Chilhowee Medical, Inc.

Primary specialty

Pain Management Registered NurseTaxonomy code 163WP0000X

License

1136 Issued in TN

Legal business name

CHILHOWEE MEDICAL, INC.

Doing business as

Chilhowee Medical, Inc. DBA Chilhowee Pain Center

Practice address

2012 Chilhowee Medical Park
Maryville, TN 37804

Phone

(865) 981-8838

Fax

(865) 380-8868

NPI assigned

Jan 26, 2018

Last updated

Jan 26, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Dawayne Douglas Cantrell, AUTHORIZED SIGNATURE

Title

Practice Consultant

Phone

(888) 352-5559

Specialties & licenses 1

Addresses

Other names 1

• Chilhowee Medical, Inc. DBA Chilhowee Pain Center Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Donna J. Smith, NP

  • Nurse Practitioner
  • Maryville, TN
  • NPI 1821039348
  NPD (past)
• Kayla Rae Tate, FNP-BC

  • Nurse Practitioner
  • Knoxville, TN
  • NPI 1972128080
  NPD (past)

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

{
    "created_epoch": "1516924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516924800000",
    "number": "1548768328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 REYNOLDS ROAD",
            "address_2": "CHILHOWEE MEDICAL, INC. IN CARE OF DAWAYNE CANTRELL",
            "city": "KEAVY",
            "state": "KY",
            "postal_code": "40737",
            "telephone_number": "888-352-5559",
            "fax_number": "606-363-0789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 CHILHOWEE MEDICAL PARK",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "37804",
            "telephone_number": "865-981-8838",
            "fax_number": "865-380-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILHOWEE MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-26",
        "last_updated": "2018-01-26",
        "status": "A",
        "authorized_official_last_name": "CANTRELL",
        "authorized_official_first_name": "DAWAYNE",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRACTICE CONSULTANT",
        "authorized_official_telephone_number": "888-352-5559",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "AUTHORIZED SIGNATURE"
    },
    "taxonomies": [
        {
            "code": "163WP0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pain Management",
            "state": "TN",
            "license": "1136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chilhowee Medical, Inc. DBA Chilhowee Pain Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Denise Liyana Charlton, M.D.
• Sharon N Chastain, MD
• Jon L Cheek, M.D.
• Samuel Burch Cheek Jr., M.D., M.P.H.
• Irina Chelnokova, MD
• Chiropractic Services Inc
• Chiropractic Services Inc (Blount Chiropractic Center)
• Chiropractic Services Inc. (Blount Chiropractic Center)
• Erika Elizabeth Chiruck, LCSW
• Kimberly May Chism, R.D.

• Registered Nurse in Maryville, TN
• Providers in Maryville, TN by specialty
• Registered Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2018; 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.