Active NPI
Joseph Minardo, M.D.
- Cardiovascular Disease Physician
- Knoxville, TN
National Provider Identifier
1508856006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 17956
- Practice address
- 900 E Oak Hill Ave
Suite 600
Knoxville, TN 37917-4522 - Phone
- (865) 525-6688
- Fax
- (865) 525-0245
- NPI assigned
- Oct 26, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 17956 | TN | Primary |
Addresses
Primary practice location
900 E Oak Hill Ave
Suite 600
Knoxville, TN 37917-4522
Mailing address
1225 E Weisgarber Rd
Suite 190
Knoxville, TN 37909-2604
Phone (865) 602-6700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1515693 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321228800000",
"number": "1508856006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 E WEISGARBER RD",
"address_2": "SUITE 190",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379092604",
"telephone_number": "865-602-6700",
"fax_number": "865-602-6801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 E OAK HILL AVE",
"address_2": "SUITE 600",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379174522",
"telephone_number": "865-525-6688",
"fax_number": "865-525-0245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINARDO",
"first_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-26",
"last_updated": "2011-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TN",
"license": "17956",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1515693",
"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 Nov 14, 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.