PETER CHARLES SULACK D.C. (NPI# 1992830095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992830095 |
| Entity Type | Organization |
| Organization Name | PETER CHARLES SULACK D.C. |
| Other Organization Name | EXODUS CHIROPRACTIC |
| Practice Address |
10910 Kingston Pike Suite 101 Knoxville TN 37934-2931 |
| Practice Telephone | 8656752050 |
| Mailing Telephone | 8656752050 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2008-10-27 |
| Authorized Official Name | JOSH EASON (OFFICE MANAGER) |
| Authorized Official Telephone | 8656752050 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | TN | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BLUE CROSS GROUP BILLING | 4033747 | 01 |
| Other Name | Type Code |
|---|---|
| Exodus Chiropractic | Doing Business As Name - Organization |
| Street Address |
10910 KINGSTON PIKE SUITE 101 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37934-2931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760921084 | Caitlin Collins Neely | Physical Therapist | 10910 Kingston Pike, Suite 107, Knoxville, TN 37934-2948 | 2017-02-20 |
| 1578988820 | Drayer Physical Therapy of Tennessee LLC | Physical Therapist | 10910 Kingston Pike, Suite 107, Knoxville, TN 37934-2948 | 2014-02-24 |
| 1790036473 | Gabrielle Catherine Smith | Physical Therapist | 10910 Kingston Pike, Suite 107, Knoxville, TN 37934-2948 | 2012-09-21 |
| 1437422979 | Joseph E Smith | Physical Therapist | 10910 Kingston Pike, Ste 107, Knoxville, TN 37934-2948 | 2012-02-14 |
| 1073880001 | Drayer Physical Therapy Institute LLC | Physical Therapist | 10910 Kingston Pike, Ste 107, Knoxville, TN 37934-2948 | 2011-11-18 |
| 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 |
| Find all providers in zip 37934 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477176105 | Ryan Dolan | Chiropractor | 5400 Clinton Hwy Ste 105, Knoxville, TN 37912-3444 | 2020-05-28 |
| 1134779226 | Matthew Cain | Chiropractor | 7039 Maynardville Pike, Knoxville, TN 37918-5735 | 2019-09-19 |
| 1902379746 | The Vitality Chiropractic PC | Chiropractor | 7216 Wellington Dr Ste 3, Knoxville, TN 37919-5931 | 2019-01-04 |
| 1326554577 | Natalie Kurylo | Chiropractor | 1400 N 6th Ave # E1, Knoxville, TN 37917-6043 | 2017-12-26 |
| 1023528486 | Ryan Teeter | Chiropractor | 117 Center Park Dr Ste 333, Knoxville, TN 37922-2171 | 2017-10-11 |
| 1043750888 | Kristin Drumheller | Chiropractor | 5400 Clinton Hwy, Suite 105, Knoxville, TN 37912-3458 | 2017-02-27 |
| 1992179956 | Bridges Chiropractic | Chiropractor | 117 Huxley Rd Ste B1, Knoxville, TN 37922-3180 | 2015-11-13 |
| 1891171187 | Sara Nelson | Chiropractor | 7827 Montvue Center Way, Knoxville, TN 37919-5575 | 2015-08-10 |
| 1417375700 | David Francis Fair | Chiropractor | 1720 Tonalea Rd, Knoxville, TN 37909 | 2014-04-03 |
| 1750719191 | The Health Factory Pllc | Chiropractor | 2900 Alcoa Hwy, Knoxville, TN 37920-4782 | 2013-10-22 |
| 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.