NPIMap

Organization Active NPI

Mary Dillon, MD, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Knoxville, TN
National Provider Identifier
1467649749
Registry record updated Oct 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
37897 Issued in TN
Legal business name
MARY DILLON, MD, PLLC
Practice address
1901 W Clinch Ave
Ste 301E
Knoxville, TN 37916-2307
Phone
(865) 541-3600
Fax
(865) 541-2352
NPI assigned
Oct 1, 2007
Last updated
Oct 1, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2007

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

Authorized official

Name
Mary E. Dillon, MDNPI 1326195363
Title
MD/President
Phone
(865) 541-1726

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 37897 TN Primary

Addresses

Primary practice location

1901 W Clinch Ave
Ste 301E
Knoxville, TN 37916-2307

Mailing address

1901 W Clinch Ave
Ste 301E
Knoxville, TN 37916-2307
Phone (865) 541-3600

National Provider Directory

National Provider Directory

Locations

1901 Clinch Ave
Ste 301E
Knoxville, TN 37916
Phone (865) 541-1167

280 Fort Sanders West Blvd
Ste 205
Knoxville, TN 37922

Practitioners & affiliated clinicians

Practitioners 7

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": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1467649749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 W CLINCH AVE",
            "address_2": "STE 301E",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379162307",
            "telephone_number": "865-541-3600",
            "fax_number": "865-541-2352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 W CLINCH AVE",
            "address_2": "STE 301E",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379162307",
            "telephone_number": "865-541-3600",
            "fax_number": "865-541-2352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY DILLON, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "DILLON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "MD/PRESIDENT",
        "authorized_official_telephone_number": "865-541-1726",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TN",
            "license": "37897",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 1, 2007; 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.