Active NPI
Neurological & Spinesurgery of Tennessee
- Neurological Surgery Physician
- Knoxville, TN
National Provider Identifier
1245420363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- MD0000024313
- Legal business name
- NEUROLOGICAL & SPINESURGERY OF TENNESSEE
- Practice address
- 9333 Park West Blvd
Ste 104
Knoxville, TN 37923-4341 - Phone
- (865) 670-9501
- Fax
- (865) 670-9573
- NPI assigned
- Jul 25, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert S Davis, MD
- Title
- Owner/President
- Phone
- (865) 670-9501
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | MD0000024313 | TN | Primary |
Addresses
Primary practice location
9333 Park West Blvd
Ste 104
Knoxville, TN 37923-4341
Mailing address
9333 Park West Blvd
Ste 104
Knoxville, TN 37923-4341
Phone (865) 670-9501
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3000622 | Other | TN | MEDICARE |
National Provider Directory
National Provider DirectoryLocations
9333 Park West Blvd
Ste 104
Knoxville, TN 37923
Phone (865) 560-8778
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Knoxville, TN
- NPI 1588690697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185321600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197849600000",
"number": "1245420363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9333 PARK WEST BLVD",
"address_2": "STE 104",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379234341",
"telephone_number": "865-670-9501",
"fax_number": "865-670-9573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9333 PARK WEST BLVD",
"address_2": "STE 104",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379234341",
"telephone_number": "865-670-9501",
"fax_number": "865-670-9573"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROLOGICAL & SPINESURGERY OF TENNESSEE",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-25",
"last_updated": "2007-12-17",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "865-670-9501",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": "TN",
"license": "MD0000024313",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "3000622",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
- Milton Neuenschwander
- Neuro Heart LLC
- Neuro Institute of East Tennessee, PLLC
- Abigail Neurohr
- Neurologic Performance Group PC
- Neurology Rehabilitation Services
- Neurosolutions, LLC
- Neurosurgery & Spine Consultants of East Tennessee PC
- Neurosurgery and Spine Institute of East Tennessee, PLLC
- Neurosurgery Clinic of Knoxville, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.