Parkside Internal Medicine, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

20540 Issued in TN

Legal business name

PARKSIDE INTERNAL MEDICINE, PLLC

Practice address

10810 Parkside Dr
Suite 103
Knoxville, TN 37934-1979

Phone

(865) 218-6677

Fax

(865) 218-6678

NPI assigned

Mar 19, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Melinda L Shillings, LPN

Title

Office Manager

Phone

(865) 218-6677

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/6682/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413417600000",
    "number": "1356683205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10810 PARKSIDE DR",
            "address_2": "SUITE 103",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379341979",
            "telephone_number": "865-218-6677",
            "fax_number": "865-218-6678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10810 PARKSIDE DR",
            "address_2": "SUITE 103",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379341979",
            "telephone_number": "865-218-6677",
            "fax_number": "865-218-6678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKSIDE INTERNAL MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-19",
        "last_updated": "2014-10-16",
        "status": "A",
        "authorized_official_last_name": "SHILLINGS",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "865-218-6677",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "20540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jimmy Wayne Parks
• Kevin Lamont Parks
• Thomas Wade Parks, M.S.
• Wendy Michelle Parks
• Parkside Inpatient Services PLLC
• Parkside Internal Medicine,PLLC
• Parkway Dental Office, P.C.
• Parkwest Gynecology 2 LLC
• Parkwest Gynecology, P.C.
• Parkwest Medical Center

• Internal Medicine Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2014; 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.