NPIMap

Organization Active NPI

East Tennessee Pulmonary and Critical Care Physicians

  • Pulmonary Disease Physician
  • Knoxville, TN
National Provider Identifier
1528098282
Registry record updated Aug 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
EAST TENNESSEE PULMONARY AND CRITICAL CARE PHYSICIANS
Practice address
200 E Blount Ave
Suite 200
Knoxville, TN 37920-1618
Phone
(865) 549-4413
Fax
(865) 549-4414
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2007

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

Authorized official

Name
Theresa Powers
Title
Manager
Phone
(865) 207-6793

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

200 E Blount Ave
Suite 200
Knoxville, TN 37920-1618

Mailing address

200 E Blount Ave
Suite 200
Knoxville, TN 37920-1618
Phone (865) 549-4413

Other identifiers 1

IdentifierTypeStateIssuer
3734519MedicaidTN

National Provider Directory

National Provider Directory

Locations

200 E Blount Ave
Ste 200
Knoxville, TN 37920
Phone (865) 549-4413

200 E Blount Ave
#200
Knoxville, TN 37920
Phone (865) 549-4413

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187827200000",
    "number": "1528098282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E BLOUNT AVE",
            "address_2": "SUITE 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201618",
            "telephone_number": "865-549-4413",
            "fax_number": "865-549-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E BLOUNT AVE",
            "address_2": "SUITE 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201618",
            "telephone_number": "865-549-4413",
            "fax_number": "865-549-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TENNESSEE PULMONARY AND CRITICAL CARE PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-08-23",
        "status": "A",
        "authorized_official_last_name": "POWERS",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "865-207-6793"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3734519",
            "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 Aug 23, 2007; 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.