Organization Active NPI

West Knoxville Neurological Associate

  • Specialist
  • Knoxville, TN
National Provider Identifier
1508977661
Registry record updated Jul 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD 11457 Issued in TN
Legal business name
WEST KNOXVILLE NEUROLOGICAL ASSOCIATE
Practice address
300 Prosperity Rd Ste 103
Knoxville, TN 37923-4717
Phone
(865) 769-9595
Fax
(865) 769-9510
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2011

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

Authorized official

Name
Roberta R Classen
Title
Billing
Phone
(843) 810-1260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD 11457 TN Primary

Addresses

Primary practice location

300 Prosperity Rd Ste 103
Knoxville, TN 37923-4717

Mailing address

300 Prosperity Rd Ste 103
Knoxville, TN 37923-4717
Phone (865) 769-9595

National Provider Directory

National Provider Directory

Locations

9333 Park West Blvd
Ste 205
Knoxville, TN 37923
Phone (423) 522-1594

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310515200000",
    "number": "1508977661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PROSPERITY RD STE 103",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234717",
            "telephone_number": "865-769-9595",
            "fax_number": "865-769-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PROSPERITY RD STE 103",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234717",
            "telephone_number": "865-769-9595",
            "fax_number": "865-769-9510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST KNOXVILLE NEUROLOGICAL ASSOCIATE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-07-13",
        "status": "A",
        "authorized_official_last_name": "CLASSEN",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "843-810-1260"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD 11457",
            "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 Jul 13, 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.

Verify at the official NPI Registry.