Active NPI
West Knoxville Neurological Associate
- Specialist
- Knoxville, TN
National Provider Identifier
1508977661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD 11457
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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 DirectoryLocations
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.
-
- Specialist
- Knoxville, TN
- NPI 1255333977
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.