Organization Active NPI

Family Medical Clinic PLLC

  • Family Medicine Physician
  • Knoxville, TN
National Provider Identifier
1033120043
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY MEDICAL CLINIC PLLC
Practice address
4700 Western Ave
Ste 104
Knoxville, TN 37921-3320
Phone
(865) 588-2902
Fax
(865) 584-1026
NPI assigned
Aug 11, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Yuh-Jen Sheen, MD
Title
Member of PLLC
Phone
(865) 588-0076

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

4700 Western Ave
Ste 104
Knoxville, TN 37921-3320

Mailing address

4700 Western Ave
Ste 104
Knoxville, TN 37921-3320
Phone (865) 588-0076

Other identifiers 1

IdentifierTypeStateIssuer
3705139MedicaidTN

National Provider Directory

National Provider Directory

Locations

4700 Western Ave
Ste 104
Knoxville, TN 37921
Phone (865) 588-2902

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033120043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 WESTERN AVE",
            "address_2": "STE 104",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379213320",
            "telephone_number": "865-588-0076",
            "fax_number": "865-588-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 WESTERN AVE",
            "address_2": "STE 104",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379213320",
            "telephone_number": "865-588-2902",
            "fax_number": "865-584-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHEEN",
        "authorized_official_first_name": "YUH-JEN",
        "authorized_official_title_or_position": "MEMBER OF PLLC",
        "authorized_official_telephone_number": "865-588-0076",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3705139",
            "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 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.