Joseph Trent Ellenburg (NPI# 1760794093, PAC ID# 5799084232) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ALLERGY/IMMUNOLOGY.
| Nation Provider ID (NPI) | 1760794093 |
| PAC ID by PECOS | 5799084232 |
| Professional Enrollment ID | I20160504001394 |
| Full Name | Joseph Trent Ellenburg |
| Organization Legal Name | ALLERGY AND ASTHMA AFFILIATES, PC |
| Address |
123 Gill St Alcoa TN 37701-2656 |
| Phone Number | 8659778242 |
| Gender | M |
| Graduation Year | 2010 |
| Primary Specialty | ALLERGY/IMMUNOLOGY |
| Secondary Specialties | INTERNAL MEDICINE, PEDIATRIC MEDICINE |
| Group Practice PAC ID | 7012981772 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 123 Gill St, Alcoa, TN 37701-2656 | 8659778242 | ALLERGY AND ASTHMA AFFILIATES, PC |
| 2121 Highland Ave, Knoxville, TN 37916-1111 | 8655252640 | ALLERGY AND ASTHMA AFFILIATES, PC |
| 9017 Cross Park Dr, Suite 100, Knoxville, TN 37923-8605 | 8656934556 | ALLERGY AND ASTHMA AFFILIATES, PC |
| 7714 Conner Rd, Suite 108, Powell, TN 37849-3559 | 8659387759 | ALLERGY AND ASTHMA AFFILIATES, PC |
| Organization Legal Name | ALLERGY AND ASTHMA AFFILIATES, PC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda J. Mcelmeel | Nurse Practitioner | Allergy and Asthma Affiliates, PC | 1060 Oak Ridge Tpke, Oak Ridge, TN 37830-6439 |
| Megan C Brumbelow | Nurse Practitioner | Allergy and Asthma Affiliates, PC | 2121 Highland Ave, Knoxville, TN 37916-1111 |
| Wilson Scout Robinson Jr. | Pediatric Medicine | Allergy and Asthma Affiliates, PC | 7714 Conner Rd, Suite 108, Powell, TN 37849-3559 |
| Tennille J Kent | Nurse Practitioner | Allergy and Asthma Affiliates, PC | 2121 Highland Ave, Knoxville, TN 37916-1111 |
| Christin R Carter | Nurse Practitioner | Allergy and Asthma Affiliates, PC | 123 Gill St, Alcoa, TN 37701-2656 |
| Donald T Ellenburg | Allergy/immunology | Allergy and Asthma Affiliates, PC | 2121 Highland Ave, Knoxville, TN 37916-1111 |
| Timothy C Frazier | Allergy/immunology | Allergy and Asthma Affiliates, PC | 123 Gill St, Alcoa, TN 37701-2656 |
| Kristine Marie Meade | Nurse Practitioner | Allergy and Asthma Affiliates, PC | 7714 Conner Rd, Suite 108, Powell, TN 37849-3559 |
| Street Address |
123 GILL ST |
| City | ALCOA |
| State | TN |
| Zip | 37701-2656 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew M Singer | Allergy/immunology | 123 Gill St, Alcoa, TN 37701-2656 | |
| Christin R Carter | Nurse Practitioner | Allergy and Asthma Affiliates, PC | 123 Gill St, Alcoa, TN 37701-2656 |
| Timothy C Frazier | Allergy/immunology | Allergy and Asthma Affiliates, PC | 123 Gill St, Alcoa, TN 37701-2656 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melodie Dahl | Nurse Practitioner | Anesthesiology and Pain Management Consultants Inc | 186 Airport Plaza Blvd, Suite E, Alcoa, TN 37701-0024 |
| Olga Mallicoat | Nurse Practitioner | Anesthesiology and Pain Management Consultants Inc | 186 Airport Plaza Blvd, Suite E, Alcoa, TN 37701-0024 |
| Deena L White | Physical Therapy | Mcm Rehabilitation LLC | 721 Louisville Rd, Alcoa, TN 37701-1833 |
| Khaled O Abumayaleh | Optometry | 1030 Hunters Xing Dr, Alcoa, TN 37701-1849 | |
| Brent A Webb | Family Practice | Afc Physicians of Tennessee PC | 1015 Hunters Xing, Alcoa, TN 37701-1850 |
| Edward B Tieng Jr. | Urology | Covenant Medical Group Inc | 205 Corporate Pl, Alcoa, TN 37701-1940 |
| Renee Bailey Quillin | Urology | Covenant Medical Group Inc | 205 Corporate Pl, Alcoa, TN 37701-1940 |
| Jeff E Flickinger | Urology | Covenant Medical Group Inc | 205 Corporate Pl, Alcoa, TN 37701-1940 |
| Carol D Crye | Nurse Practitioner | Covenant Medical Group Inc | 205 Corporate Pl, Alcoa, TN 37701-1940 |
| John T Gay | Dermatology | Blount Memorial Physician Group Inc | 232 Associates Blvd, Alcoa, TN 37701-1943 |
| Find all physicians in zip 37701 | |||
| City | ALCOA |
| Zip Code | 37701 |
| Specialty | ALLERGY/IMMUNOLOGY |
| City + Specialty | ALCOA + ALLERGY/IMMUNOLOGY |
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| 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.