EAST TENNESSEE WOMENS SPECIALISTS PLLC (NPI# 1902989775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902989775 |
| Entity Type | Organization |
| Organization Name | EAST TENNESSEE WOMENS SPECIALISTS PLLC |
| Practice Address |
10810 Parkside Dr Suite 400 Knoxville TN 37934-1979 |
| Practice Telephone | 8652186699 |
| Practice Fax Number | 8652186694 |
| Mailing Telephone | 8652186699 |
| Mailing Fax Number | 8652186694 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2007-11-19 |
| Authorized Official Name | MARTHA T COX (CO ADMINISTRATOR) |
| Authorized Official Telephone | 8652186693 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3376249 | 05 |
| Street Address |
10810 PARKSIDE DR SUITE 400 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37934-1979 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992795702 | Joseph Deleese | Internal Medicine | 10810 Parkside Dr, Suite 301, Knoxville, TN 37934-1979 | 2005-10-24 |
| 1841710530 | Kasin Mayne Sanders | Physician Assistant | 10810 Parkside Dr, Knoxville, TN 37934-1979 | 2017-06-22 |
| 1538618988 | Abigail Holt | Nurse Practitioner | 10810 Parkside Dr, Suite 103, Knoxville, TN 37934-1979 | 2016-09-27 |
| 1346633724 | Aaron G Margulies Md Pllc | Surgery | 10810 Parkside Dr, Ste G-11, Knoxville, TN 37934-1979 | 2015-03-10 |
| 1578961967 | Robert Shaun Austin | Physician Assistant | 10810 Parkside Dr, Physicians Plaza I, Suite 209, Knoxville, TN 37934-1979 | 2014-12-17 |
| 1770905960 | Jennifer Guffey | Physician Assistant | 10810 Parkside Dr, Suite 301, Knoxville, TN 37934-1979 | 2014-01-08 |
| 1699017194 | Parkside Internal Medicine,pllc | Internal Medicine | 10810 Parkside Dr, Suite 103, Knoxville, TN 37934-1979 | 2013-03-22 |
| 1356683205 | Parkside Internal Medicine, Pllc | Internal Medicine | 10810 Parkside Dr, Suite 103, Knoxville, TN 37934-1979 | 2013-03-19 |
| 1649524448 | Orthoknox | Orthopaedic Surgery | 10810 Parkside Dr, Suite 209, Knoxville, TN 37934-1979 | 2012-10-31 |
| 1083965248 | Anya Myers Zerilla | Nurse Practitioner | 10810 Parkside Dr, Suite 306, Knoxville, TN 37934-1979 | 2012-09-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437780905 | Knoxville Dentistry Group Pllc | Clinic/Center | 1119 Kingston Pike, Knoxville, TN 37934 | 2020-02-03 |
| 1073087714 | Farragut Modern Dentistry, PC | Dentist | 109 Campbell Station Rd., Farragut, TN 37934 | 2019-01-16 |
| 1669949764 | Cynthia Boger | Optometrist | 11289 Parkside Dr Spc 1108, Knoxville, TN 37934 | 2018-10-26 |
| 1306385927 | Lindsey A Kelley | Registered Nurse | 11217 West Point Drive, Suite 2, Knoxville, TN 37934 | 2017-02-15 |
| 1740736487 | Julie Noll | Occupational Therapy Assistant | 312 Rockwell Farm Lane, Knoxville, TN 37934 | 2016-09-01 |
| 1457719411 | Adrianne Whitelaw | Occupational Therapist | 10717 Deep Woods Lane, Knoxville, TN 37934 | 2016-02-05 |
| 1821486150 | Will Parrott | Physical Therapy Assistant | 917 Weatherly Hills Blvd, Knoxville, TN 37934 | 2015-01-09 |
| 1679988380 | Lutheran Medical Center | Health Maintenance Organization | 305 Dominick Pont, Knoxville, TN 37934 | 2014-06-23 |
| 1518396761 | Dr. Mark Lynn & Associates, Pllc | Eyewear Supplier (Equipment, not the service) | 10930 Parkside Dr., Knoxville, TN 37934 | 2013-11-08 |
| 1770879090 | Meredith Tonks | Optometrist | 12744 Kingston Pike Ste 108, Knoxville, TN 37934 | 2011-06-24 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942437181 | Michael Robert Polin | Obstetrics & Gynecology | 1930 Alcoa Hwy Ste A235, Knoxville, TN 37920-1510 | 2009-06-15 |
| 1821225327 | Kevin Charles Visconti | Obstetrics & Gynecology | 1930 Alcoa Highway, Building A Suite 435, Knoxville, TN 37920 | 2009-06-11 |
| 1992846786 | Women's Health Partners of East Tennessee PC | Obstetrics & Gynecology | 9330 Park West Blvd Ste 300, Knoxville, TN 37923-4311 | 2007-02-12 |
| 1730268855 | Kimberly H Roberts | Obstetrics & Gynecology | 100310 Sherrill Blvd, Knoxville, TN 37932-3336 | 2006-11-02 |
| 1780767640 | Ceeccy Yang | Obstetrics & Gynecology | 10031 Sherrill Blvd, Knoxville, TN 37932-3336 | 2006-10-23 |
| 1588745251 | Jerry Earl Sanders | Obstetrics & Gynecology | 1600 Agawela Ave, Knoxville, TN 37919-8319 | 2006-10-18 |
| 1912017831 | Laurel Ob Gyn Assoc Pa | Obstetrics & Gynecology | 2001 Laurel Ave #404, Knoxville, TN 37916 | 2006-08-30 |
| 1407962558 | Tammy Ewayne Baker | Obstetrics & Gynecology | 2013 Highland Avenue, Knoxville, TN 37916 | 2006-08-22 |
| 1720023708 | Heather Katherine Moss | Obstetrics & Gynecology | 4005 Fountain Valley Dr, Suite 450, Knoxville, TN 37918-5327 | 2006-06-17 |
| 1730133851 | Christine Linda Gale | Obstetrics & Gynecology | 2100 Clinch Ave Ste 130, Knoxville, TN 37916-2224 | 2006-05-22 |
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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.