Westside Gastrointestinal Specialists PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD000021220 Issued in TN

Legal business name

WESTSIDE GASTROINTESTINAL SPECIALISTS PLLC

Practice address

9330 Park West Blvd
Ste 506
Knoxville, TN 37923

Phone

(865) 539-5372

Fax

(865) 539-5369

NPI assigned

Dec 27, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Liz Blosser

Title

Supv

Phone

(865) 539-5372

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Juan Benitez, MD

  • Gastroenterology Physician
  • Knoxville, TN
  • NPI 1699752105

  Specialist

  NPD
• Jeffrey R Crist, MD

  • Specialist
  • Knoxville, TN
  • NPI 1255318762
  NPD

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528156800000",
    "number": "1306823976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9330 PARK WEST BLVD",
            "address_2": "STE 506",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37923",
            "telephone_number": "865-539-5372",
            "fax_number": "865-539-5369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 PARK WEST BLVD",
            "address_2": "STE 506",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37923",
            "telephone_number": "865-539-5372",
            "fax_number": "865-539-5369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE GASTROINTESTINAL SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-27",
        "last_updated": "2018-06-05",
        "status": "A",
        "authorized_official_last_name": "BLOSSER",
        "authorized_official_first_name": "LIZ",
        "authorized_official_title_or_position": "SUPV",
        "authorized_official_telephone_number": "865-539-5372",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD000021220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROV #",
            "identifier": "4087556",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3726442",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abigail Katherine Dye Westmoreland, M.S. CF-SLP
• Morgan Kayla Westmoreland
• Tamara Leigh Westmoreland, PHARMD
• Stefan Alexander Weston, DO
• Summer Storm Weston
• Margaret Weth, LCSW
• Karen Balnicki Wetherall, MS, RD, LDN
• Amber Bennett Wetherington, CPNP
• Katelyn Wetherington, NP-C
• Katelyn Weyenberg, M.S. CCC-SLP

• Specialist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; 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.