DR. PAUL S DUDRICK (NPI# 1710070479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710070479 |
| Entity Type | Individual |
| Full Name | DR. PAUL S DUDRICK |
| Credential | MD |
| Practice Address |
1819 W Clinch Ave Ste 200 Knoxville TN 37916-2435 |
| Mailing Address |
Po Box 52948 Knoxville TN 37950-2948 |
| Practice Telephone | 8655243695 |
| Practice Fax Number | 8656023528 |
| Mailing Telephone | 8653065675 |
| Mailing Fax Number | 8655847712 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2013-10-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | MD29501 | TN | Allopathic & Osteopathic Physicians |
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
MD29501 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3811235 | 05 |
| Street Address |
1819 W CLINCH AVE STE 200 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37916-2435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710094180 | Randal Oliver Graham | Surgery | 1819 W Clinch Ave Ste 200, Knoxville, TN 37916-2435 | 2006-08-23 |
| 1700993839 | Michael David Kropilak | Surgery | 1819 W Clinch Ave Ste 200, Knoxville, TN 37916-2435 | 2006-08-24 |
| 1033226162 | Gregory Panos Midis | Surgery | 1819 W Clinch Ave Ste 200, Knoxville, TN 37916-2435 | 2006-08-24 |
| 1811004732 | P. Kevin Zirkle | Surgery | 1819 W Clinch Ave Ste 200, Knoxville, TN 37916-2435 | 2006-08-24 |
| 1326155755 | Richard Allan Brinner | Surgery | 1819 W Clinch Ave Ste 200, Knoxville, TN 37916-2435 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151322 | Chelsea Raye Tanner | Registered Nurse | American Anesthesiology of Tennessee, 501 20th Street, Suite 606, Knoxville, TN 37916 | 2020-10-13 |
| 1003473372 | Mary Katrina Quist Rouse | Nurse Practitioner | 2100 Clinch Ave Ste 330, Knoxville, TN 37916 | 2019-05-22 |
| 1457881724 | Leslie Lynette Taylor | Physical Medicine & Rehabilitation | 2120 Highland Avenue, Knoxville, TN 37916 | 2017-06-19 |
| 1235547423 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 2429 University Commons Way, Knoxville, TN 37916 | 2014-07-31 |
| 1801182340 | Jessica Lee Sheah | Psychiatry & Neurology | 2100 W Clinch Avenue, Suite 210, Knoxville, TN 37916 | 2011-06-23 |
| 1326203548 | Bradley Jason Davis | Internal Medicine | 1819 Clinch Ave Ste 114, Knoxville, TN 37916 | 2008-07-28 |
| 1003012782 | East Tennessee Children's Hospital Association, Inc | Clinic/Center | 2100 West Clinch Avenue, Suite 510, Knoxville, TN 37916 | 2007-06-21 |
| 1922203108 | East Tennessee Children's Hospital Primary Care Center, Inc. | Clinic/Center | 611 22nd Street, Knoxville, TN 37916 | 2007-06-18 |
| 1699825984 | Orthodontic Design By Michael Sawaf | Dentist | 2220 White Ave, Knoxville, TN 37916 | 2007-01-11 |
| 1427115096 | Deborah Lynne Maples | Physical Therapy Assistant | Nhc Ft Sanders 2120 Highland Ave, Knoxville, TN 37916 | 2007-01-03 |
| Find all providers in zip 37916 | ||||
| Taxonomy Code | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053751594 | Benjamin Lewis Hechler | Surgery | 1924 Alcoa Hwy Ste 335, Knoxville, TN 37920-1511 | 2013-06-28 |
| 1194958926 | University Health System, Inc | Surgery | 1926 Alcoa Hwy, Ste 410, Knoxville, TN 37920-1512 | 2009-08-27 |
| 1053510586 | James Michael Lewis | Surgery | 1934 Alcoa Hwy, Suite 476, Knoxville, TN 37920 | 2007-07-14 |
| 1710185921 | University Health System, Inc | Surgery | 1926 Alcoa Hwy, Ste 410, Knoxville, TN 37920-1512 | 2007-07-10 |
| 1376745653 | James Martin Mcloughlin | Surgery | 1934 Alcoa Hwy, Suite 476, Knoxville, TN 37920-1524 | 2007-05-31 |
| 1013098623 | University Health System, Inc | Surgery | 1926 Alcoa Hwy, Ste 410, Knoxville, TN 37920-1512 | 2006-10-18 |
| 1205921285 | Surgical Oncology Associates | Surgery | 9000 Executive Park Dr, C200, Knoxville, TN 37923-4685 | 2006-10-04 |
| 1447343298 | John L Bell | Surgery | 1934 Alcoa Hwy, Ste 476, Knoxville, TN 37920-1524 | 2006-10-02 |
| 1235237843 | Keith D. Gray | Surgery | 1926 Alcoa Hwy, Ste 410, Knoxville, TN 37920-1512 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073036232 | Miriam Wing San Tsao | Surgery | 1211 Union Ave Suite 300, Memphis, TN 38104-3415 | 2017-07-19 |
| 1063582278 | Christine T Mroz | Surgery | 6005 Park, #700, Memphis, TN 38119-5217 | 2006-11-08 |
| 1255383386 | Nicholas J. Economides | Surgery | 6005 Park Ave Ste 700, Memphis, TN 38119-5217 | 2006-05-17 |
| 1952720849 | Rachel Hunter | Surgery | 3601 The Vanderbilt Clinic, Nashville, TN 37232 | 2014-04-08 |
| 1528319357 | West Clinic, P.C. | Surgery | 8000 Wolf River Blvd, Suite 100, Germantown, TN 38138-1754 | 2012-09-19 |
| 1265787550 | Mariana Isabel Chavez | Surgery | 356 24th Ave N Ste 400, Nashville, TN 37203 | 2012-07-23 |
| 1437436797 | West Clinic PC | Surgery | 100 N Humphreys Blvd, Memphis, TN 38120-2146 | 2011-11-14 |
| 1942584594 | West Clinic PC | Surgery | 1385 W Brierbrook Rd, Germantown, TN 38138-2208 | 2011-09-30 |
| 1003132077 | Colleen M Kiernan | Surgery | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2010-04-15 |
| 1144477100 | Deepa Ramakumar Magge | Surgery | Vanderbilt Ingram Cancer Center, 1301 Medical Center Drive, Nashville, TN 37232 | 2008-08-21 |
| 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.