EAST TENN NEUROLOGY CL PC (NPI# 1932308293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932308293 |
| Entity Type | Organization |
| Organization Name | EAST TENN NEUROLOGY CL PC |
| Practice Address |
9430 Parkwest Blvd Suite 350 Knoxville TN 37923-4203 |
| Mailing Address |
9430 Parkwest Blvd Suite 350 Knoxville TN 37923 |
| Practice Telephone | 8655319430 |
| Practice Fax Number | 8655319580 |
| Mailing Telephone | 8655319430 |
| Mailing Fax Number | 8655319580 |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2007-07-19 |
| Authorized Official Name | DR. SAM AL-KABBANI (PRESIDENT) |
| Authorized Official Telephone | 8655319430 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
MD17875 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3386763 | 05 |
| Street Address |
9430 PARKWEST BLVD SUITE 350 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37923-4203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275584716 | Kenneth R O'kelley | Obstetrics & Gynecology | 9430 Parkwest Blvd, Suite 320, Knoxville, TN 37923 | 2006-05-12 |
| 1992087118 | Teresa W Debusk | Nurse Practitioner | 9430 Parkwest Blvd, Suite 320, Knoxville, TN 37923 | 2011-09-14 |
| 1912291501 | Beth E Percer | Nurse Practitioner | 9430 Parkwest Blvd, Suite 320, Knoxville, TN 37923 | 2011-06-01 |
| 1689757866 | Tennessee Cancer Specialists | Non-Pharmacy Dispensing Site | 9430 Parkwest Blvd, Ste 120, Knoxville, TN 37923 | 2006-10-23 |
| 1154338218 | Fred Brown Kaserman | Surgery | 9430 Parkwest Blvd, Suite 240, Knoxville, TN 37923-4204 | 2006-08-02 |
| 1063429124 | Timothy Scott Wilson | Surgery | 9430 Parkwest Blvd, Suite 240, Knoxville, TN 37923 | 2006-08-02 |
| 1952355075 | Jeffrey R Dell | Obstetrics & Gynecology | 9430 Parkwest Blvd, Suite 320, Knoxville, TN 37923 | 2006-05-22 |
| 1952355596 | Korin G Cottam | Obstetrics & Gynecology | 9430 Parkwest Blvd, Suite 320, Knoxville, TN 37923 | 2006-05-19 |
| 1659325322 | Lionel D Mccollum | Obstetrics & Gynecology | 9430 Parkwest Blvd, Suite 320, Knoxville, TN 37923 | 2006-05-19 |
| 1477507143 | Marlyn A Leisy | Obstetrics & Gynecology | 9430 Parkwest Blvd, Suite 320, Knoxville, TN 37923 | 2006-05-19 |
| Find all providers in the same location | ||||
| 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 | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447402268 | Beacon Professional Services, Plc | Psychiatry & Neurology | 1240 Old Weisgarber Rd Ste B, Knoxville, TN 37909-2683 | 2008-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376180216 | Firstep, LLC | Psychiatry & Neurology | 3183 W. State St., Suite 1201, Bristol, TN 37620 | 2019-12-10 |
| 1538703038 | Scott Eric Balogh | Psychiatry & Neurology | 65 Germantown Court, Suite 203, Cordova, TN 38018 | 2019-10-29 |
| 1184190712 | Paul Michael Mccurry | Psychiatry & Neurology | 8100 Enchanted Grove Ln, Powell, TN 37849-6310 | 2018-10-22 |
| 1548757677 | Achieve Wellness Center | Psychiatry & Neurology | 3432 Lebanon Pike, Hermitage, TN 37076-2006 | 2018-04-14 |
| 1932511680 | Harold Embrack | Psychiatry & Neurology | 1005 Dr D. B. Todd Blvd., Nashville, TN 37208-3501 | 2014-05-29 |
| 1669746723 | Life Help Psychiatry & Coaching LLC | Psychiatry & Neurology | 3249 Homewood Dr, Memphis, TN 38128-4409 | 2012-03-06 |
| 1992825889 | Charles Roger Freed Jr. | Psychiatry & Neurology | 5515 Edmondson Pike, Suite 119-e, Nashville, TN 37211-5871 | 2007-04-02 |
| 1679623375 | Richard G. Farmer | Psychiatry & Neurology | 1355 B Lynnfield Road, Suite 158, Memphis, TN 38119 | 2007-01-12 |
| 1629160049 | Paul Ragan | Psychiatry & Neurology | 930 Professional Park Dr, Clarksville, TN 37040-5136 | 2006-09-30 |
| 1831291426 | Donald M Gallant | Psychiatry & Neurology | 5911 Winding River Way, Apt 103, Memphis, TN 38120-2918 | 2006-09-02 |
| 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.