Robert A Valosik, M.D.
Individual provider Active NPI Specialist · Gatlinburg, TN
NPI 1073552345 · NPPES record last updated Jan 3, 2011
Key facts
- NPI
- 1073552345
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- MD011335 (TN)
- Practice address
- 664 Skyline Dr
Gatlinburg, TN 37738-5435 - Phone
- (615) 330-5468
- Fax
- (615) 382-8056
- NPI assigned
- Jun 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11335 | TN | MD | Social Worker |
| MD011335 | TN | MD | Specialist |
Interoperability endpoints
- robert.valosik.1@15627.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD011335 | TN | Yes |
Addresses
Primary practice location
664 Skyline Dr
Gatlinburg, TN 37738-5435
Mailing address
308 Northcrest Dr
Springfield, TN 37172-3963
Phone (615) 384-7186
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3170852 | Medicaid | TN | |
| 144554 | Other | TN | BLUE CROSS BLUE SHIELD |
Other providers in Gatlinburg, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.