Vista Radiology, PC.
Organization Active NPI Diagnostic Radiology Physician · Knoxville, TN
NPI 1386698710 · NPPES record last updated Jul 10, 2026
Key facts
- NPI
- 1386698710
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- Legal business name
- VISTA RADIOLOGY, PC.
- Practice address
- 2001 Laurel Ave Ste N304
Knoxville, TN 37916-1810 - Phone
- (865) 595-4100
- NPI assigned
- May 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Aaron David Shoopman
- Title
- VP of Finance/Administrator
- Phone
- (865) 549-5509
Practitioners 100
-
Brent A Barrow, M.D.
-
Sarah Webb Beason, AGACNP-BC
-
Jacob E Bermudez, MD
-
Margaret O'Neill Brown, M.D.
-
Andrew Baither Conrad, M.D.
-
Peter C Coulson, M.D.
-
Stuart Joseph Deaderick, M.D.
-
Jason Deen, MD
-
Hugh H Delozier, MD
-
Landon S Edwards, MD
-
Peter G Emanuel, MD
-
Daniel R Fox, MD
-
Garth P Graham, MD
-
Douglas Scott Hayes, M.D.
-
Harry R. Hixson Jr., M.D.
-
William S Holmes, MD
-
Daniel R Hoss, MD
-
Rayna Howse, MD
-
James Tyler Irwin, FNP-C
-
Glenn E Jung, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (13 enrollments) in TN, HI, NC, KY, TX, CA, CO, FL, PA, ID, OH, GA, WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031104000432 | TN | Part B Supplier - Clinic/Group Practice | 9234041559 |
Receives reassigned benefits from 63 practitioners Practice locations: Knoxville, TN |
| O20130412000041 | HI | Part B Supplier - Clinic/Group Practice | 9234041559 |
Receives reassigned benefits from 1 practitioner Practice locations: Kihei, HI |
| O20130506000514 | NC | Part B Supplier - Clinic/Group Practice | 9234041559 |
Receives reassigned benefits from 2 practitioners Practice locations: Chapel Hill, NC; Statesville, NC |
| O20190218001849 | KY | Part B Supplier - Clinic/Group Practice | 9234041559 |
Receives reassigned benefits from 10 practitioners Practice locations: Middlesboro, KY |
| O20190501000540 | TX | Part B Supplier - Clinic/Group Practice | 9234041559 |
Receives reassigned benefits from 3 practitioners Practice locations: Texarkana, TX; Houston, TX; Dallas, TX |
| O20190521002126 | CA | Part B Supplier - Clinic/Group Practice | 9234041559 |
Receives reassigned benefits from 5 practitioners Practice locations: San Clemente, CA; San Diego, CA; Rancho Santa Fe, CA; Orange, CA |
| O20200414002083 | CO | Part B Supplier - Clinic/Group Practice | 9234041559 |
Receives reassigned benefits from 3 practitioners Practice locations: Fort Collins, CO |
| O20230504001034 | FL | Part B Supplier - Clinic/Group Practice | 9234041559 |
Receives reassigned benefits from 3 practitioners Practice locations: Freeport, FL; Gainesville, FL; Gulf Breeze, FL |
| O20231005000026 | PA | Part B Supplier - Clinic/Group Practice | 9234041559 |
Receives reassigned benefits from 2 practitioners Practice locations: Chester Springs, PA; Philadelphia, PA |
| O20250626003134 | ID | Part B Supplier - Clinic/Group Practice | 9234041559 |
Receives reassigned benefits from 1 practitioner Practice locations: Driggs, ID |
| O20251106000268 | OH | Part B Supplier - Clinic/Group Practice | 9234041559 |
Receives reassigned benefits from 1 practitioner Practice locations: Marietta, OH |
| O20251113004672 | GA | Part B Supplier - Clinic/Group Practice | 9234041559 |
Receives reassigned benefits from 1 practitioner Practice locations: Gainesville, GA |
| O20260407000686 | WA | Part B Supplier - Clinic/Group Practice | 9234041559 |
Receives reassigned benefits from 1 practitioner Practice locations: Bellingham, WA |
National Provider Directory
Locations
123 N 19th St
#A103
Middlesboro, KY 40965
Phone (606) 248-3171
1060 Peerless Xing NW
Cleveland, TN 37312
Phone (423) 479-4165
700 Paul Huff Pkwy NW
Ste 200
Cleveland, TN 37312
2340 Knob Creek Rd
Ste 704
Johnson City, TN 37604
Phone (423) 929-9101
4709 Papermill Dr
Ste 201
Knoxville, TN 37909
1819 Clinch Ave
Ste 214
Knoxville, TN 37916
Phone (865) 331-2835
1975 Town Center Blvd
Knoxville, TN 37922
Phone (865) 546-3998
Dept 888302
Knoxville, TN 37995
6344 Lonas Spring Dr
Knoxville, TN 37909
Phone (865) 247-8422
160 Ridgeway Ctr
Oak Ridge, TN 37830
5038 Hunter Rd
Ste 102
Ooltewah, TN 37363
Phone (423) 910-6100
1850 Old Knoxville Rd
Tazewell, TN 37879
Phone (423) 526-2137
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuroradiology Physician |
2085N0700X | |||
| Pediatric Radiology Physician |
2085P0229X | |||
| Diagnostic Radiology Physician |
2085R0202X | Yes | ||
| Vascular & Interventional Radiology Physician |
2085R0204X | |||
| Acute Care Nurse Practitioner |
363LA2100X |
Addresses
Primary practice location
2001 Laurel Ave Ste N304
Knoxville, TN 37916-1810
Mailing address
2001 Laurel Ave Ste N304
Knoxville, TN 37916-1810
Phone (865) 595-4100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3372353 | Medicaid | TN |
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All providers in Knoxville, TN · Diagnostic Radiology Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.