MARBLE CITY CHIROPRACTIC (NPI# 1649513490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649513490 |
| Entity Type | Organization |
| Organization Name | MARBLE CITY CHIROPRACTIC |
| Practice Address |
265 Brookview Centre Way Suite 103 Knoxville TN 37919-4049 |
| Practice Telephone | 4045421786 |
| Mailing Telephone | 4045421786 |
| Enumeration Date | 2013-03-30 |
| Last Update Date | 2013-03-30 |
| Authorized Official Name | DR. MARK JACOB PENDERGRASS (OWNER) |
| Authorized Official Telephone | 4045421786 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2587 | TN | Chiropractic Providers |
| Street Address |
265 BROOKVIEW CENTRE WAY SUITE 103 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37919-4049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376512889 | Alvinia C Proffitt | Nurse Practitioner | 265 Brookview Centre Way, Suite 400, Knoxville, TN 37919-4049 | 2006-03-16 |
| 1477910594 | John Stillings | Anesthesiologist Assistant | 265 Brookview Centre Way, Knoxville, TN 37919-4049 | 2016-01-20 |
| 1396113973 | Marble City Family Chiropractic LLC | Chiropractor | 265 Brookview Centre Way, Suite 103, Knoxville, TN 37919-4049 | 2015-09-12 |
| 1205203809 | Alicia Marie Irwin-bloom | Chiropractor | 265 Brookview Centre Way, Suite 103, Knoxville, TN 37919-4049 | 2015-08-31 |
| 1578974267 | Arthur Lewis Muse Jr. | Emergency Medicine | 265 Brookview Centre Way, Knoxville, TN 37919-4049 | 2014-05-15 |
| 1992127609 | Anesthesia Services of Omaha LLC | Anesthesiology | 265 Brookview Centre Way, Suite 400, Knoxville, TN 37919-4049 | 2014-01-15 |
| 1154742419 | Jason Eric Bloom | Chiropractor | 265 Brookview Centre Way, Suite 103, Knoxville, TN 37919-4049 | 2014-01-03 |
| 1578805560 | Amy Marie Huser | Nurse Anesthetist, Certified Registered | 265 Brookview Centre Way, Knoxville, TN 37919-4049 | 2013-03-18 |
| 1669712378 | Chelsea Bowen | Physician Assistant | 265 Brookview Centre Way, Suite 400, Knoxville, TN 37919-4049 | 2013-02-18 |
| 1003182767 | Emergency Services of Virginia PC | Family Medicine | 265 Brookview Centre Way, Suite 400, Knoxville, TN 37919-4049 | 2012-03-28 |
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| 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 | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477176105 | Ryan Dolan | Chiropractor | 5400 Clinton Hwy Ste 105, Knoxville, TN 37912-3444 | 2020-05-28 |
| 1134779226 | Matthew Cain | Chiropractor | 7039 Maynardville Pike, Knoxville, TN 37918-5735 | 2019-09-19 |
| 1902379746 | The Vitality Chiropractic PC | Chiropractor | 7216 Wellington Dr Ste 3, Knoxville, TN 37919-5931 | 2019-01-04 |
| 1326554577 | Natalie Kurylo | Chiropractor | 1400 N 6th Ave # E1, Knoxville, TN 37917-6043 | 2017-12-26 |
| 1023528486 | Ryan Teeter | Chiropractor | 117 Center Park Dr Ste 333, Knoxville, TN 37922-2171 | 2017-10-11 |
| 1043750888 | Kristin Drumheller | Chiropractor | 5400 Clinton Hwy, Suite 105, Knoxville, TN 37912-3458 | 2017-02-27 |
| 1992179956 | Bridges Chiropractic | Chiropractor | 117 Huxley Rd Ste B1, Knoxville, TN 37922-3180 | 2015-11-13 |
| 1891171187 | Sara Nelson | Chiropractor | 7827 Montvue Center Way, Knoxville, TN 37919-5575 | 2015-08-10 |
| 1417375700 | David Francis Fair | Chiropractor | 1720 Tonalea Rd, Knoxville, TN 37909 | 2014-04-03 |
| 1750719191 | The Health Factory Pllc | Chiropractor | 2900 Alcoa Hwy, Knoxville, TN 37920-4782 | 2013-10-22 |
| 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.