Organization Active NPI

East Tennesse Urology Specialists

  • Urology Physician
  • Knoxville, TN
National Provider Identifier
1164535548
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
EAST TENNESSE UROLOGY SPECIALISTS
Practice address
101 E Blount Ave
Suite 640
Knoxville, TN 37920-1632
Phone
(865) 549-4300
Fax
(865) 549-4301
NPI assigned
Aug 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Heather Eleazer
Title
Practice Manager
Phone
(865) 694-6919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X TN Primary

Addresses

Primary practice location

101 E Blount Ave
Suite 640
Knoxville, TN 37920-1632

Mailing address

101 E Blount Ave
Suite 640
Knoxville, TN 37920-1601
Phone (865) 549-4300

National Provider Directory

National Provider Directory

Locations

101 E Blount Ave
Ste 640
Knoxville, TN 37920
Phone (423) 632-5699

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164535548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E BLOUNT AVE",
            "address_2": "SUITE 640",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201601",
            "telephone_number": "865-549-4300",
            "fax_number": "865-549-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E BLOUNT AVE",
            "address_2": "SUITE 640",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201632",
            "telephone_number": "865-549-4300",
            "fax_number": "865-549-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TENNESSE UROLOGY SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELEAZER",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "865-694-6919"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "TN",
            "license": null,
            "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 Aug 22, 2020; 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.