Individual provider Active NPI

Thomas J Esser, PAC

  • Medical Physician Assistant
  • Knoxville, TN
National Provider Identifier
1164511150
Registry record updated Jun 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
00995 Issued in TN
Practice address
900 E Woodland Ave
Knoxville, TN 37917-4511
Phone
(865) 633-9469
Fax
(865) 633-9474
NPI assigned
Oct 11, 2006
Last updated
Jun 4, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 00995 TN Primary

Addresses

Primary practice location

900 E Woodland Ave
Knoxville, TN 37917-4511

Mailing address

900 E Woodland Ave
Knoxville, TN 37917-4511
Phone (865) 633-9469

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
00995TNMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Rehabilitation Group, PLLC Past Accepting new patients
Chattanooga Rehabilitation Associates, PC Past Accepting new patients
Chattanooga Spine & Rehabilitation PLLC Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244073600000",
    "number": "1164511150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E WOODLAND AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379174511",
            "telephone_number": "865-633-9469",
            "fax_number": "865-633-9474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E WOODLAND AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379174511",
            "telephone_number": "865-633-9469",
            "fax_number": "865-633-9474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESSER",
        "first_name": "THOMAS",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2009-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "00995",
            "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 Jun 4, 2009; 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.