MR. HARVEY ANDREW PORET III (NPI# 1760459747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760459747 |
| Entity Type | Individual |
| Full Name | MR. HARVEY ANDREW PORET III |
| Credential | MD |
| Practice Address |
9125 Cross Park Dr Ste 200 Knoxville TN 37923-4563 |
| Practice Telephone | 8656325900 |
| Practice Fax Number | 8655465227 |
| Mailing Telephone | 8656325900 |
| Mailing Fax Number | 8655465227 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2020-06-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
28075 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BLUESHIELD | 4029055 | 01 |
| JOHN DEERE | TN0111 | 01 | |
| TN | Q009578 | 05 | |
| TN | 3800546 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 310 N State of Franklin Rd, Ste 101, Johnson City, TN 37604 | 4239297393 | 4239291427 |
| Street Address |
9125 CROSS PARK DR STE 200 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37923-4563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538148630 | Norbert E. Baumgartner | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9125 Cross Park Dr Ste 200, Knoxville, TN 37923-4563 | 2006-01-17 |
| 1053847863 | Richard Preston Asher II | Physician Assistant | 9125 Cross Park Dr Ste 200, Knoxville, TN 37923 | 2017-05-11 |
| 1548709009 | Ryan C Roe | Physician Assistant | 9125 Cross Park Dr Ste 200, Knoxville, TN 37923 | 2017-02-16 |
| 1023553872 | Jacob Ryan Griffith | Physician Assistant | 9125 Cross Park Dr Ste 200, Knoxville, TN 37923-4563 | 2017-01-04 |
| 1225321086 | John M Hance | Surgery | 9125 Cross Park Dr Ste 200, Knoxville, TN 37923-4563 | 2011-05-26 |
| 1285932152 | Angela Shepherd Mccoy | Physician Assistant | 9125 Cross Park Dr Ste 200, Knoxville, TN 37923 | 2011-03-02 |
| 1114970209 | John Carlsen | Physician Assistant | 9125 Cross Park Dr Ste 200, Knoxville, TN 37923-4563 | 2006-05-18 |
| 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 | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902827728 | Christopher Scott Callicutt | Surgery | 6408 Papermill Dr, Knoxville, TN 37919-4858 | 2006-07-21 |
| 1548524184 | University Vascular Surgeons, Pllc | Surgery | 1940 Alcoa Hwy, E120, Knoxville, TN 37920-2244 | 2012-06-28 |
| 1689937989 | Stephen A. Tonks | Surgery | 6408 Papermill Dr, Knoxville, TN 37919-4858 | 2012-06-21 |
| 1598057861 | Afshin Andrew Skibba | Surgery | 6408 Papermill Dr, Knoxville, TN 37919-4858 | 2011-05-05 |
| 1801038716 | Michael Ryan Buckley | Surgery | 1940 Alcoa Hwy, Ste E120, Knoxville, TN 37920-2244 | 2009-03-24 |
| 1386816833 | Deanna L Nelson | Surgery | 6408 Papermill Dr, Knoxville, TN 37919-4858 | 2008-03-25 |
| 1063612323 | Michael Morgan Mcnally | Surgery | 1940 Alcoa Hwy, E120, Knoxville, TN 37920-2244 | 2007-07-24 |
| 1417070103 | Joshua David Arnold | Surgery | 1924 Alcoa Hwy, Box U-11, Knoxville, TN 37920-1511 | 2007-04-09 |
| 1093877557 | Tennessee Surgical Specialists, PC | Surgery | 9217 Park West Blvd, Suite C-2, Knoxville, TN 37923-4404 | 2006-12-14 |
| 1750449443 | Premier Surgical Associates, Pllc | Surgery | 6408 Papermill Dr, Suite 220, Knoxville, TN 37919-4858 | 2006-12-05 |
| 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.