Active NPI
David Paul Hawk, DPM
- Foot & Ankle Surgery Podiatrist
- Lenoir City, TN
National Provider Identifier
1265484059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- DPM562
- Practice address
- 125 Town Creek Rd E
Suite 3
Lenoir City, TN 37772-5612 - Phone
- (865) 986-2700
- Fax
- (865) 986-8096
- NPI assigned
- May 17, 2006
- Last updated
- Mar 16, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | DPM562 | TN | Primary |
Addresses
Primary practice location
125 Town Creek Rd E
Suite 3
Lenoir City, TN 37772-5612
Mailing address
125 Town Creek Rd E
Suite 3
Lenoir City, TN 37772-5612
Phone (865) 986-2700
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | tnfootankle@yahoo.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DPM562 | TN | MD | Foot & Ankle Surgery Podiatrist |
| 562 | TN | MD | Physician Assistant |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Foot Surgery Podiatrist
- Lenoir City, TN
- NPI 1891720462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584316800000",
"number": "1265484059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 TOWN CREEK RD E",
"address_2": "SUITE 3",
"city": "LENOIR CITY",
"state": "TN",
"postal_code": "377725612",
"telephone_number": "865-986-2700",
"fax_number": "865-986-8096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 TOWN CREEK RD E",
"address_2": "SUITE 3",
"city": "LENOIR CITY",
"state": "TN",
"postal_code": "377725612",
"telephone_number": "865-986-2700",
"fax_number": "865-986-8096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWK",
"first_name": "DAVID",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2020-03-16",
"certification_date": "2020-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "TN",
"license": "DPM562",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "tnfootankle@yahoo.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "125 Town Creek Rd E",
"address_2": "Suite 3",
"city": "Lenoir City",
"state": "TN",
"country_code": "US",
"postal_code": "377725612",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lenoir City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.