Organization Active NPI

Tennessee Valley Orthopedics & Sports Medicine Assoc PC

  • Medical Specialty Clinic/Center
  • Knoxville, TN
National Provider Identifier
1295908457
Registry record updated Dec 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
MD0000023543 Issued in TN
Legal business name
TENNESSEE VALLEY ORTHOPEDICS & SPORTS MEDICINE ASSOC PC
Practice address
11808 Kingston Pike
Suite 190
Knoxville, TN 37934-3803
Phone
(865) 966-7755
Fax
(865) 966-7711
NPI assigned
Apr 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2013

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

Authorized official

Name
Thomas M Koenig, MD
Title
Director/Owner
Phone
(865) 966-7755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X MD0000023543 TN Primary

Addresses

Primary practice location

11808 Kingston Pike
Suite 190
Knoxville, TN 37934-3803

Mailing address

11808 Kingston Pike
Suite 190
Knoxville, TN 37934-3803
Phone (865) 966-7755

National Provider Directory

National Provider Directory

Locations

11808 Kingston Pike
Ste 190
Knoxville, TN 37934
Phone (423) 966-7755

11808 Kingston Pike
Ste 19
Knoxville, TN 37934
Phone (865) 966-7755

NPI Registry JSON

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388448000000",
    "number": "1295908457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11808 KINGSTON PIKE",
            "address_2": "SUITE 190",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379343803",
            "telephone_number": "865-966-7755",
            "fax_number": "865-966-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11808 KINGSTON PIKE",
            "address_2": "SUITE 190",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379343803",
            "telephone_number": "865-966-7755",
            "fax_number": "865-966-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE VALLEY ORTHOPEDICS & SPORTS MEDICINE ASSOC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2013-12-31",
        "status": "A",
        "authorized_official_last_name": "KOENIG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "865-966-7755",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TN",
            "license": "MD0000023543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2013; 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.