Individual provider Active NPI

Elizabeth Bishop, M.D.

  • Internal Medicine Physician
  • Knoxville, TN
National Provider Identifier
1508949207
Registry record updated Aug 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036101985 Issued in IL
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

Updated by the provider on Aug 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140318002006 TN Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 9931330883

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036101985ILMDInternal 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

Verify at the official NPI Registry.