Active NPI
Elizabeth Bishop, M.D.
- Internal Medicine Physician
- Knoxville, TN
National Provider Identifier
1508949207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036101985
- Practice address
- 8033 Ray Mears Blvd
William C. Tallent Veterans Affairs Outpatient Clinic
Knoxville, TN 37919-5458 - Phone
- (865) 545-4592
- NPI assigned
- Oct 24, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036101985 | IL | Primary |
Addresses
Primary practice location
8033 Ray Mears Blvd
William C. Tallent Veterans Affairs Outpatient Clinic
Knoxville, TN 37919-5458
Mailing address
8033 Ray Mears Blvd
William C. Tallent Veterans Affairs Outpatient Clinic
Knoxville, TN 37919-5458
Phone (865) 545-4592
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140318002006 | TN | Order and Referring Only - Internal Medicine | 9931330883 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036101985 | IL | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282867200000",
"number": "1508949207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8033 RAY MEARS BLVD",
"address_2": "WILLIAM C. TALLENT VETERANS AFFAIRS OUTPATIENT CLINIC",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379195458",
"telephone_number": "865-545-4592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8033 RAY MEARS BLVD",
"address_2": "WILLIAM C. TALLENT VETERANS AFFAIRS OUTPATIENT CLINIC",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379195458",
"telephone_number": "865-545-4592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISHOP",
"first_name": "ELIZABETH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-24",
"last_updated": "2010-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036101985",
"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 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.