NPIMap

Organization Active NPI

Knoxville Emergency Physicians Group PC

  • Specialist
  • Knoxville, TN
National Provider Identifier
1467515197
Registry record updated Oct 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
KNOXVILLE EMERGENCY PHYSICIANS GROUP PC
Practice address
10820 Parkside Dr
Emergency Dept
Knoxville, TN 37934-1956
Phone
(865) 988-3666
Fax
(865) 988-3666
NPI assigned
Dec 17, 2006
Last updated
Oct 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2008

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

Authorized official

Name
Dr. Steven A Russell, M.D.
Title
President
Phone
(865) 679-5573

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

10820 Parkside Dr
Emergency Dept
Knoxville, TN 37934-1956

Mailing address

PO Box 1008
Lenoir City, TN 37771-1008
Phone (865) 988-3666

Other identifiers 1

IdentifierTypeStateIssuer
3371107MedicaidTN

National Provider Directory

National Provider Directory

Locations

211 E Blount Ave
Ste 507
Knoxville, TN 37920
Phone (865) 525-0598

433 Sevier Ave
Ste 105
Knoxville, TN 37920
Phone (615) 573-7676

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223510400000",
    "number": "1467515197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1008",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377711008",
            "telephone_number": "865-988-3666",
            "fax_number": "865-988-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10820 PARKSIDE DR",
            "address_2": "EMERGENCY DEPT",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379341956",
            "telephone_number": "865-988-3666",
            "fax_number": "865-988-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOXVILLE EMERGENCY PHYSICIANS GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-17",
        "last_updated": "2008-10-09",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-679-5573",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3371107",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; 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.