Active NPI
Anthony Shane McRaven, D.O.
- Internal Medicine Physician
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2405
- Practice address
- 1431 Centerpoint Blvd
Suite 100
Knoxville, TN 37932-1984 - Phone
- (800) 342-2898
- NPI assigned
- Jan 25, 2012
- Last updated
- Oct 2, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 2405 | TN | |
| Internal Medicine Physician | 207R00000X | 2405 | TN | Primary |
| Internal Medicine Physician | 207R00000X | 22204 | MS |
Addresses
Primary practice location
1431 Centerpoint Blvd
Suite 100
Knoxville, TN 37932-1984
Mailing address
1431 Centerpoint Blvd
Suite 100
Knoxville, TN 37932-1984
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2405 | TN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Coverage, LLC | Emergency Medicine | Current | Accepting new patients |
| Hospitalist Physicians of New Jersey PA | Internal Medicine | Current | Accepting new patients |
| Alliance Healthcare System, Inc | Past | Accepting new patients | |
| Deep South Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Tishomingo Health Services, Inc. | Past | Accepting new patients |
Locations
65 James St
Edison, NJ 08820
Phone (732) 321-7010
727 N Beers St
Holmdel, NJ 07733
Phone (732) 714-2700
1431 Centerpoint Blvd
Ste 100
Knoxville, TN 37932
Phone (865) 539-8000
9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000
1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/allihcs-9d312177
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Emergency Coverage Corporation of TeamHealth
- Family Medicine Physician
- Newport, TN
- NPI 1427005008
Emergency Medicine
-
- Hospitalist Physician
- Edison, NJ
- NPI 1588021851
Internal Medicine
-
- Anesthesiology Physician
- Holly Springs, MS
- NPI 1104099472
-
- Emergency Medicine Physician
- Ripley, MS
- NPI 1144495672
-
dba Belmont Family Medical Clinic
- Clinic/Center
- Belmont, MS
- NPI 1295105922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443744000000",
"number": "1114298916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1431 CENTERPOINT BLVD",
"address_2": "SUITE 100",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379321984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1431 CENTERPOINT BLVD",
"address_2": "SUITE 100",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379321984",
"telephone_number": "800-342-2898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCRAVEN",
"first_name": "ANTHONY",
"middle_name": "SHANE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-25",
"last_updated": "2015-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TN",
"license": "2405",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "2405",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MS",
"license": "22204",
"primary": false
}
],
"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 Oct 2, 2015; 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.