Active NPI
Archer Wortman Bishop Jr., M D
- Orthopaedic Surgery Physician
- Knoxville, TN
National Provider Identifier
1629317177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- M D 6175
- Practice address
- 4 Forest CT
Knoxville, TN 37919-5001 - Phone
- (865) 588-2836
- Fax
- (865) 588-2110
- NPI assigned
- Feb 4, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | M D 6175 | TN | Primary |
Addresses
Primary practice location
4 Forest CT
Knoxville, TN 37919-5001
Mailing address
4 Forest CT
Knoxville, TN 37919-5001
Phone (865) 588-2836
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M D 6175 | TN | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359936000000",
"number": "1629317177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 FOREST CT",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379195001",
"telephone_number": "865-588-2836",
"fax_number": "865-588-2110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 FOREST CT",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379195001",
"telephone_number": "865-588-2836",
"fax_number": "865-588-2110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISHOP",
"first_name": "ARCHER",
"middle_name": "WORTMAN",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-02-04",
"last_updated": "2013-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TN",
"license": "M D 6175",
"primary": true
}
],
"identifiers": [],
"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 Feb 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.