Tennessee Podiatric Clinics Inc

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

TENNESSEE PODIATRIC CLINICS INC

Practice address

9330 Park West Blvd
Suite 300
Knoxville, TN 37923

Phone

(865) 531-8449

Fax

(865) 692-9142

NPI assigned

Jul 23, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David E Haverly, DPMNPI 1578585139

Title

Ceo Tennessee Podiatric Clinic Inc

Phone

(865) 531-8449

Specialties & licenses 1

Addresses

Other names 1

• Corp Other name

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David E Haverly, DPM

  • Foot & Ankle Surgery Podiatrist
  • Crossville, TN
  • NPI 1578585139
  NPD (past) Authorized official
• Bradley P Gipson, DPM

  • Foot & Ankle Surgery Podiatrist
  • Knoxville, TN
  • NPI 1225042773
  NPD (past)
• Christopher Karol Kelley, D.C.

  • Chiropractor
  • Knoxville, TN
  • NPI 1164435392
  NPD (past)
• Williem Ronald Kelley, DC

  • Chiropractor
  • Knoxville, TN
  • NPI 1780747105
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023030988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32607",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37930",
            "telephone_number": "865-531-8449",
            "fax_number": "865-692-9142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 PARK WEST BLVD",
            "address_2": "SUITE 300",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37923",
            "telephone_number": "865-531-8449",
            "fax_number": "865-692-9142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE PODIATRIC CLINICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAVERLY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO TENNESSEE PODIATRIC CLINIC INC",
        "authorized_official_telephone_number": "865-531-8449",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corp",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Tennessee Physicians Eyecare Group, P.C.
• Tennessee Preferred Medical, LLC
• Tennessee Psychiatry and Psychopharmacology Clinic, P.C.
• Tennessee Recovery LLC
• Tennessee River Medical Group PC (Tennessee River Nephrology and Hypertension)
• Tennessee Spine Specialists PLLC

• Podiatrist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Podiatrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.