Daniel Stewart Ely (NPI# 1194744516, PAC ID# 9133027758) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1194744516 |
| PAC ID by PECOS | 9133027758 |
| Professional Enrollment ID | I20040102000674 |
| Full Name | Daniel Stewart Ely |
| Organization Legal Name | FACULTY INTERNAL MEDICINE PLLC |
| Address |
11440 Parkside Dr Suite 302 Knoxville TN 37934-2662 |
| Phone Number | 8652881548 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 4789582305 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440015 | UNIVERSITY OF TN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 11440 Parkside Dr, Suite 302, Knoxville, TN 37934-2662 | 8652881548 | FACULTY INTERNAL MEDICINE PLLC |
| 900 E Hill Ave, Suite 290, Knoxville, TN 37915-2568 | 8655251540 | POSITIVELY LIVING INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 99% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 100% | |
| MIPS_EC_113_overall | Colorectal Cancer Screening | 100% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | FACULTY INTERNAL MEDICINE PLLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Crystal L Gue | Internal Medicine | Faculty Internal Medicine Pllc | 11440 Parkside Dr, Suite 302, Knoxville, TN 37934-2662 |
| Jessica Ivey | Internal Medicine | Faculty Internal Medicine Pllc | 11440 Parkside Dr, Suite 302, Knoxville, TN 37934-2662 |
| Amy L. Barnett | Internal Medicine | Faculty Internal Medicine Pllc | 11440 Parkside Dr, Suite 302, Knoxville, TN 37934-2662 |
| Mary Jo Stone Biss | Nurse Practitioner | Faculty Internal Medicine Pllc | 11440 Parkside Dr, Suite 302, Knoxville, TN 37934-2662 |
| Amanda Blevins | Nurse Practitioner | Faculty Internal Medicine Pllc | 11440 Parkside Dr, Suite 302, Knoxville, TN 37934-2662 |
| Nathaniel R Piel | Internal Medicine | Faculty Internal Medicine Pllc | 11440 Parkside Dr, Suite 302, Knoxville, TN 37934-2662 |
| Judith D Kinzy | Internal Medicine | Faculty Internal Medicine Pllc | 11440 Parkside Dr, Suite 302, Knoxville, TN 37934-2662 |
| Street Address |
11440 PARKSIDE DR SUITE 302 |
| City | KNOXVILLE |
| State | TN |
| Zip | 37934-2662 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Crystal L Gue | Internal Medicine | Faculty Internal Medicine Pllc | 11440 Parkside Dr, Suite 302, Knoxville, TN 37934-2662 |
| Jessica Ivey | Internal Medicine | Faculty Internal Medicine Pllc | 11440 Parkside Dr, Suite 302, Knoxville, TN 37934-2662 |
| Amy L. Barnett | Internal Medicine | Faculty Internal Medicine Pllc | 11440 Parkside Dr, Suite 302, Knoxville, TN 37934-2662 |
| Susan Parker | Nurse Practitioner | Vanderbilt University Medical Center | 11440 Parkside Dr, Knoxville, TN 37934-2658 |
| Mary Jo Stone Biss | Nurse Practitioner | Faculty Internal Medicine Pllc | 11440 Parkside Dr, Suite 302, Knoxville, TN 37934-2662 |
| Amanda Blevins | Nurse Practitioner | Faculty Internal Medicine Pllc | 11440 Parkside Dr, Suite 302, Knoxville, TN 37934-2662 |
| Nathaniel R Piel | Internal Medicine | Faculty Internal Medicine Pllc | 11440 Parkside Dr, Suite 302, Knoxville, TN 37934-2662 |
| Judith D Kinzy | Internal Medicine | Faculty Internal Medicine Pllc | 11440 Parkside Dr, Suite 302, Knoxville, TN 37934-2662 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David L Owens | Nurse Practitioner | Urgent Family Care, Pllc | 108 Lovell Rd A, Knoxville, TN 37934-1903 |
| April D Mcgeorge | Nurse Practitioner | Urgent Family Care, Pllc | 108 Lovell Rd A, Knoxville, TN 37934-1903 |
| Johnny R Rivers | Nurse Practitioner | Urgent Family Care, Pllc | 108 Lovell Rd A, Knoxville, TN 37934-1903 |
| Christopher Michael Kulisek | Gastroenterology | Knoxville Hma Physician Management, LLC | 10810 Parkside Dr, Suite G 15, Knoxville, TN 37934-1921 |
| Harry L Bishop | Cardiovascular Disease (cardiology) | Knoxville Hma Cardiology Ppm, LLC | 10800 Parkside Dr, Suite 331, Knoxville, TN 37934-1922 |
| Cynthia M Niendorff | Anesthesiology | American Anesthesiology of Tennessee PC | 10820 Parkside Dr, Suite 208, Knoxville, TN 37934-1956 |
| John M Pope | Emergency Medicine | App of East Tennessee Ed Pllc | 10820 Parkside Dr, Knoxville, TN 37934-1956 |
| Douglas E Holland | Emergency Medicine | App of East Tennessee Ed Pllc | 10820 Parkside Dr, Knoxville, TN 37934-1956 |
| Ryan S Flesher | Emergency Medicine | App of East Tennessee Ed Pllc | 10820 Parkside Dr, Knoxville, TN 37934-1956 |
| Kimberly D Smith | Nurse Practitioner | Farragut Inpatient Services Pllc | 10820 Parkside Dr, Knoxville, TN 37934-1956 |
| Find all physicians in zip 37934 | |||
| City | KNOXVILLE |
| Zip Code | 37934 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | KNOXVILLE + INTERNAL MEDICINE |
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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.