FORT SANDERS REGIONAL MEDICAL CENTER (NPI# 1942294814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942294814 |
| Entity Type | Organization |
| Organization Name | FORT SANDERS REGIONAL MEDICAL CENTER |
| Practice Address |
1901 W Clinch Ave Knoxville TN 37916-2307 |
| Mailing Address |
Dept 888001 Knoxville TN 37995-8001 |
| Practice Telephone | 8653743000 |
| Mailing Telephone | 8653743000 |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2020-09-11 |
| Authorized Official Name | KEVIN D BROWN (VP PATIENT ACCOUNT SERVICES) |
| Authorized Official Telephone | 8653743090 |
| Is Organization Subpart | Y |
| Parent Organization Name | COVENANT HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 0000000043 | TN | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 0440125 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306247515 | Fort Sanders Regional Medical Center | General Acute Care Hospital | 614 Emory Oak Ct, Knoxville, TN 37909-3439 | 2014-09-07 |
| 1265410948 | Fort Sanders Regional Medical Center | Skilled Nursing Facility | 1901 Clinch Avenue, Knoxville, TN 37995-0001 | 2006-01-04 |
| 1780868075 | Fort Sanders Regional Medical Center | General Acute Care Hospital | 1901 W Clinch Ave, Knoxville, TN 37916-2307 | 2007-12-21 |
| 1952508095 | Fort Sanders Regional Medical Center | Pharmacy | 1901 W Clinch Ave, Knoxville, TN 37916-2307 | 2007-07-02 |
| 1518945799 | Fort Sanders Regional Medical Center | Rehabilitation Unit | 1901 Clinch Avenue, Knoxville, TN 37995-0001 | 2006-01-06 |
| 1629066378 | Fort Sanders Regional Medical Center | Pharmacy | 1901 W Clinch Ave, Knoxville, TN 37916-2307 | 2005-10-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FORT SANDERS REGIONAL MEDICAL CENTER | 1901 Clinch Ave, Knoxville, TN 37916-2307 |
| Street Address |
1901 W CLINCH AVE |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37916-2307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902806722 | Select Specialty Hospital - Knoxville Inc | Long Term Care Hospital | 1901 W Clinch Ave, 4th Fl N, Knoxville, TN 37916-2307 | 2005-07-22 |
| 1447767793 | Evan Joseph Wojtala | Nurse Anesthetist, Certified Registered | 1901 W Clinch Ave, Knoxville, TN 37916-2307 | 2018-01-09 |
| 1760992093 | Nicholeah Jade Lewallen | Pharmacist | 1901 W Clinch Ave, Knoxville, TN 37916-2307 | 2017-09-30 |
| 1053762732 | Joshua Aaron Barnes | Nurse Practitioner | 1901 W Clinch Ave, Knoxville, TN 37916-2307 | 2016-06-24 |
| 1972965275 | Michelle Samples | Physician Assistant | 1901 W Clinch Ave, Knoxville, TN 37916-2307 | 2016-03-25 |
| 1447654389 | Allie Torrence | Pharmacist | 1901 W Clinch Ave, Knoxville, TN 37916-2307 | 2014-10-21 |
| 1942625645 | Kathryn Pionke | Physician Assistant | 1901 W Clinch Ave, Knoxville, TN 37916-2307 | 2014-03-04 |
| 1386908176 | Shawn Thomas Robertson | Emergency Medicine | 1901 W Clinch Ave, Fort Sanders Regional Medical Center, Knoxville, TN 37916-2307 | 2012-06-27 |
| 1235442278 | Kevin L Sprouse | Emergency Medicine | 1901 W Clinch Ave, Knoxville, TN 37916-2307 | 2010-07-20 |
| 1326219064 | Lisa B. Yopp | Nurse Practitioner | 1901 W Clinch Ave, Knoxville, TN 37916-2307 | 2008-03-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151322 | Chelsea Raye Tanner | Registered Nurse | American Anesthesiology of Tennessee, 501 20th Street, Suite 606, Knoxville, TN 37916 | 2020-10-13 |
| 1003473372 | Mary Katrina Quist Rouse | Nurse Practitioner | 2100 Clinch Ave Ste 330, Knoxville, TN 37916 | 2019-05-22 |
| 1457881724 | Leslie Lynette Taylor | Physical Medicine & Rehabilitation | 2120 Highland Avenue, Knoxville, TN 37916 | 2017-06-19 |
| 1235547423 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 2429 University Commons Way, Knoxville, TN 37916 | 2014-07-31 |
| 1801182340 | Jessica Lee Sheah | Psychiatry & Neurology | 2100 W Clinch Avenue, Suite 210, Knoxville, TN 37916 | 2011-06-23 |
| 1326203548 | Bradley Jason Davis | Internal Medicine | 1819 Clinch Ave Ste 114, Knoxville, TN 37916 | 2008-07-28 |
| 1003012782 | East Tennessee Children's Hospital Association, Inc | Clinic/Center | 2100 West Clinch Avenue, Suite 510, Knoxville, TN 37916 | 2007-06-21 |
| 1922203108 | East Tennessee Children's Hospital Primary Care Center, Inc. | Clinic/Center | 611 22nd Street, Knoxville, TN 37916 | 2007-06-18 |
| 1699825984 | Orthodontic Design By Michael Sawaf | Dentist | 2220 White Ave, Knoxville, TN 37916 | 2007-01-11 |
| 1427115096 | Deborah Lynne Maples | Physical Therapy Assistant | Nhc Ft Sanders 2120 Highland Ave, Knoxville, TN 37916 | 2007-01-03 |
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| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306247515 | Fort Sanders Regional Medical Center | General Acute Care Hospital | 614 Emory Oak Ct, Knoxville, TN 37909-3439 | 2014-09-07 |
| 1083696454 | Mercy Health System, Inc. | General Acute Care Hospital | 900 East Oak Hill Avenue, Knoxville, TN 37917-4556 | 2005-11-18 |
| 1881074003 | Veterans Health Administration | General Acute Care Hospital | 1515 W Pleasant St, Knoxville, IA 50138-3399 | 2015-06-03 |
| 1184968588 | Ut Department of Pathology | General Acute Care Hospital | 1924 Alcoa Hwy, Knoxville, TN 37920-1511 | 2012-11-26 |
| 1497028302 | Ut Medical Center Knoxville | General Acute Care Hospital | 1924 Alcoa Hwy, Knoxville, TN 37920-1511 | 2012-02-23 |
| 1780868075 | Fort Sanders Regional Medical Center | General Acute Care Hospital | 1901 W Clinch Ave, Knoxville, TN 37916-2307 | 2007-12-21 |
| 1992778823 | Baptist Hospital West, Inc. | General Acute Care Hospital | 10820 Parkside Dr, Knoxville, TN 37934-1956 | 2006-02-10 |
| 1609849538 | Baptist Hospital for Women, Inc. | General Acute Care Hospital | 10820 Parkside Dr, Knoxville, TN 37934-1956 | 2006-02-10 |
| 1760454508 | Baptist Hospital of East Tennessee, Inc. | General Acute Care Hospital | 137 E Blount Ave, Knoxville, TN 37920-1601 | 2006-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174033906 | Behavioral Health of Rocky Top, LLC | General Acute Care Hospital | 210 Industrial Park Dr, Rocky Top, TN 37769-2301 | 2017-10-06 |
| 1104290667 | Michelle Mcconnell Spradley | General Acute Care Hospital | 5006 Dell Dr, Mount Juliet, TN 37122-4157 | 2015-11-20 |
| 1215301981 | Cheryl Hall Wideman | General Acute Care Hospital | 3721 Russell Hurst Dr E, Bartlett, TN 38135-1965 | 2015-11-18 |
| 1104206135 | Vanderbilt University | General Acute Care Hospital | 62 Parks Ln, Fayetteville, TN 37334-6642 | 2015-06-04 |
| 1740609130 | Select Specialty | General Acute Care Hospital | 2000 Hayes St Ste 1502, Nashville, TN 37203-2318 | 2014-04-14 |
| 1710301320 | Veronica Blackman | General Acute Care Hospital | 447 Shelley Renee Ln, Cordova, TN 38018-4310 | 2014-02-18 |
| 1962826107 | Hoke Steven Fitzgerald | General Acute Care Hospital | 1073 Smithfield Rd, Tellico Plains, TN 37385-6137 | 2014-02-07 |
| 1336560598 | Vanderbilt University Medical Center | General Acute Care Hospital | 607 Medical Arts Building, 1121 21st Avenue South, Nashville, TN 37232-1320 | 2013-12-13 |
| 1710314554 | Centennial | General Acute Care Hospital | 552 Metroplex Dr, Nashville, TN 37211-3133 | 2013-10-10 |
| 1326482167 | Ut College of Medicine Chattanooga | General Acute Care Hospital | 2830 Haywood Ave, Chattanooga, TN 37415-5939 | 2013-04-23 |
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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.