DRS Black&Benton Pediatrics

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MD17837 Issued in TN

Legal business name

DRS BLACK&BENTON PEDIATRICS

Practice address

4741 N Broadway St Ste B
Knoxville, TN 37918-1793

Phone

(865) 687-1940

Fax

(865) 687-0157

NPI assigned

Sep 3, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Donna Kesterson, OM

Title

Insurance

Phone

(865) 687-1940

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Megan Mills, DO

  • Pediatrics Physician
  • Knoxville, TN
  • NPI 1003443169
  NPD (past)
• Nancy L. Phillips, MD

  • Pediatrics Physician
  • Knoxville, TN
  • NPI 1750459103
  NPD (past)
• David Sean Teaster, MD

  • Pediatrics Physician
  • Knoxville, TN
  • NPI 1699860692
  NPD (past)

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

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409702400000",
    "number": "1376943878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4741 N BROADWAY ST STE B",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379181793",
            "telephone_number": "865-687-1940",
            "fax_number": "865-687-0157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4741 N BROADWAY ST STE B",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379181793",
            "telephone_number": "865-687-1940",
            "fax_number": "865-687-0157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS BLACK&BENTON PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-03",
        "last_updated": "2014-09-03",
        "status": "A",
        "authorized_official_last_name": "KESTERSON",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "INSURANCE",
        "authorized_official_telephone_number": "865-687-1940",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OM"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TN",
            "license": "MD17837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aidan Driskill
• Sheri Driver, APRN
• DRK Rehabilitation PLLC
• Janay Alyce Drost
• Darly Drown
• DRS. Shields and Shields
• Alanah Karis Drum
• Ashley Drysdale
• Chen Du, PHD, MPH, RDN
• Allison Dubrule, BSW

• Primary Care Clinic/Center in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Primary Care Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.