Active NPI
Travis Fawver, DO
- Emergency Medicine Physician
- Newport, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 1710
- Practice address
- 435 2ND St
Newport, TN 37821-3703 - Phone
- (423) 625-2200
- NPI assigned
- Jun 4, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 1710 | TN | Primary |
Addresses
Primary practice location
435 2ND St
Newport, TN 37821-3703
Mailing address
PO Box 636019
Cincinnati, OH 45263-6019
Phone (865) 985-7234
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00310644 | Other | TN | RAILROAD MEDICARE |
| 3319552 | Medicaid | TN | |
| 4113345 | Other | TN | BCBS OF TN |
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
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Medical Ctr Blvd
Cookeville, TN 38501-4294
Phone (931) 528-2541
1850 Old Knoxville Rd
Tazewell, TN 37879-3625
Phone (423) 626-4211
301 Tyson Ave
Paris, TN 38242-4544
Phone (731) 642-1220
355 New Shackle Island Rd
Hendersonville Medical Center
Hendersonville, TN 37075-2479
Phone (615) 338-1000
7565 Dannaher Dr
Powell, TN 37849-4029
Phone (865) 859-8000
9352 Park W Blvd
Knoxville, TN 37923-4325
Phone (865) 373-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1710 | TN | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-Cities Regional Emergency Physicians, PC | Emergency Medicine | Current | Accepting new patients |
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Theoria Medical | Current | Accepting new patients | |
| East Tennessee Medical Group, PC | Past | Accepting new patients | |
| Jellico Emergency Physicians Medical Group PC | Emergency Medicine | Past | Accepting new patients |
Locations
41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763
401 Takoma Ave
Greeneville, TN 37743
Phone (423) 639-3151
188 Hospital Ln
Jellico, TN 37762
Phone (423) 784-1272
300 Med Tech Pkwy
Johnson City, TN 37604
Phone (423) 302-1000
400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310
9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000
10820 Parkside Dr
Knoxville, TN 37934
Phone (865) 218-7011
1 Veterans Way
Knoxville, TN 37931
Phone (855) 240-2530
907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818
435 2nd St
Newport, TN 37821
Phone (423) 625-2200
7565 Dannaher Dr
Powell, TN 37849
Phone (865) 545-8000
Interoperability endpoints
- tfawver@yourcarecommunity.org
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Paris, TN
- NPI 1134627557
-
dba Emergency Coverage Corporation of TeamHealth
- Family Medicine Physician
- Newport, TN
- NPI 1427005008
-
- Emergency Medicine Physician
- Nashville, TN
- NPI 1720785884
-
- Emergency Medicine Physician
- Cookeville, TN
- NPI 1891475752
-
- Emergency Medicine Physician
- Johnson City, TN
- NPI 1063950046
-
- Family Medicine Physician
- Alcoa, TN
- NPI 1942238902
-
- Emergency Medicine Physician
- Jellico, TN
- NPI 1124322847
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cookeville, TN
- NPI 1275531956
-
- General Acute Care Hospital
- Oak Ridge, TN
- NPI 1700870672
-
dba Tennova Healthcare North Knoxville Medical Center
- General Acute Care Hospital
- Powell, TN
- NPI 1043292899
-
dba West Tennessee Healthcare County Hospital
- General Acute Care Hospital
- Paris, TN
- NPI 1497750244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194307200000",
"number": "1467490805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 636019",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452636019",
"telephone_number": "865-985-7234",
"fax_number": "865-985-7077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 2ND ST",
"city": "NEWPORT",
"state": "TN",
"postal_code": "378213703",
"telephone_number": "423-625-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAWVER",
"first_name": "TRAVIS",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-04",
"last_updated": "2007-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TN",
"license": "1710",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00310644",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3319552",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TN",
"identifier": "4113345",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.