Joby R Edmonds (NPI# 1518114461, PAC ID# 1153475330) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1518114461 |
| PAC ID by PECOS | 1153475330 |
| Professional Enrollment ID | I20140422000878 |
| Full Name | Joby R Edmonds |
| Organization Legal Name | KNOXVILLE GASTROENTEROLOGY ANESTHESIA ASSOCIATES, LLC |
| Address |
629 Delozier Way Suite 100 Powell TN 37849-4030 |
| Phone Number | 8655885121 |
| Gender | M |
| Graduation Year | 2008 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 8325357155 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440081 | LECONTE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 801 N Weisgarber Rd, Suite 100, Knoxville, TN 37909-2707 | 8655885121 | KNOXVILLE GASTROENTEROLOGY ANESTHESIA ASSOCIATES, LLC |
| 629 Delozier Way, Suite 100, Powell, TN 37849-4030 | 8655885121 | KNOXVILLE GASTROENTEROLOGY ANESTHESIA ASSOCIATES, LLC |
| 742 Middle Creek Rd, Sevierville, TN 37862-5019 | 4236390941 | SEVIER ANESTHESIA ASSOCIATES, P.C |
| Organization Legal Name | KNOXVILLE GASTROENTEROLOGY ANESTHESIA ASSOCIATES, LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth Ball | Certified Registered Nurse Anesthetist (crna) | Knoxville Gastroenterology Anesthesia Associates, LLC | 1311 Dowell Springs Blvd, Knoxville, TN 37909-2454 |
| Kurtis J Lansdell | Certified Registered Nurse Anesthetist (crna) | Knoxville Gastroenterology Anesthesia Associates, LLC | 629 Delozier Way, Suite 100, Powell, TN 37849-4030 |
| Street Address |
629 DELOZIER WAY SUITE 100 |
| City | POWELL |
| State | TN |
| Zip | 37849-4030 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kurtis J Lansdell | Certified Registered Nurse Anesthetist (crna) | Knoxville Gastroenterology Anesthesia Associates, LLC | 629 Delozier Way, Suite 100, Powell, TN 37849-4030 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa Headrick | Nurse Practitioner | Knoxville Dermatology Group PC | 7557 Dannaher Dr, Suite G20, Powell, TN 37849-1517 |
| Matthew A Leemkuil | Physical Medicine and Rehabilitation | Summit Medical Group, Pllc | 7744 Conner Rd, Powell, TN 37849-3509 |
| Katherine M Geoghagan | Registered Dietitian Or Nutrition Professional | Summit Medical Group, Pllc | 7744 Conner Rd, Powell, TN 37849-3509 |
| Elizabeth L Gager | Nurse Practitioner | Summit Medical Group, Pllc | 7744 Conner Rd, Powell, TN 37849-3509 |
| David Durbin | Internal Medicine | Summit Medical Group, Pllc | 7744 Conner Rd, Powell, TN 37849-3509 |
| Shannon L Roberts | Nurse Practitioner | Summit Medical Group, Pllc | 7744 Conner Rd, Powell, TN 37849-3509 |
| Glen E Hall | Internal Medicine | Summit Medical Group, Pllc | 7744 Conner Rd, Powell, TN 37849-3509 |
| Michael Douglas Leahy | Internal Medicine | Summit Medical Group, Pllc | 7744 Conner Rd, Powell, TN 37849-3509 |
| Miriam W Brandon | Internal Medicine | Summit Medical Group, Pllc | 7744 Conner Rd, Powell, TN 37849-3509 |
| James Davis Allan Jr. | Internal Medicine | Summit Medical Group, Pllc | 7744 Conner Rd, Powell, TN 37849-3509 |
| Find all physicians in zip 37849 | |||
| City | POWELL |
| Zip Code | 37849 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | POWELL + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Joby R Edmonds.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.