NPIMap

Organization Active NPI

Fort Sanders Obstetrical and Gynecological Group II LLC

  • Clinic/Center
  • Knoxville, TN
National Provider Identifier
1487815494
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
FORT SANDERS OBSTETRICAL AND GYNECOLOGICAL GROUP II LLC
Practice address
501 19TH St
Suite 701
Knoxville, TN 37916-1854
Phone
(404) 943-0205
NPI assigned
Jun 23, 2008
Last updated
Jun 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Alicia Holden, ACCOUNTING
Title
Lead
Phone
(404) 943-0205

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

501 19TH St
Suite 701
Knoxville, TN 37916-1854

Mailing address

PO Box 468029
Atlanta, GA 31146-8029

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1487815494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 468029",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311468029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 19TH ST",
            "address_2": "SUITE 701",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379161854",
            "telephone_number": "404-943-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT SANDERS OBSTETRICAL AND GYNECOLOGICAL GROUP II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-23",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "HOLDEN",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "LEAD",
        "authorized_official_telephone_number": "404-943-0205",
        "authorized_official_credential": "ACCOUNTING"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "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 Jun 23, 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.