Active NPI
Team Physicians of Connecticut, PC
- Diagnostic Radiology Physician
- Knoxville, TN
National Provider Identifier
1548291305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- TEAM PHYSICIANS OF CONNECTICUT, PC
- Practice address
- 1431 Centerpoint Blvd
Suite 100
Knoxville, TN 37932-1984 - Phone
- (865) 985-7185
- Fax
- (865) 560-7379
- NPI assigned
- Jul 6, 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
- David Alan Taylor
- Title
- Senior Vice President
- Phone
- (865) 985-7180
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
1431 Centerpoint Blvd
Suite 100
Knoxville, TN 37932-1984
Mailing address
P O Box 636016
Cincinnati, OH 45263-6016
Phone (865) 985-7185
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004223541-P1 | Other | CT | BLUECARE FAMILY |
| 202902 | Other | CT | PREFERRED ONE |
| A2721965 | Other | CT | OXFORD |
| 500HBX449CT01 | Other | CT | ANTHEM BCBS |
| DA2718 | Other | CT | RAILROAD MEDICARE |
| 2V2254 | Other | CT | HEALTHNET |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Colorado Springs, CO
- NPI 1114902384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184198400000",
"number": "1548291305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P O BOX 636016",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452636016",
"telephone_number": "865-985-7185",
"fax_number": "865-692-3390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1431 CENTERPOINT BLVD",
"address_2": "SUITE 100",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379321984",
"telephone_number": "865-985-7185",
"fax_number": "865-560-7379"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEAM PHYSICIANS OF CONNECTICUT, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-06",
"last_updated": "2007-07-12",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
"authorized_official_telephone_number": "865-985-7180"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECARE FAMILY",
"identifier": "004223541-P1",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "202902",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "A2721965",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "500HBX449CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DA2718",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "2V2254",
"state": "CT"
}
],
"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 12, 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.