Individual provider Active NPI

Donald Andrew Lakatosh, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Knoxville, TN
National Provider Identifier
1114989670
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD0000031103 Issued in TN
Practice address
407 N Forest Park Blvd
Knoxville, TN 37919-5136
Phone
(865) 577-1914
Fax
(865) 577-1714
NPI assigned
Apr 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MD0000031103 TN Primary

Addresses

Primary practice location

407 N Forest Park Blvd
Knoxville, TN 37919-5136

Mailing address

407 N Forest Park Blvd
Knoxville, TN 37919-5136
Phone (865) 577-1914

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD0000031103TNMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation Center for Children and Adults Past Accepting new patients
Rehabilitation Physicians PA Physical Medicine & Rehabilitation PastSince Jan 27, 1997 Accepting new patients
Behavioral Medicine Institute PC PastSince Sep 23, 2012 Accepting new patients
Pain Consultants of East Tennessee, PLLC PastSince Aug 24, 1998 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1114989670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 N FOREST PARK BLVD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195136",
            "telephone_number": "865-577-1914",
            "fax_number": "865-577-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 N FOREST PARK BLVD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195136",
            "telephone_number": "865-577-1914",
            "fax_number": "865-577-1714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKATOSH",
        "first_name": "DONALD",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TN",
            "license": "MD0000031103",
            "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 Dec 17, 2019; 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.