Active NPI
Ondemand Medical Group PLLC
- Emergency Medicine Physician
- Knoxville, TN
National Provider Identifier
1356099261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- ONDEMAND MEDICAL GROUP PLLC
- Practice address
- 9721 Cogdill Rd Ste 302
Knoxville, TN 37932-3425 - Phone
- (865) 888-5131
- NPI assigned
- Mar 10, 2022
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Robert Jewell
- Title
- Chief Revenue Officer
- Phone
- (844) 597-4911
National Provider Directory
National Provider DirectoryLocations
9721 Cogdill Rd
Ste 302
Knoxville, TN 37932
Phone (406) 209-5221
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
9721 Cogdill Rd Ste 302
Knoxville, TN 37932-3425
Mailing address
9721 Cogdill Rd Ste 302
Knoxville, TN 37932-3425
Phone (865) 888-5131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 20, 2023.
{
"created_epoch": "1646870400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687219200000",
"number": "1356099261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9721 COGDILL RD STE 302",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379323425",
"telephone_number": "865-888-5131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9721 COGDILL RD STE 302",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379323425",
"telephone_number": "865-888-5131"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ONDEMAND MEDICAL GROUP PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-10",
"last_updated": "2023-06-20",
"certification_date": "2023-06-20",
"status": "A",
"authorized_official_last_name": "JEWELL",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "CHIEF REVENUE OFFICER",
"authorized_official_telephone_number": "844-597-4911"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"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 Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.