Allen Stephen Uhlik, M.D.
Individual provider Active NPI Geriatric Medicine (Internal Medicine) Physician · Copperhill, TN
NPI 1023097177 · NPPES record last updated Jun 17, 2010
Key facts
- NPI
- 1023097177
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician 207RG0300X
- License
- 22149 (TN)
- Practice address
- 144 Medical Center Dr
Copperhill, TN 37317-5000 - Phone
- (423) 496-7672
- Fax
- (423) 496-1034
- NPI assigned
- Jan 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Miami, LM Miller School of Medicine, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2708 Hwy 68
Turtletown, TN 37391-4851
Phone (423) 496-7672
Hospital & facility affiliations
- Blue Ridge Medical Center
- Affiliate of Vitruvian Health
- Union General Hospital
- Diversicare of Copper Basin
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070711000789 | TN | Practitioner - Internal Medicine | 2062512643 | Practice locations: Turtletown, TN |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22149 | TN | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ocoee Copper Basin Health and Rehabilitation Center LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 22149 | TN | Yes |
Addresses
Primary practice location
144 Medical Center Dr
Copperhill, TN 37317-5000
Mailing address
PO Box 1080
Copperhill, TN 37317-1080
Phone (423) 496-7672
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3065590 | Medicaid | TN | |
| 890563Z | Medicaid | NC | |
| 41452 | Other | TN | BLUECROSS TENNESSEE |
| 000486692A | Medicaid | GA |
Other providers in Copperhill, TN
- State of Tennessee
- Richard Tanner
- Roy Allen Tipton
- Stephen M. Treon
- Tri-State Center for Hope and Healing LLC
- Bethany Whitener
- Toshia Worley
- Susan Inez Wynne
All providers in Copperhill, TN · Geriatric Medicine (Internal Medicine) Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.