Organization Active NPI

Paul S. Ambrose, M.D., P.a.

  • Ophthalmology Physician
  • Knoxville, TN
National Provider Identifier
1073703971
Registry record updated May 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD0000006952 Issued in TN
Legal business name
PAUL S. AMBROSE, M.D., P.A.
Practice address
9349 Park West Blvd
Suite 105
Knoxville, TN 37923-4306
Phone
(865) 690-4731
Fax
(865) 693-7484
NPI assigned
Jul 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2012

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

Authorized official

Name
Dr. Paul S Ambrose, M.D., M.D.
Title
Owner/Head Doctor
Phone
(865) 690-4731

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X MD0000006952 TN Primary

Addresses

Primary practice location

9349 Park West Blvd
Suite 105
Knoxville, TN 37923-4306

Mailing address

9349 Park West Blvd
Suite 105
Knoxville, TN 37923-4306
Phone (865) 690-4731

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338336000000",
    "number": "1073703971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9349 PARK WEST BLVD",
            "address_2": "SUITE 105",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234306",
            "telephone_number": "865-690-4731",
            "fax_number": "865-693-7484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9349 PARK WEST BLVD",
            "address_2": "SUITE 105",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234306",
            "telephone_number": "865-690-4731",
            "fax_number": "865-693-7484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL S. AMBROSE, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2012-05-30",
        "status": "A",
        "authorized_official_last_name": "AMBROSE, M.D.",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/HEAD DOCTOR",
        "authorized_official_telephone_number": "865-690-4731",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "MD0000006952",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 30, 2012; 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.