Foothills Anesthesia Associates PC
Organization Active NPI Anesthesiology Physician · Maryville, TN
NPI 1285873380 · NPPES record last updated Apr 8, 2025
Key facts
- NPI
- 1285873380
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 207L00000X
- Legal business name
- FOOTHILLS ANESTHESIA ASSOCIATES PC
- Practice address
- 1706 E Lamar Alexander Pkwy
Maryville, TN 37804-6204 - Phone
- (865) 983-0073
- Fax
- (865) 983-2201
- NPI assigned
- Feb 12, 2009
- Organization subpart
- Yes
- Parent organization (as reported)
- BLOUNT GASTROENTEROLOGY ASSOCIATES PC
Authorized official
- Name
- Jenny Owens Smith
- Title
- Owner
- Phone
- (865) 983-0073
Parent organization (reported in NPPES) 1
Member of 1
Practitioners 42
-
Tonya E Kukla, CRNA
-
Douglas R Maupin, CRNA
-
Timothy Sutton Ochs, CRNA, APN
-
Jerry M Adam, CRNA
-
Paula E Babb, CRNA
-
Steven Wayne Bohr, CRNA
-
Deborah Elaine Changas, CRNA
-
Christie Coker, CRNA
-
Deborah Baker Conti, CRNA
-
Larry W Cornwell, CRNA
-
Joby R. Edmonds, CRNA
-
Conway Ella, CRNA
-
Joseph Michael Freeman, CRNA
-
Maria Lee Freeman, CRNA
-
Seth A Harnden, CRNA
-
Steve Hunt, CRNA
-
Donna M Long, CRNA
-
Brittney L McClannahan, CRNA
-
Benjamin J Mills, CRNA
-
Kimberly D Montgomery, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090407000500 | TN | Part B Supplier - Clinic/Group Practice | 9335296466 |
Receives reassigned benefits from 40 practitioners Practice locations: Maryville, TN |
National Provider Directory
- Part of
- Blount Gastroenterology Assoc PC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | Yes | ||
| Certified Registered Nurse Anesthetist |
367500000X |
Addresses
Primary practice location
1706 E Lamar Alexander Pkwy
Maryville, TN 37804-6204
Mailing address
1706 E Lamar Alexander Pkwy
Maryville, TN 37804-6204
Phone (865) 983-0073
Other providers in Maryville, TN
- Candace Dawn Fletcher
- Cheryl Ann Flowers
- Michael Dwight Floyd
- Catherine R Flynn
- Foothills Adult Care Enrichment Services
- Foothills Endodontics
- Foothills Interventional Pain PLLC
- Foothills Language and Feeding, LLC
- Foothills Pediatric Dentristry, P.C.
- Angela R Ford
All providers in Maryville, TN · Anesthesiology Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.