Thomas J Esser, PAC

Individual provider Active NPI Medical Physician Assistant · Knoxville, TN

NPI 1164511150 · NPPES record last updated Jun 4, 2009

Key facts

NPI
1164511150
Entity type
Individual (NPI type 1)
Primary specialty
Medical Physician Assistant 363AM0700X
License
00995 (TN)
Practice address
900 E Woodland Ave
Knoxville, TN 37917-4511
Phone
(865) 633-9469
Fax
(865) 633-9474
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes
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

Specialties & licenses

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

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

Other providers in Knoxville, TN

All providers in Knoxville, TN · Medical Physician Assistant in Tennessee

Sources for this page

Verify at the official NPI Registry.