Elizabeth Altizer
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Knoxville, TN
NPI 1629565239 · NPPES record last updated Apr 18, 2018
Key facts
- NPI
- 1629565239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1928 Alcoa Hwy
Knoxville, TN 37920-1502 - Phone
- (865) 305-8787
- Fax
- (865) 305-8261
- NPI assigned
- Apr 18, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fort Sanders Obstetrical and Gynecological Group, PC
Practice addresses (Care Compare)
501 19TH St
Suite 509
Knoxville, TN 37916-1874
Phone (865) 524-3208
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- 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 |
|---|---|---|---|---|
| I20220902000245 | TN | Practitioner - Obstetrics/Gynecology | 7113278201 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fort Sanders Obstetrical and Gynecological Group, P.C. | Current |
Accepting new patients | |
| Fort Sanders Obstetrical and Gynecological Group II LLC | Past | Accepting new patients |
Locations
9314 Park West Blvd
Ste 303
Knoxville, TN 37923
Phone (865) 524-3208
501 19th St
Ste 509
Knoxville, TN 37916
Phone (423) 524-1024
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
1928 Alcoa Hwy
Knoxville, TN 37920-1502
Mailing address
1928 Alcoa Highway
Pob B 127
Knoxville, TN 37920
Phone (865) 305-8787
Other providers in Knoxville, TN
- Samantha Alsup
- Johnny Altawil
- Riham Altawil
- Alternative Counseling Center
- Sarah Altic
- Sandy Altizer
- Paula Alvarez
- Sean Allen Alvarez
- Mohammed Alwahaidy
- Kasey Alwood
All providers in Knoxville, TN · Student in an Organized Health Care Education/Training Program in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2018. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.