Individual provider Active NPI

Stephen Hoadley, M.D.

  • Interventional Cardiology Physician
  • Knoxville, TN
National Provider Identifier
1619967239
Registry record updated Nov 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
18602 Issued in TN
Practice address
900 E Oak Hill Ave
Suite 500
Knoxville, TN 37917-4505
Phone
(865) 525-6688
Fax
(865) 525-0245
NPI assigned
Oct 25, 2005
Last updated
Nov 17, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 18602 TN
Interventional Cardiology Physician 207RI0011X 18602 TN Primary

Addresses

Primary practice location

900 E Oak Hill Ave
Suite 500
Knoxville, TN 37917-4505

Mailing address

1225 E Weisgarber Rd
Suite 190
Knoxville, TN 37909-2604
Phone (865) 602-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190530000989 VA Practitioner - Cardiovascular Disease (Cardiology) 9133157944 Reassigns benefits to 1 organization
I20200430002093 MA Practitioner - Cardiovascular Disease (Cardiology) 9133157944 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18602TNMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Twin County Physician Practices LLC CurrentSince Mar 26, 2019 Accepting new patients
DLP Twin County Physician Practices LLC CurrentSince Mar 26, 2019 Accepting new patients
Berkshire Faculty Services Inc CurrentSince Apr 6, 2020 Accepting new patients
Fairview Hospital CurrentSince Apr 6, 2020 Accepting new patients
DLP Twin County Physician Practices LLC Current Accepting new patients
Cocke County Hma LLC Past Accepting new patients
Cocke County Hma, LLC Past Accepting new patients

Locations

780 S Main St
Ste 2
Gt Barrington, MA 01230
Phone (413) 447-2498

725 North St
Pittsfield, MA 01201
Phone (413) 447-2839

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

105 Doctors Park
Galax, VA 24333
Phone (276) 236-5187

961 E Stuart Dr
Galax, VA 24333
Phone (276) 236-3931

Interoperability endpoints

  • Direct secure messaging: stephenhoadley@bfs.medalliesdirect.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321488000000",
    "number": "1619967239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 E WEISGARBER RD",
            "address_2": "SUITE 190",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092604",
            "telephone_number": "865-602-6700",
            "fax_number": "865-602-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E OAK HILL AVE",
            "address_2": "SUITE 500",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379174505",
            "telephone_number": "865-525-6688",
            "fax_number": "865-525-0245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOADLEY",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2011-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "18602",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TN",
            "license": "18602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.