DR. AUDREY MARCELLE SMITH (NPI# 1992818975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992818975 |
| Entity Type | Individual |
| Full Name | DR. AUDREY MARCELLE SMITH |
| Credential | M.D. |
| Practice Address |
1612 Downtown West Blvd Knoxville TN 37919-5408 |
| Practice Telephone | 8653578861 |
| Practice Fax Number | 8653578869 |
| Mailing Telephone | 8653578861 |
| Mailing Fax Number | 8653578869 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2013-05-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | MD028569 | TN | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | MD028569 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3809604 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821601436 | Audrey Renee Smith | Behavior Technician | 5870 El Camino Real Ste 101, Carlsbad, CA 92008-8816 | 2020-08-25 |
| 1477170082 | Audrey Caroline Smith | Physician Assistant | 1303 N 188th St, Elkhorn, NE 68022-4501 | 2020-06-30 |
| 1861676017 | Audrey Rowell Smith | Psychologist | 5326 Soldiers Home Msbg Rd, Miamisburg, OH 45342-1459 | 2007-12-24 |
| 1710194808 | Audrey Littrell Smith | Counselor | 324 West 3rd St, Cedar Falls Counseling Associates, Cedar Falls, IA 50613-2745 | 2007-05-17 |
| 1316981590 | Audrey Sue Smith | Psychologist | 402 Main Street, Saegertown, PA 16433 | 2006-06-16 |
| 1104803725 | Audrey Lyn Smith | Pharmacist | 6450 Sprint Pkwy, Overland Park, KS 66251-6105 | 2005-12-23 |
| 1073138723 | Audrey Smith | Counselor | 1449 Temple Rd, Bremen, GA 30110-2378 | 2020-06-09 |
| 1285277749 | Audrey Dominique Smith | Behavior Technician | 4950 San Bernardino St Ste 101, Montclair, CA 91763-2328 | 2019-10-28 |
| 1760034748 | Audrey Elaine Smith | Counselor | 325 Il Route 2, Dixon, IL 61021-9118 | 2019-07-10 |
| 1184288821 | Audrey Camille Smith | Counselor | 2324 Concord Lake Rd, Concord, NC 28025-2814 | 2019-04-29 |
| Street Address |
1612 DOWNTOWN WEST BLVD |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37919-5408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386622033 | Andrew Sugantharaj | Internal Medicine | 1612 Downtown West Blvd, Knoxville, TN 37919-5408 | 2006-01-04 |
| 1558825125 | Downtown West Medical Center, Pllc | Family Medicine | 1612 Downtown West Blvd, Knoxville, TN 37919-5408 | 2019-01-28 |
| 1093202137 | Mdconnect Healthcare Corporation | Pathology | 1612 Downtown West Blvd, Knoxville, TN 37919-5408 | 2018-04-14 |
| 1609236546 | Atlas Therapy LLC | Clinic/Center | 1612 Downtown West Blvd, Knoxville, TN 37919-5408 | 2016-03-04 |
| 1841675352 | Mary Rachel Cole | Nurse Practitioner | 1612 Downtown West Blvd, Knoxville, TN 37919-5408 | 2015-07-26 |
| 1467884981 | Northstar LLC | Eyewear Supplier (Equipment, not the service) | 1612 Downtown West Blvd, Suite B, Knoxville, TN 37919-5408 | 2013-08-07 |
| 1760524029 | Complete Family Care of Knoxville Pllc | Internal Medicine | 1612 Downtown West Blvd, Knoxville, TN 37919-5408 | 2007-02-13 |
| 1487602090 | Rajesh Dinesh Patel | Physical Therapist | 1612 Downtown West Blvd, Suite B, Knoxville, TN 37919-5408 | 2006-05-05 |
| 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 |
| Find all providers in zip 37919 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336755271 | Maryellen Tipton | Family Medicine | 1489 Touraine Pl, Knoxville, TN 37919-8278 | 2020-09-16 |
| 1114483864 | Ucfa Physicians Network Group of Tennessee | Family Medicine | 223 Hiawassee Ave, Knoxville, TN 37917-4933 | 2019-02-19 |
| 1285199109 | Summit Medical Group,pllc | Family Medicine | 280 Ft Sanders W Blvd Ste 101, Knoxville, TN 37922-3352 | 2019-02-05 |
| 1558843235 | Geneva Lynne Worthington | Family Medicine | 135 Lovell Rd, Knoxville, TN 37934-1904 | 2018-08-30 |
| 1306325816 | Muslim Community of Knoxville's Shifa Clinic | Family Medicine | 1801 Ailor Ave, Knoxville, TN 37921-5845 | 2018-08-07 |
| 1003307422 | Dakotah Asher | Family Medicine | 4629 Mill Branch Ln, Knoxville, TN 37938-3358 | 2018-05-21 |
| 1417461211 | Lean Knox, LLC | Family Medicine | 1415 Old Weisgarber Rd. Ste 350, Knoxville, TN 37909 | 2017-12-01 |
| 1558884254 | Jck Holdings LLC | Family Medicine | 2270 Sutherland Avenue, Knoxville, TN 37919 | 2017-07-25 |
| 1982133559 | Morgan Spurlock | Family Medicine | 2519 Willow Point Way, Knoxville, TN 37931-3162 | 2017-06-07 |
| 1700332624 | Halls Physician Services, Pllc | Family Medicine | 7000 Maynardville Highway, Knoxville, TN 37918-5736 | 2016-08-31 |
| 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.