Active NPI
Harry L Bishop, M.D.
- Interventional Cardiology Physician
- Knoxville, TN
National Provider Identifier
1083601629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 13239
- Practice address
- 10800 Parkside Dr Ste 331
Knoxville, TN 37934-1922 - Phone
- (865) 392-3400
- Fax
- (865) 392-3449
- NPI assigned
- Sep 29, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 13239 | TN | |
| Interventional Cardiology Physician | 207RI0011X | 13239 | TN | Primary |
Addresses
Primary practice location
10800 Parkside Dr Ste 331
Knoxville, TN 37934-1922
Mailing address
10800 Parkside Dr Ste 331
Knoxville, TN 37934-1922
Phone (865) 392-3400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q018870 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050801000613 | TN | Practitioner - Cardiovascular Disease (Cardiology) | 2769410778 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13239 | TN | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group, PLLC | Current | Accepting new patients | |
| Summit Medical Group, PLLC | Current | Accepting new patients | |
| Cocke County Hma, LLC | Past | Accepting new patients | |
| East Tennessee Heart Consultants, P.C. | Cardiovascular Disease | Past | Accepting new patients |
| Cocke County Hma LLC | Past | Accepting new patients |
Locations
1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627
7211 Wellington Dr
Ste 101
Knoxville, TN 37919
Phone (865) 588-8005
Interoperability endpoints
- harry.bishop.1@16930.direct.athenahealth.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Knoxville, TN
- NPI 1629157292
-
- Certified Registered Nurse Anesthetist
- Newport, TN
- NPI 1104515782
-
- General Acute Care Hospital
- Newport, TN
- NPI 1972576247
-
- Cardiovascular Disease Physician
- Knoxville, TN
- NPI 1740583541
Cardiovascular Disease
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548028800000",
"number": "1083601629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10800 PARKSIDE DR STE 331",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379341922",
"telephone_number": "865-392-3400",
"fax_number": "865-392-3449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10800 PARKSIDE DR STE 331",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379341922",
"telephone_number": "865-392-3400",
"fax_number": "865-392-3449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISHOP",
"first_name": "HARRY",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-29",
"last_updated": "2019-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TN",
"license": "13239",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "TN",
"license": "13239",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q018870",
"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 Jan 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.