Active NPI
University Heart Surgeons PLLC
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Knoxville, TN
National Provider Identifier
1093759284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Legal business name
- UNIVERSITY HEART SURGEONS PLLC
- Practice address
- 1940 Alcoa Hwy
Ste E-260
Knoxville, TN 37920 - Phone
- (865) 637-6392
- Fax
- (865) 637-5216
- NPI assigned
- Jun 16, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John W Mack Jr., MD
- Title
- Partner
- Phone
- (865) 637-6392
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | NU | Primary |
Addresses
Primary practice location
1940 Alcoa Hwy
Ste E-260
Knoxville, TN 37920
Mailing address
1940 Alcoa Hwy
Ste E-260
Knoxville, TN 37920
Phone (865) 637-6392
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3706174 | Medicaid | TN |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Knoxville, TN
- NPI 1962495358
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Knoxville, TN
- NPI 1447243068
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1093759284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1940 ALCOA HWY",
"address_2": "STE E-260",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "37920",
"telephone_number": "865-637-6392",
"fax_number": "865-637-5216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1940 ALCOA HWY",
"address_2": "STE E-260",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "37920",
"telephone_number": "865-637-6392",
"fax_number": "865-637-5216"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY HEART SURGEONS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-16",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MACK",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "865-637-6392",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3706174",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
- University Health System, Inc. (UT Outpatient Cancer Center - Turkey Creek)
- University Health System, Inc. (University of Tennessee Medical Center)
- University Health System, Inc. (University Cancer Specialists - Halls)
- University Health System, Inc. (University Breast Center - Halls)
- University Health System, Inc. (University Breast Center - Northshore)
- University Heart Surgeons PLLC
- University Neurosurgery, PC
- University OBGYN Associates, PLLC
- University of Tenn Athletic Dept. Pharmacy
- University of Tennessee (UT Internal Medicine & Ob/Gyn Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.