Active NPI
University Health System, Inc
Doing business as University Urgent Care
- Family Medicine Physician
- Knoxville, TN
National Provider Identifier
1255526976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- UNIVERSITY HEALTH SYSTEM, INC
- Doing business as
- University Urgent Care
- Practice address
- 9625 Kroger Park Dr
Suite 500
Knoxville, TN 37922-5880 - Phone
- (865) 630-6299
- Fax
- (865) 539-0909
- NPI assigned
- Sep 6, 2007
- Last updated
- Apr 7, 2008
- 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
- Cindy B Marquart
- Title
- Vice President
- Phone
- (865) 305-9886
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
9625 Kroger Park Dr
Suite 500
Knoxville, TN 37922-5880
Mailing address
PO Box 440200
Nashville, TN 37244-0200
Phone (865) 670-6199
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32851414 | Medicaid | TN |
Other names 1
- University Urgent Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031111000809 | TN | Part B Supplier - Clinic/Group Practice | 5294646378 |
Receives reassigned benefits from 881 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
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.
-
- Family Nurse Practitioner
- Seymour, TN
- NPI 1861630089
-
- Family Nurse Practitioner
- Knoxville, TN
- NPI 1215193123
-
- Family Medicine Physician
- Seymour, TN
- NPI 1750389979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189036800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207526400000",
"number": "1255526976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 440200",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372440200",
"telephone_number": "865-670-6199",
"fax_number": "865-670-6158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9625 KROGER PARK DR",
"address_2": "SUITE 500",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379225880",
"telephone_number": "865-630-6299",
"fax_number": "865-539-0909"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY HEALTH SYSTEM, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-06",
"last_updated": "2008-04-07",
"status": "A",
"authorized_official_last_name": "MARQUART",
"authorized_official_first_name": "CINDY",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "865-305-9886"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32851414",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "University Urgent Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Knoxville, TN
- University Health System, Inc (University Behavioral Health)
- University Health System, Inc (Cole Neuroscience Center)
- University Health System, Inc (UT GYN Oncology)
- University Health System, Inc (UT Family Physicians Hardin Valley)
- University Health System, Inc (Infectious Disease)
- University Health System, Inc (UTMCK Sleep Disorder Clinic)
- University Health System, Inc (University Colon and Rectal Surgery)
- University Health System, Inc (UT Urogynecology)
- University Health System, Inc (UT Hospitalists)
- University Health System, Inc (Pat Summitt Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; 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.