NPIMap

Organization Active NPI

Urgent Care & Surgery Center - Knoxville LLC

  • Contractor
  • Knoxville, TN
National Provider Identifier
1467732750
Registry record updated Aug 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
MD29862 Issued in TN
Legal business name
URGENT CARE & SURGERY CENTER - KNOXVILLE LLC
Practice address
301 S Gallaher View Rd Ste 224
Knoxville, TN 37919-5361
Phone
(865) 951-2012
Fax
(865) 951-2575
NPI assigned
Aug 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2011

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

Authorized official

Name
Mark Gary Blumenthal, M.D.
Title
Owner
Phone
(865) 951-2012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ContractorGroup: 193400000X SINGLE SPECIALTY GROUP 171W00000X MD29862 TN Primary

Addresses

Primary practice location

301 S Gallaher View Rd Ste 224
Knoxville, TN 37919-5361

Mailing address

301 S Gallaher View Rd Ste 224
Knoxville, TN 37919-5361
Phone (865) 951-2012

National Provider Directory

National Provider Directory

Locations

301 S Gallaher View Rd
Knoxville, TN 37919
Phone (865) 247-5645

NPI Registry JSON

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313625600000",
    "number": "1467732750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S GALLAHER VIEW RD STE 224",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195361",
            "telephone_number": "865-951-2012",
            "fax_number": "865-951-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S GALLAHER VIEW RD STE 224",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195361",
            "telephone_number": "865-951-2012",
            "fax_number": "865-951-2575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT CARE & SURGERY CENTER - KNOXVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-18",
        "last_updated": "2011-08-18",
        "status": "A",
        "authorized_official_last_name": "BLUMENTHAL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-951-2012",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": "TN",
            "license": "MD29862",
            "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 Aug 18, 2011; 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.