Kenneth R Lister, MD, PC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

KENNETH R LISTER, MD, PC

Practice address

116 Brown Ave
Crossville, TN 38555-7703

Phone

(865) 694-6919

Fax

(865) 694-4339

NPI assigned

Aug 17, 2006

Organization subpart

No

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

Authorized official

Name

Heather Eleazer

Title

Practice Manager

Phone

(865) 694-6919

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417060864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52364",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379502364",
            "telephone_number": "865-694-6919",
            "fax_number": "865-694-4339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 BROWN AVE",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385557703",
            "telephone_number": "865-694-6919",
            "fax_number": "865-694-4339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH R LISTER, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELEAZER",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "865-694-6919"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Stone DO PLLC
• Jeannie R Keagle I
• Karen Ann Kearley, LPN
• Tammy S Kellogg, CRNA
• Amanda Marie Kelly, FNP
• Hayley Brooke Kerley, DPT
• Justin Kerley, DPT
• Teri Kerr
• Rebecca Kilmer, LCSW
• Hanna Marie King, FNP-C

• Anesthesiology Physician in Crossville, TN
• Providers in Crossville, TN by specialty
• Anesthesiology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.