Organization Active NPI

Elmer G. Pinzon

Doing business as University Spine & Sports Specialis

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Knoxville, TN
National Provider Identifier
1225214307
Registry record updated Feb 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
MD 35871 Issued in TN
Legal business name
ELMER G. PINZON
Doing business as
University Spine & Sports Specialis
Practice address
110 Center Park Dr
Ste 102 & 103
Knoxville, TN 37922-2114
Phone
(865) 690-3737
Fax
(865) 690-3757
NPI assigned
Jan 18, 2008
Last updated
Feb 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2011

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

Authorized official

Name
Elmer G Pinzon, MDNPI 1992761753
Title
Owner
Phone
(865) 690-3737

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081P2900X MD 35871 TN Primary

Addresses

Primary practice location

110 Center Park Dr
Ste 102 & 103
Knoxville, TN 37922-2114

Mailing address

PO Box 63141
Charlotte, NC 28263-3141
Phone (865) 670-6199

Other identifiers 1

IdentifierTypeStateIssuer
38717082MedicaidTN

Other names 1

  • University Spine & Sports Specialis Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080422000619 TN Part B Supplier - Clinic/Group Practice 0840378485 Receives reassigned benefits from 1 practitioner
Practice locations: Knoxville, TN

National Provider Directory

National Provider Directory

Locations

10710 Murdock Dr
Ste 1031
Knoxville, TN 37932

10710 Murdock Dr
Ste 103104
Knoxville, TN 37932
Phone (865) 690-3737

110 Center Park Dr
Ste 102
Knoxville, TN 37922
Phone (865) 690-3737

110 Center Park Dr
Ste 102103
Knoxville, TN 37922

Practitioners & affiliated clinicians

Practitioners 1

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": "1200614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298332800000",
    "number": "1225214307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63141",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282633141",
            "telephone_number": "865-670-6199",
            "fax_number": "865-670-6188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CENTER PARK DR",
            "address_2": "STE 102 & 103",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379222114",
            "telephone_number": "865-690-3737",
            "fax_number": "865-690-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMER G. PINZON",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-18",
        "last_updated": "2011-02-22",
        "status": "A",
        "authorized_official_last_name": "PINZON",
        "authorized_official_first_name": "ELMER",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-690-3737",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "TN",
            "license": "MD 35871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38717082",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Spine & Sports Specialis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.