Organization Active NPI

Ondemand Medical Group PLLC

  • Emergency Medicine Physician
  • Knoxville, TN
National Provider Identifier
1356099261
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
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 Directory

Locations

9721 Cogdill Rd
Ste 302
Knoxville, TN 37932
Phone (406) 209-5221

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.