Stephen Hoadley, M.D.
Individual provider Active NPI Interventional Cardiology Physician · Knoxville, TN
NPI 1619967239 · NPPES record last updated Nov 17, 2011
Key facts
- NPI
- 1619967239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Interventional Cardiology Physician 207RI0011X
- License
- 18602 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in VA, MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18602 | TN | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Hospital | Current |
Accepting new patients | |
| Berkshire Faculty Services Inc | Current |
Accepting new patients | |
| DLP Twin County Physician Practices LLC | Current | Accepting new patients | |
| DLP Twin County Physician Practices LLC | Current |
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
961 E Stuart Dr
Galax, VA 24333
Phone (276) 236-3931
105 Doctors Park
Galax, VA 24333
Phone (276) 236-5187
Interoperability endpoints
- stephenhoadley@bfs.medalliesdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 18602 | TN | |
| Interventional Cardiology Physician | 207RI0011X | 18602 | TN | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3860440 | Medicaid | TN |
Other providers in Knoxville, TN
- Harry R. Hixson Jr.
- Holly Lyn Hixson
- Marsha Loy Hixson
- Danielle M Hmielewski
- Andy Ho
- Michael Brian Hoag
- Kayron Hoard
- Caitriona Michele Hobart
- Amy Elise Hobbs
- Jessica N Hoch
All providers in Knoxville, TN · Interventional Cardiology Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.