NPIMap

Organization Active NPI

Healthstar Physicians, P.C.

  • Foot & Ankle Surgery Podiatrist
  • Knoxville, TN
National Provider Identifier
1134612245
Registry record updated Jun 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
DPM739 Issued in TN
Legal business name
HEALTHSTAR PHYSICIANS, P.C.
Practice address
1415 Old Weisgarber Rd Ste 350
Knoxville, TN 37909-1381
Phone
(865) 588-1605
Fax
(865) 588-1608
NPI assigned
Jun 13, 2018
Last updated
Jun 13, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
HEALTHSTAR PHYSICIANS, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 13, 2018

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

Authorized official

Name
Odessa Brabson
Title
Cfo
Phone
(423) 581-5925

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X DPM739 TN Primary

Addresses

Primary practice location

1415 Old Weisgarber Rd Ste 350
Knoxville, TN 37909-1381

Mailing address

420 W Morris Blvd Ste 400a
Morristown, TN 37813-2262
Phone (423) 581-5925

Other names 1

  • Faculty Physicians Other name

National Provider Directory

National Provider Directory
Part of
Healthstar Physicians

Locations

163 Beech St
Harrogate, TN 37752
Phone (423) 869-5485

209 Irish Cemetery Rd
Tazewell, TN 37879
Phone (423) 626-2225

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 6

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": "1528848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528848000000",
    "number": "1134612245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W MORRIS BLVD STE 400A",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378132262",
            "telephone_number": "423-581-5925",
            "fax_number": "423-581-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 OLD WEISGARBER RD STE 350",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091381",
            "telephone_number": "865-588-1605",
            "fax_number": "865-588-1608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSTAR PHYSICIANS, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTHSTAR PHYSICIANS, P.C.",
        "enumeration_date": "2018-06-13",
        "last_updated": "2018-06-13",
        "status": "A",
        "authorized_official_last_name": "BRABSON",
        "authorized_official_first_name": "ODESSA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "423-581-5925"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TN",
            "license": "DPM739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Faculty Physicians",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Faculty Physicians",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jun 13, 2018; 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.