KNOXVILLE CENTER FOR DERMATOLOGY AND PLASTIC SURGERY, PL (NPI# 1942703848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942703848 |
| Entity Type | Organization |
| Organization Name | KNOXVILLE CENTER FOR DERMATOLOGY AND PLASTIC SURGERY, PL |
| Practice Address |
9430 Park West Blvd Ste 240 Knoxville TN 37923 |
| Mailing Address |
Po Box 11268 Knoxville TN 37939-1268 |
| Practice Telephone | 8654704127 |
| Practice Fax Number | 8337903693 |
| Mailing Telephone | 8654704127 |
| Mailing Fax Number | 8337903693 |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2018-06-05 |
| Authorized Official Name | DANIEL P. FOWLER (OWNER) |
| Authorized Official Telephone | 8654704124 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | TN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q035060 | 05 |
| Street Address |
9430 PARK WEST BLVD STE 240 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578687372 | East Tennessee Plastic Surgery,p.c. | Plastic Surgery | 9430 Park West Blvd Ste 240, Knoxville, TN 37923-4204 | 2007-03-19 |
| 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 | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013469725 | Foreveryoung Wellness | Clinic/Center | 5816 Kingston Pike Ste 1, Knoxville, TN 37919-6341 | 2016-10-28 |
| 1992183156 | Behavioral Wellness Centers Pllc | Clinic/Center | 109 Peteson Road, Knoxville, TN 37934-4619 | 2015-05-08 |
| 1306283437 | Micah's Medical Massage | Clinic/Center | 2721 Asbury Rd, Knoxville, TN 37914-6441 | 2013-05-30 |
| 1699068494 | Mercy Primary Care West | Clinic/Center | 10810 Parkside Dr Ste G11, Knoxville, TN 37934-1979 | 2011-05-26 |
| 1093940215 | Geratric Assesment Program | Clinic/Center | Baptist Medical Tower, Blount Aveunue, Suite 650, Knoxville, TN 37920-1632 | 2009-05-18 |
| 1215101829 | Baptist Primary and Senior Care-cherry Street | Clinic/Center | 710 N Cherry St, Knoxville, TN 37914-5254 | 2008-04-15 |
| 1043432511 | Professional Drivers Medical Depots | Clinic/Center | 13060 Palestine Lane, Knoxville, TN 37934 | 2007-05-03 |
| 1104971936 | Occupational Health Systems, Inc | Clinic/Center | 9135 Middlebrook Pike, Knoxville, TN 37923-1425 | 2007-01-24 |
| 1841200177 | Lisa Ross Birth and Womens Center | Clinic/Center | 1925-b Ailor Avenue, Knoxville, TN 37921 | 2006-08-09 |
| 1013980341 | Norwood Senior Center | Clinic/Center | 5541 Clinton Hwy, Knoxville, TN 37912-3475 | 2006-02-08 |
| Find all providers in KNOXVILLE | ||||
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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.