TENNESSEE UROLOGY ASSOCIATES, PLLC (NPI# 1669416442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669416442 |
| Entity Type | Organization |
| Organization Name | TENNESSEE UROLOGY ASSOCIATES, PLLC |
| Practice Address |
9041 Executive Park Dr Ste 112 Knoxville TN 37923-4603 |
| Practice Telephone | 8656900602 |
| Practice Fax Number | 8656900515 |
| Mailing Telephone | 8656900602 |
| Mailing Fax Number | 8656900515 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2018-08-17 |
| Authorized Official Name | LEE CONGLETON (PRESIDENT) |
| Authorized Official Telephone | 8656900602 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3714759 | 05 | |
| TN | 3714755 | 05 | |
| TN | MEDICARE RAILROAD | CI2260 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9724 Kingston Pike, Suite 800, Knoxville, TN 379226913 | 8656900602 | 8656900515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770751216 | Tennessee Urology Associates, Pllc | Urology | 800 Oak Ridge Tpke, Suite A101, Oak Ridge, TN 37830-6957 | 2008-02-19 |
| 1831308006 | Tennessee Urology Associates, Pllc | Urology | 2001 Laurel Ave, Suite 502, Knoxville, TN 37916-1810 | 2007-05-22 |
| 1932318284 | Tennessee Urology Associates, Pllc | Urology | 7557 Dannaher Way, Suite 230, Powell, TN 37849-3558 | 2007-05-22 |
| Street Address |
9041 EXECUTIVE PARK DR STE 112 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37923-4603 |
| 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 | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891940904 | John-paul Lamar Newport | Urology | 2001 Laurel Ave Ste 502, Knoxville, TN 37916-1876 | 2008-11-18 |
| 1194988436 | Renee Bailey Quillin | Urology | 2001 Laurel Ave Ste 508, Knoxville, TN 37916-1810 | 2008-07-08 |
| 1831185107 | Garrett Henry Lischer | Urology | 9245 Park West Blvd, Knoxville, TN 37923-4425 | 2005-09-22 |
| 1316948029 | Edward D Kim | Urology | 1928 Alcoa Hwy, Bldg B Suite 222, Knoxville, TN 37920-1502 | 2005-08-03 |
| 1619976156 | Steven R Mynatt | Urology | 2805 W Governor John Sevier Hwy, Knoxville, TN 37920-5552 | 2005-07-18 |
| 1760840763 | Better Life Medical PC | Urology | 1328 Papermill Pointe Way, Knoxville, TN 37909-1903 | 2016-02-04 |
| 1811378219 | Matthew Sorensen | Urology | 1924 Alcoa Hwy # U-11, Knoxville, TN 37920-1511 | 2015-06-11 |
| 1043573355 | Kyle B Basham | Urology | 1924 Alcoa Hwy # U-11, Knoxville, TN 37920-1511 | 2012-06-21 |
| 1720382336 | Men's Health Management of East Tennessee | Urology | 10820 Parkside Dr, Knoxville, TN 37934-1956 | 2010-12-23 |
| 1407167018 | James M Bienvenu | Urology | 1928 Alcoa Hwy, Mob B Suite 222, Knoxville, TN 37920-1504 | 2010-06-29 |
| 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.