Shults Pediatrics, P. C.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD0000024906 Issued in TN

Legal business name

SHULTS PEDIATRICS, P. C.

Practice address

9142 S Northshore Dr
Knoxville, TN 37922-6325

Phone

(865) 670-1560

Fax

(865) 670-1560

NPI assigned

Jul 14, 2014

Organization subpart

No

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

Authorized official

Name

Randall Shults

Title

Administrator

Phone

(865) 670-1560

Specialties & licenses 1

Addresses

Other names 1

• Shults Pediatrics Other name

Locations

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405296000000",
    "number": "1255748059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9142 S NORTHSHORE DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379226325",
            "telephone_number": "865-670-1560",
            "fax_number": "865-670-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9142 S NORTHSHORE DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379226325",
            "telephone_number": "865-670-1560",
            "fax_number": "865-670-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHULTS PEDIATRICS, P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-14",
        "last_updated": "2014-07-14",
        "status": "A",
        "authorized_official_last_name": "SHULTS",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "865-670-1560"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "MD0000024906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shults Pediatrics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Prem C Shukla, MD
• Robert Keith Shuler Jr., MD
• Ryan W Shuler, COTA/L
• Devin Nathaniel Shull
• Kennedy Shull
• Stephanie Stapleton Shults, M.D.
• Steven Dwight Shults, P.T.A.
• Christopher Shultz
• Edith Hurst Shultz, LCSW
• Kai Zhuang Shum, PHD

• Pediatrics Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Pediatrics Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; 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.