East Tennessee Foot Clinic PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

641 Issued in TN

Legal business name

EAST TENNESSEE FOOT CLINIC PC

Practice address

603 Smithview Dr
Maryville, TN 37803-6100

Phone

(865) 981-4595

Fax

(865) 981-4544

NPI assigned

Jun 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Laurel Burger Cook, DPMNPI 1073500823

Title

President

Phone

(865) 981-4595

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Laurel B Cook I, DPM

  • Foot Surgery Podiatrist
  • Maryville, TN
  • NPI 1073500823
  NPD (past) Authorized official

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287014400000",
    "number": "1255376083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 SMITHVIEW DR",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378036100",
            "telephone_number": "865-981-4595",
            "fax_number": "865-981-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 SMITHVIEW DR",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378036100",
            "telephone_number": "865-981-4595",
            "fax_number": "865-981-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TENNESSEE FOOT CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2010-10-14",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "LAUREL",
        "authorized_official_middle_name": "BURGER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-981-4595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "TN",
            "license": "641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Earley, MMFT
• Randi J Earley
• East Tennessee Addiction Specialists
• East Tennessee Clinic of Chiropractic
• East Tennessee Dialysis Center Inc
• East Tennessee Oral & Maxillofacial Surgery, PC
• East Tennessee Senior Care
• Cynthia J Easter, M.D.
• Easterly Family Medicine
• Jeffery Easterly, MD

• Podiatrist in Maryville, TN
• Providers in Maryville, TN by specialty
• Podiatrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; 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.