Organization Active NPI

Colon & Rectal Surgery of Knoxville

  • Colon & Rectal Surgery Physician
  • Knoxville, TN
National Provider Identifier
1497924666
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
MD 24234 Issued in TN
Legal business name
COLON & RECTAL SURGERY OF KNOXVILLE
Practice address
1930 Alcoa Hwy
Ste 240
Knoxville, TN 37920-1500
Phone
(865) 305-9248
Fax
(865) 525-3460
NPI assigned
Feb 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Authorized official

Name
Julio A Solla, MDNPI 1295768182
Title
Owner
Phone
(865) 305-9248

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208C00000X MD 24234 TN Primary

Addresses

Primary practice location

1930 Alcoa Hwy
Ste 240
Knoxville, TN 37920-1500

Mailing address

PO Box 888200
Knoxville, TN 37995-8200
Phone (865) 670-6199

Other identifiers 1

IdentifierTypeStateIssuer
3074785MedicaidTN

National Provider Directory

National Provider Directory

Locations

1930 Alcoa Hwy
Ste 240
Knoxville, TN 37920
Phone (865) 305-9620

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1497924666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 888200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379958200",
            "telephone_number": "865-670-6199",
            "fax_number": "865-670-6158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 ALCOA HWY",
            "address_2": "STE 240",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201500",
            "telephone_number": "865-305-9248",
            "fax_number": "865-525-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLON & RECTAL SURGERY OF KNOXVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "SOLLA",
        "authorized_official_first_name": "JULIO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-305-9248",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "TN",
            "license": "MD 24234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3074785",
            "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 Mar 24, 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.