Active NPI
Elizabeth Tenaglia Azel, MD
- Family Medicine Physician
- Oak Ridge, TN
National Provider Identifier
1396794392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 48300
- Practice address
- 100 Vermont Ave
Oak Ridge, TN 37830-6471 - Phone
- (865) 482-1777
- Fax
- (865) 482-1030
- NPI assigned
- May 8, 2006
- Last updated
- Sep 3, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 48300 | TN | Primary |
Addresses
Primary practice location
100 Vermont Ave
Oak Ridge, TN 37830-6471
Mailing address
100 Vermont Ave
Oak Ridge, TN 37830-6471
Phone (865) 482-1777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q005627 | Medicaid | TN |
Other names 1
- Dr. Elizabeth Ann Tenaglia
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Medical Group, Inc. | Family Medicine | Current | Accepting new patients |
| Covenant Medical Group, Inc | Current | Accepting new patients | |
| Hospital Service District No. 2 | Past | Accepting new patients | |
| C & M Medical Services, Inc. | Past | Accepting new patients |
Locations
Dept 888179
Knoxville, TN 37995
111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554
100 Vermont Ave
Oak Ridge, TN 37830
Phone (865) 482-1777
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Knoxville, TN
- NPI 1457302010
-
- Durable Medical Equipment & Medical Supplies
- Knoxville, TN
- NPI 1871269415
-
- Emergency Medical Services (Emergency Medicine) Physician
- Metairie, LA
- NPI 1710903059
-
- Critical Access Hospital
- Breaux Bridge, LA
- NPI 1548263262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409702400000",
"number": "1396794392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 VERMONT AVE",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378306471",
"telephone_number": "865-482-1777",
"fax_number": "865-482-1030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 VERMONT AVE",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378306471",
"telephone_number": "865-482-1777",
"fax_number": "865-482-1030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AZEL",
"first_name": "ELIZABETH",
"middle_name": "TENAGLIA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-08",
"last_updated": "2014-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "48300",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q005627",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "TENAGLIA",
"middle_name": "ANN",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Oak Ridge, TN
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.