine | 2400 Patterson St Ste 515, Nashville, TN 37203-6516 | 2007-01-18 |
| 1316013121 | Alan F Shikoh | Internal Medicine | 721 Glenwood Dr Ste W473, Chattanooga, TN 37404 | 2006-11-27 |
| Find all providers with the same taxonomy | ||||
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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.