Active NPI
Robert Norman Page, MD
- Dermatopathology (Pathology) Physician
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatopathology (Pathology) Physician
- License
- 33969
- Practice address
- 139 Fox Rd
Ste 204
Knoxville, TN 37922-3472 - Phone
- (865) 474-8866
- Fax
- (865) 238-2626
- NPI assigned
- Jul 8, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatopathology (Pathology) Physician | 207ZD0900X | 33969 | TN | Primary |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 01095024A | IN | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | EMC0006597 | MI |
Addresses
Primary practice location
139 Fox Rd
Ste 204
Knoxville, TN 37922-3472
Mailing address
PO Box 440500
Nashville, TN 37244-0500
Phone (865) 670-6199
Other practice location 1
1521 Gull Rd
Kalamazoo, MI 49048-1640
Phone (269) 226-7231
Other practice location 2
3355 Douglas Rd
South Bend, IN 46635-1779
Phone (574) 234-4176
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3862687 | Medicaid | TN | |
| 4325429 | Other | TN | BCBS DERMATOPATHOLOGY PARTNERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MI, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- University of Arkansas College of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- South Bend Medical Foundation Inc
Practice addresses (Care Compare)
139 Fox Rd
Knoxville, TN 37922-3472
1521 Gull Rd
Kalamazoo, MI 49048-1640
Phone (269) 266-7231
3355 Douglas Rd
South Bend, IN 46635-1779
Phone (574) 234-4176
Merit-based Incentive Payment System (MIPS)
- Final score
- 45 of 100
- Quality
- 90
- Improvement activities
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| EMC0006597 | MI | MD | Anatomic Pathology & Clinical Pathology Physician |
| 33969 | TN | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dermatopathology Partners PC | Dermatopathology | Current | Accepting new patients |
| South Bend Medical Foundation, Inc | Dermatopathology | Current | Accepting new patients |
| Legacy Path LLC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| South Bend Medical Foundation, Inc | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Outreach Clinics Unlimited PLLC | Past | Accepting new patients |
Locations
3355 Douglas Rd
South Bend, IN 46635
Phone (574) 234-4176
530 N Lafayette Blvd
South Bend, IN 46601
Phone (574) 204-5206
1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165
5700 Southwyck Blvd
Toledo, OH 43614
Dept 888136
Knoxville, TN 37995
139 Fox Rd
Ste 204
Knoxville, TN 37922
Phone (865) 201-2560
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dermatopathology (Pathology) Physician
- Knoxville, TN
- NPI 1528330644
-
- Anatomic Pathology & Clinical Pathology Physician
- South Bend, IN
- NPI 1649241084
Dermatopathology
-
- Anatomic Pathology & Clinical Pathology Physician
- South Bend, IN
- NPI 1922623305
MI
-
- Multi-Specialty Clinic/Center
- Memphis, TN
- NPI 1780676650
-
- Dermatology Physician
- Johnson City, TN
- NPI 1467968859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757462400000",
"number": "1023016557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 440500",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372440500",
"telephone_number": "865-670-6199",
"fax_number": "865-670-6188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 FOX RD",
"address_2": "STE 204",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379223472",
"telephone_number": "865-474-8866",
"fax_number": "865-238-2626"
}
],
"practiceLocations": [
{
"address_1": "1521 Gull Rd",
"address_purpose": "LOCATION",
"city": "Kalamazoo",
"state": "MI",
"postal_code": "490481640",
"country_code": "US",
"telephone_number": "269-226-7231",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3355 Douglas Rd",
"address_purpose": "LOCATION",
"city": "South Bend",
"state": "IN",
"postal_code": "466351779",
"country_code": "US",
"telephone_number": "574-234-4176",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAGE",
"first_name": "ROBERT",
"middle_name": "NORMAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-08",
"last_updated": "2025-09-10",
"certification_date": "2025-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "207ZD0900X",
"taxonomy_group": "",
"desc": "Pathology, Dermatopathology",
"state": "TN",
"license": "33969",
"primary": true
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "IN",
"license": "01095024A",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MI",
"license": "EMC0006597",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3862687",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS DERMATOPATHOLOGY PARTNERS",
"identifier": "4325429",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.