Knoxville Omnicare, PLLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

49026 Issued in TN

Legal business name

KNOXVILLE OMNICARE, PLLC

Practice address

1924 Alcoa Hwy
Knoxville, TN 37920-1511

Phone

(865) 305-5510

NPI assigned

Mar 23, 2015

Last updated

Mar 23, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ryan Alexander Unger, M.D.

Title

Sole Member, Founder

Phone

(865) 934-8385

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Knoxville Omnicare PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Knoxville Omnicare PLLC

  • Family Medicine Physician
  • Knoxville, TN
  • NPI 1053777169
  NPD tax ID

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

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427068800000",
    "number": "1407240971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 SOUTHBREEZE CIR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379198441",
            "telephone_number": "865-934-8385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 ALCOA HWY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201511",
            "telephone_number": "865-305-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOXVILLE OMNICARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-23",
        "last_updated": "2015-03-23",
        "status": "A",
        "authorized_official_last_name": "UNGER",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "SOLE MEMBER, FOUNDER",
        "authorized_official_telephone_number": "865-934-8385",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TN",
            "license": "49026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "10308I6537",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Knoxville Neurofeedback Group
• Knoxville Neurology Clinic, P.L.L.C.
• Knoxville Neurology Specialists, PLLC
• Knoxville OBGYN Consultants, PC
• Knoxville Omnicare PLLC
• Knoxville Opco LLC (Creekview Health and Rehabilitation)
• Knoxville Ophthalmology ASC, LLC (Eye Surgery Center of East Tennessee)
• Knoxville Ophthalmology ASC, LLC (Eye Surgery Center of East Tennessee)
• Knoxville Oral & Maxillofacial Surgery
• Knoxville Orthopaedic Surgery Center LLC

• Medical Specialty Clinic/Center in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Medical Specialty Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; 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.