CARRIE DIANE ELLIS-COLANDRO (NPI# 1598956492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598956492 |
| Entity Type | Individual |
| Full Name | CARRIE DIANE ELLIS-COLANDRO |
| Other Name | CARRIE DIANE ELLIS |
| Credential | DO |
| Practice Address |
7541 Crosswood Blvd Suite 1 Knoxville TN 37924-3935 |
| Mailing Address |
1225 E Weisgarber Rd Suite 200 Knoxville TN 37909-2604 |
| Practice Telephone | 8655241661 |
| Practice Fax Number | 8655238406 |
| Mailing Telephone | 8655844747 |
| Mailing Fax Number | 8655841363 |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2017-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 1931 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | MEDICARE GROUP # | 3721613 | 01 |
| Street Address |
7541 CROSSWOOD BLVD SUITE 1 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37924-3935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477599413 | Donald W Parker | Family Medicine | 7541 Crosswood Blvd, Knoxville, TN 37924-3935 | 2006-06-20 |
| 1487045811 | David L Parker Dds PC | Dentist | 7541 Crosswood Blvd, Suite 2, Knoxville, TN 37924-3935 | 2015-02-06 |
| 1477602233 | David Lynn Parker | Dentist | 7541 Crosswood Blvd, Suite #2, Knoxville, TN 37924-3935 | 2007-01-10 |
| 1427137082 | Summit Medical Group, Pllc | Family Medicine | 7541 Crosswood Blvd, Suite 1, Knoxville, TN 37924-3935 | 2006-11-03 |
| 1245326362 | Angela Lett | Physician Assistant | 7541 Crosswood Blvd, Suite 1, Knoxville, TN 37924-3935 | 2006-10-05 |
| 1649216276 | Christopher R Cox | Internal Medicine | 7541 Crosswood Blvd, Suite 1, Knoxville, TN 37924-3935 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275930380 | Mina Farrar | Nurse Practitioner | 139 Fox Rd Suite 201, Knoxville, TN 37924 | 2014-12-04 |
| 1639211667 | Ben Crawford Lott | Pharmacist | 8727-a Asheville Hwy, Knoxville, TN 37924 | 2007-02-13 |
| 1790850832 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 3001 Knoxville Center Dr Ste O, Knoxville, TN 37924 | 2006-11-22 |
| 1851462329 | Daniel Devine | Optometrist | 3000 Mall Road North, Knoxville Center Mall, Knoxville, TN 37924 | 2006-11-13 |
| 1518058056 | James Michael Andrews | Physical Therapy Assistant | 8309 Asheville Hwy., Knoxville, TN 37924 | 2006-09-28 |
| 1669405056 | Dialysis Clinic,inc. | Clinic/Center | 5811 E Gov.johnseiver Hwy, Knoxville, TN 37924 | 2006-07-08 |
| 1356840870 | David Samuel Patil | Pharmacist | 3051 Kinzel Way, Knoxville, TN 37924 | 2018-02-10 |
| 1497909519 | Damorrah Goode | Physical Therapy Assistant | 8309 Asheville Hwy, Knoxville, TN 37924 | 2008-11-17 |
| 1154576510 | Vonda Mcgill | Social Worker | 3947 Bud Mcmillan Rd, Knoxville, TN 37924-1010 | 2008-11-25 |
| 1962019398 | Kayla Blaire Hinkle | Registered Nurse | 8010 Chestnut Hill Ln, Knoxville, TN 37924-1054 | 2020-09-29 |
| Find all providers in zip 37924 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336755271 | Maryellen Tipton | Family Medicine | 1489 Touraine Pl, Knoxville, TN 37919-8278 | 2020-09-16 |
| 1114483864 | Ucfa Physicians Network Group of Tennessee | Family Medicine | 223 Hiawassee Ave, Knoxville, TN 37917-4933 | 2019-02-19 |
| 1285199109 | Summit Medical Group,pllc | Family Medicine | 280 Ft Sanders W Blvd Ste 101, Knoxville, TN 37922-3352 | 2019-02-05 |
| 1558843235 | Geneva Lynne Worthington | Family Medicine | 135 Lovell Rd, Knoxville, TN 37934-1904 | 2018-08-30 |
| 1306325816 | Muslim Community of Knoxville's Shifa Clinic | Family Medicine | 1801 Ailor Ave, Knoxville, TN 37921-5845 | 2018-08-07 |
| 1003307422 | Dakotah Asher | Family Medicine | 4629 Mill Branch Ln, Knoxville, TN 37938-3358 | 2018-05-21 |
| 1417461211 | Lean Knox, LLC | Family Medicine | 1415 Old Weisgarber Rd. Ste 350, Knoxville, TN 37909 | 2017-12-01 |
| 1558884254 | Jck Holdings LLC | Family Medicine | 2270 Sutherland Avenue, Knoxville, TN 37919 | 2017-07-25 |
| 1982133559 | Morgan Spurlock | Family Medicine | 2519 Willow Point Way, Knoxville, TN 37931-3162 | 2017-06-07 |
| 1700332624 | Halls Physician Services, Pllc | Family Medicine | 7000 Maynardville Highway, Knoxville, TN 37918-5736 | 2016-08-31 |
| Find all providers in KNOXVILLE | ||||
Please comment or provide details below to improve the information on CARRIE DIANE ELLIS-COLANDRO.
| 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.