Knoxville Omnicare PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

KNOXVILLE OMNICARE PLLC

Practice address

1940 Alcoa Hwy
E40
Knoxville, TN 37920-2244

Phone

(865) 588-1605

Fax

(865) 588-1613

NPI assigned

Jan 5, 2016

Last updated

Jan 8, 2016By 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

Ryan A Unger, MDNPI 1891926440

Title

Owner

Phone

(865) 934-8365

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Tax ID family

Knoxville Omnicare PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Knoxville Omnicare, PLLC

  • Medical Specialty Clinic/Center
  • Knoxville, TN
  • NPI 1407240971
  NPD tax ID

Locations

Practitioners 1

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.

• Ryan Alexander Unger, MD

  • Family Medicine Physician
  • Knoxville, TN
  • NPI 1891926440
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452211200000",
    "number": "1053777169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 888167",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379958167",
            "telephone_number": "865-670-6199",
            "fax_number": "865-670-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 ALCOA HWY",
            "address_2": "E40",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379202244",
            "telephone_number": "865-588-1605",
            "fax_number": "865-588-1613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOXVILLE OMNICARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-05",
        "last_updated": "2016-01-08",
        "status": "A",
        "authorized_official_last_name": "UNGER",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-934-8365",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Knoxville Nephrology Associates LLC
• Knoxville Neurofeedback Group
• Knoxville Neurology Clinic, P.L.L.C.
• Knoxville Neurology Specialists, PLLC
• Knoxville OBGYN Consultants, PC
• Knoxville Omnicare, PLLC
• Knoxville Opco LLC (Creekview Health and Rehabilitation)
• Knoxville Ophthalmology ASC, LLC (Eye Surgery Center of East Tennessee)
• Knoxville Ophthalmology ASC, LLC (Eye Surgery Center of East Tennessee)
• Knoxville Oral & Maxillofacial Surgery

• Family Medicine Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.