Parkwest Gynecology 2 LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PARKWEST GYNECOLOGY 2 LLC

Practice address

9330 Parkwest Blvd
Suite 302
Knoxville, TN 37923

Phone

(865) 531-5878

Fax

(865) 531-7690

NPI assigned

Mar 3, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Shelley Depp

Title

Payer Relations Liaison

Phone

(770) 579-2626

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1488499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488499200000",
    "number": "1508306986",
    "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",
            "telephone_number": "404-943-0205",
            "fax_number": "404-943-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 PARKWEST BLVD",
            "address_2": "SUITE 302",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37923",
            "telephone_number": "865-531-5878",
            "fax_number": "865-531-7690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWEST GYNECOLOGY 2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-03",
        "last_updated": "2017-03-03",
        "status": "A",
        "authorized_official_last_name": "DEPP",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "PAYER RELATIONS LIAISON",
        "authorized_official_telephone_number": "770-579-2626",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Michelle Parks
• Parkside Inpatient Services PLLC
• Parkside Internal Medicine, PLLC
• Parkside Internal Medicine,PLLC
• Parkway Dental Office, P.C.
• Parkwest Gynecology, P.C.
• Parkwest Medical Center
• Parkwest Medical Center
• Parkwest Medical Center
• Parkwest Medical Center

• Specialist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; 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.