DR. DANIEL M IBACH (NPI# 1619947876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619947876 |
| Entity Type | Individual |
| Full Name | DR. DANIEL M IBACH |
| Credential | MD |
| Practice Address |
2607 Kingston Pike Ste 100 Knoxville TN 37919-3343 |
| Mailing Address |
Po Box 10988 Knoxville TN 37939-0988 |
| Practice Telephone | 9866932255 |
| Practice Fax Number | 8656917888 |
| Mailing Telephone | 8658620998 |
| Mailing Fax Number | 8655441861 |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2019-10-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
29724 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BCBS | 6055128 | 01 |
| TN | Q011395 | 05 | |
| TN | MEDICARE RR | P01572568 | 01 |
| Street Address |
2607 KINGSTON PIKE STE 100 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37919-3343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013485697 | Tennessee Cancer Specialist Pllc | Internal Medicine | 2607 Kingston Pike Ste 100, Knoxville, TN 37919-3343 | 2018-11-13 |
| 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 | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407201882 | Tennessee Cancer Specialists, Pllc | Internal Medicine | 6408 Papermill Drive, Suite 220, Knoxville, TN 37919-4858 | 2016-05-04 |
| 1366740425 | Richert Edgar Goyette | Internal Medicine | 1706 Alcott Manor Ln, Knoxville, TN 37922-8094 | 2011-03-14 |
| 1356585574 | Tennessee Cancer Specialists Pllc | Internal Medicine | 1415 Old Weisgarber Road, Suite 200, Knoxville, TN 37909 | 2009-05-01 |
| 1568510717 | Tennessee Cancer Specialists Pllc | Internal Medicine | 6307 Lonas Dr, Knoxville, TN 37909-2737 | 2007-01-06 |
| 1245387703 | Tennessee Cancer Specialists Pllc | Internal Medicine | 18820 Parkside Drive, Tennova Turkey Creek, Knoxville, TN 37934-1956 | 2007-01-05 |
| 1871693150 | Wahid Hanna, Md, PC | Internal Medicine | 1926 Alcoa Hwy Ste 380 Bldg F, Knoxville, TN 37920-1526 | 2006-09-25 |
| 1841228871 | Tennessee Cancer Specialists Pllc | Internal Medicine | 900 E Hill Ave, Suite 230, Knoxville, TN 37915-2566 | 2006-06-29 |
| 1679543805 | Richard T Grapski | Internal Medicine | 1915 White Avenue, Knoxville, TN 37916 | 2006-01-23 |
| 1588664627 | Raymond Brig | Internal Medicine | 1400 Dowell Springs Road, Suite 200, Knoxville, TN 37909-1292 | 2005-07-29 |
| 1679573372 | Nathan Eric Schrock | Internal Medicine | 101 Blount Ave, Ste 610, Knoxville, TN 37920 | 2005-07-26 |
| 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.