Organization Active NPI

Anesthesiology & Pain Management Consultants Inc

  • Pain Medicine (Anesthesiology) Physician
  • Knoxville, TN
National Provider Identifier
1376831222
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
34645 Issued in TN
Legal business name
ANESTHESIOLOGY & PAIN MANAGEMENT CONSULTANTS INC
Practice address
2606 Greenway Dr
640 North Building, Suite 101
Knoxville, TN 37918-1904
Phone
(865) 687-3313
Fax
(865) 687-3362
NPI assigned
Jul 13, 2011
Last updated
Mar 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Authorized official

Name
Phillip J Haggerty, MD
Title
Medical Director
Phone
(865) 687-3313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 34645 TN Primary

Addresses

Primary practice location

2606 Greenway Dr
640 North Building, Suite 101
Knoxville, TN 37918-1904

Mailing address

2606 Greenway Dr
640 North Building, Suite 101
Knoxville, TN 37918-1904
Phone (865) 687-3313

Other practice location 1

186 Airport Plaza Blvd Ste E
Alcoa, TN 37701-3197
Phone (865) 687-3313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110830000066 TN Part B Supplier - Clinic/Group Practice 6204006349 Receives reassigned benefits from 6 practitioners
Practice locations: Powell, TN; Knoxville, TN; Alcoa, TN

National Provider Directory

National Provider Directory

Locations

186 Airport Plaza Dr
Ste E
Alcoa, TN 37701
Phone (865) 684-4816

2606 Greenway Dr
Ste 101
Knoxville, TN 37918
Phone (865) 687-3313

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648598400000",
    "number": "1376831222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 GREENWAY DR",
            "address_2": "640 NORTH BUILDING, SUITE 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379181904",
            "telephone_number": "865-687-3313",
            "fax_number": "865-687-3362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 GREENWAY DR",
            "address_2": "640 NORTH BUILDING, SUITE 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379181904",
            "telephone_number": "865-687-3313",
            "fax_number": "865-687-3362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "186 Airport Plaza Blvd Ste E",
            "address_purpose": "LOCATION",
            "city": "Alcoa",
            "state": "TN",
            "postal_code": "377013197",
            "country_code": "US",
            "telephone_number": "865-687-3313",
            "fax_number": "865-687-3362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANESTHESIOLOGY & PAIN MANAGEMENT CONSULTANTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-13",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A",
        "authorized_official_last_name": "HAGGERTY",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "865-687-3313",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TN",
            "license": "34645",
            "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 Mar 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.