Organization Active NPI

Kent H. Van Arsdell, M.D.

  • Internal Medicine Physician
  • Knoxville, TN
National Provider Identifier
1043462401
Registry record updated Oct 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD025081 Issued in TN
Legal business name
KENT H. VAN ARSDELL, M.D.
Practice address
9217 Park West Blvd
Suite C-3
Knoxville, TN 37923-4404
Phone
(865) 693-9373
Fax
(865) 693-5368
NPI assigned
Oct 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2008

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

Authorized official

Name
Kent Howard Van Arsdell, M.D.NPI 1205885068
Title
Physician/Owner
Phone
(865) 693-9373

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MD025081 TN Primary

Addresses

Primary practice location

9217 Park West Blvd
Suite C-3
Knoxville, TN 37923-4404

Mailing address

9217 Park West Blvd
Suite C-3
Knoxville, TN 37923-4404
Phone (865) 693-9373

Other identifiers 1

IdentifierTypeStateIssuer
3057214MedicaidTN

National Provider Directory

National Provider Directory

Locations

9217 Park West Blvd
Ste C3
Knoxville, TN 37923
Phone (865) 693-9373

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224115200000",
    "number": "1043462401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9217 PARK WEST BLVD",
            "address_2": "SUITE C-3",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234404",
            "telephone_number": "865-693-9373",
            "fax_number": "865-693-5368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9217 PARK WEST BLVD",
            "address_2": "SUITE C-3",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234404",
            "telephone_number": "865-693-9373",
            "fax_number": "865-693-5368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENT H. VAN ARSDELL, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-16",
        "last_updated": "2008-10-16",
        "status": "A",
        "authorized_official_last_name": "VAN ARSDELL",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "865-693-9373",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD025081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3057214",
            "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 Oct 16, 2008; 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.