Organization Active NPI

Parkwest Gynecology, P.C.

  • Gynecology Physician
  • Knoxville, TN
National Provider Identifier
1194849828
Registry record updated Jun 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
PARKWEST GYNECOLOGY, P.C.
Practice address
9330 Park West Blvd
St 302
Knoxville, TN 37923-4308
Phone
(865) 531-5878
Fax
(865) 531-7690
NPI assigned
Mar 19, 2007
Last updated
Jun 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2011

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

Authorized official

Name
Lisa Willis
Title
Practice Administrator
Phone
(865) 531-5878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X Primary

Addresses

Primary practice location

9330 Park West Blvd
St 302
Knoxville, TN 37923-4308

Mailing address

9330 Park West Blvd
St 302
Knoxville, TN 37923-4308
Phone (865) 531-5878

Other identifiers 2

IdentifierTypeStateIssuer
3059247MedicaidTN
3039850MedicaidTN

Other names 1

  • Parkwest Ob-Gyn, P.C. Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307923200000",
    "number": "1194849828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9330 PARK WEST BLVD",
            "address_2": "ST 302",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234308",
            "telephone_number": "865-531-5878",
            "fax_number": "865-531-7690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 PARK WEST BLVD",
            "address_2": "ST 302",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234308",
            "telephone_number": "865-531-5878",
            "fax_number": "865-531-7690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWEST GYNECOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2011-06-13",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "865-531-5878"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3059247",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3039850",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkwest Ob-Gyn, P.C.",
            "code": "4",
            "type": "Former Legal Business 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, 2011; 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.