Maryville Anesthesiologists PC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

MARYVILLE ANESTHESIOLOGISTS PC

Practice address

907 E Lamar Alexander Pkwy
Maryville, TN 37804-5015

Phone

(865) 983-7211

Fax

(855) 917-2023

NPI assigned

May 10, 2006

Organization subpart

No

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

Authorized official

Name

Cheryl E Coleman, MD

Title

President

Phone

(865) 983-7211

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1336199645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3181",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462063181",
            "telephone_number": "855-381-0344",
            "fax_number": "800-731-0751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 E LAMAR ALEXANDER PKWY",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045015",
            "telephone_number": "865-983-7211",
            "fax_number": "855-917-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYVILLE ANESTHESIOLOGISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-983-7211",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR",
            "identifier": "CL8433",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3378283",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3604498",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Rebecca P Martin
• Stephenie Ann Martin, B.S.
• Tracy Dale Martin, PT, ATC
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• Anesthesiology Physician in Maryville, TN
• Providers in Maryville, TN by specialty
• Anesthesiology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.