Tennessee Vein Center, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

TENNESSEE VEIN CENTER, PLLC

Practice address

203 Corporate Place
Alcoa, TN 37701

Phone

(865) 365-8346

NPI assigned

Aug 11, 2010

Last updated

Aug 11, 2010By 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

Dr. Keith Earl Campbell, M.D.NPI 1659331742

Title

President

Phone

(865) 368-8753

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 6

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.

• Keith E. Campbell, MD

  • Phlebology Physician
  • Alcoa, TN
  • NPI 1659331742
  Medicare reassignment Care Compare group NPD Authorized official
• Abbey Martin, PA

  • Physician Assistant
  • Alcoa, TN
  • NPI 1144830589
  Medicare reassignment Care Compare group
• Kevin Scott Corum, LCSW

  • Clinical Social Worker
  • Maryville, TN
  • NPI 1316945504
  NPD (past)
• Laura G Dimatteo, LCSW

  • Clinical Social Worker
  • Knoxville, TN
  • NPI 1942583901
  NPD (past)
• Caitlin Elizabeth Riley, LCSW

  • Clinical Social Worker
  • Maryville, TN
  • NPI 1639428360
  NPD (past)
• Kristen Santos-Silva, MSW, LCSW

  • Clinical Social Worker
  • Maryville, TN
  • NPI 1184088775
  NPD (past)

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281484800000",
    "number": "1598070807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12925 LAUREL BROOKE LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379344453",
            "telephone_number": "865-671-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 CORPORATE PLACE",
            "city": "ALCOA",
            "state": "TN",
            "postal_code": "37701",
            "telephone_number": "865-365-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE VEIN CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-11",
        "last_updated": "2010-08-11",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-368-8753",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Teffeteller
• Tia Marie Templeton, LMT
• Tennessee Cancer Specialists
• Tennessee CVS Pharmacy, L.L.C. (CVS Pharmacy #06359)
• Tennessee Orthopaedic Alliance PA
• Rachel M Terry, NP
• The Nowell Corporation (Befitting You Specialty Boutique)
• Kayla Thomas, CNA
• Bryan B Thompson, M.D.
• Emma Raycher Thompson, MS

• Primary Care Clinic/Center in Alcoa, TN
• Providers in Alcoa, TN by specialty
• Primary Care Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.