KEVIN BLAZER


Address: 1928 Alcoa Hwy Ste 209, Knoxville, TN 37920-1504
Phone: 8655242547

KEVIN BLAZER (NPI# 1861439648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861439648
Entity Type Individual
Full Name KEVIN BLAZER
Credential PA-C
Practice Address 1928 Alcoa Hwy Ste 209
Knoxville
TN 37920-1504
Practice Telephone 8655242547
Practice Fax Number 8652195070
Mailing Telephone 8655242547
Mailing Fax Number 8655240224
Enumeration Date 2006-06-01
Last Update Date 2020-08-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207N00000X Dermatology PA955 TN Allopathic & Osteopathic Physicians
Y 363A00000X Physician Assistant PA955 TN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TN 1513364 05

Office Location

Street Address 1928 ALCOA HWY STE 209
City KNOXVILLE
State TN
Zip Code 37920-1504

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073693206 Sandra Vaughn Dermatology 1928 Alcoa Hwy Ste 209, Knoxville, TN 37920-1504 2006-10-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033747639 Paul Connor Shanahan Student in an Organized Health Care Education/Training Program 1924 Alcoa Highway, U-109, Knoxville, TN 37920 2020-03-30
1952938904 Eric Becker Student in an Organized Health Care Education/Training Program 1924 Alcoa Highway, U-60, Knoxville, TN 37920 2020-03-26
1174028336 Taylor Boulware Tapscott Nurse Practitioner 3118 Alcoa Highway, Knoxville, TN 37920 2018-03-28
1255860672 Eric Christopher Riedinger Student in an Organized Health Care Education/Training Program 1924 Alcoa Hwy., Box U-11, Knoxville, TN 37920 2017-06-08
1740639277 Claudia Nieuwoudt Student in an Organized Health Care Education/Training Program 1924 Alcoa Highway, Box U-27, Knoxville, Tn 37920, Knoxville, TN 37920 2016-06-06
1841657699 Frances D Thompson Physical Therapy Assistant 717 Lower Pond Way, Knoxville, TN 37920 2016-01-25
1720457989 Independent Physical Therapy, LLC Occupational Therapist 7558 Mountain Grove Dr, Knoxville, TN 37920 2015-09-17
1982071189 Ryan Dulling Physical Therapist 4011 Chapman Hwy Ste J, Knoxville, TN 37920 2015-08-24
1154705614 Kailyn Sorensen Physical Therapist 1926 Alcoa Hwy Ste 200, Knoxville, TN 37920 2015-07-15
1093196420 James Michael Hart II Family Medicine 1925 Alcoa Hwy # 56, Knoxville, TN 37920 2015-06-11
Find all providers in zip 37920

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770198061 John Intemann Physician Assistant 2708 Swafford Rd, Knoxville, TN 37932-1311 2020-09-13
1942839311 Melissa Joanne O'neill Physician Assistant 814 Landings River Way Unit 301, Knoxville, TN 37915-1444 2020-04-07
1447895370 Keiana Skinner Physician Assistant 2206 Finley Cane Ln, Knoxville, TN 37932-1572 2019-11-14
1780231068 Kaycee Heitzman Physician Assistant 3055 W Gallaher Ferry Rd, Knoxville, TN 37932-1022 2019-08-21
1366009169 John Powell Williams Iv Physician Assistant 501 19th St Ste 503, Knoxville, TN 37916-1874 2019-05-28
1508423369 Bradley-james Ryan Faulkner Physician Assistant 1924 Pinnacle Pointe Way Ste 100, Knoxville, TN 37922-3700 2019-05-28
1316406499 David M Beauchamp Physician Assistant 10714 Silver Leaf Way Apt 104, Knoxville, TN 37931-2758 2019-03-18
1568920593 Richard Ervin Birmingham II Physician Assistant 304 Bagwell Rd, Knoxville, TN 37924-2813 2019-03-08
1710443080 Devon Meske Herrin Physician Assistant 6484 Kingston Pike, Knoxville, TN 37919-4863 2019-02-12
1780149070 Shelby Paige Bean Physician Assistant 7661 Red Bay Way, Knoxville, TN 37919-4722 2019-01-31
Find all providers in KNOXVILLE

Competitor

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City KNOXVILLE
Zip Code 37920

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Dataset Information

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.

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