DR. CHRISTOPHER SCOTT CALLICUTT (NPI# 1902827728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902827728 |
| Entity Type | Individual |
| Full Name | DR. CHRISTOPHER SCOTT CALLICUTT |
| Credential | M.D. |
| Practice Address |
6408 Papermill Dr Knoxville TN 37919-4858 |
| Mailing Address |
Po Box 52948 Knoxville TN 37950-2948 |
| Practice Telephone | 8655888229 |
| Practice Fax Number | 8652120163 |
| Mailing Telephone | 8653065675 |
| Mailing Fax Number | 8655847712 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2019-01-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
MD0000044749 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1514232 | 05 |
| Street Address |
6408 PAPERMILL DR |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37919-4858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770120479 | Cameron M Rayment | Physician Assistant | 6408 Papermill Dr, Knoxville, TN 37919-4858 | 2019-12-02 |
| 1780241539 | Caroline Elizabeth Williams | Physician Assistant | 6408 Papermill Dr, Knoxville, TN 37919-4858 | 2019-05-28 |
| 1518423847 | Sadia Khan | Nurse Practitioner | 6408 Papermill Dr, Knoxville, TN 37919-4858 | 2019-02-12 |
| 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 |
| 1285806919 | Premier Surgical Associates, Pllc | Prosthetic/Orthotic Supplier | 6408 Papermill Dr, Suite 100, Knoxville, TN 37919-4858 | 2008-04-02 |
| 1386816833 | Deanna L Nelson | Surgery | 6408 Papermill Dr, Knoxville, TN 37919-4858 | 2008-03-25 |
| 1750449443 | Premier Surgical Associates, Pllc | Surgery | 6408 Papermill Dr, Suite 220, Knoxville, TN 37919-4858 | 2006-12-05 |
| 1104904028 | John R Reisser | Surgery | 6408 Papermill Dr, Knoxville, TN 37919-4858 | 2006-11-01 |
| 1013019322 | Charles Stone Mitchell | Surgery | 6408 Papermill Dr, Knoxville, TN 37919-4858 | 2006-09-05 |
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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 |
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| 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 |
|---|---|---|---|---|
| 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 |
| 1083722201 | Oscar H Grandas Md Pllc | Surgery | 1924 Alcoa Hwy, E120, Knoxville, TN 37920-1511 | 2006-08-28 |
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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.