NPIMap

University Health System, Inc

Organization Active NPI Neurology Physician · Knoxville, TN

NPI 1659768778 · NPPES record last updated Jun 5, 2020

Key facts

NPI
1659768778
Entity type
Organization (NPI type 2)
Primary specialty
Neurology Physician 2084N0400X
Legal business name
UNIVERSITY HEALTH SYSTEM, INC
Practice address
1924 Alcoa Hwy
Knoxville, TN 37920-1511
Phone
(865) 305-6740
Fax
(865) 305-6745
NPI assigned
Apr 16, 2015
Organization subpart
No

Authorized official

Name
Beth A Maynard
Title
Vice President
Phone
(865) 305-6427

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20031111000809 TN Part B Supplier - Clinic/Group Practice 5294646378 Receives reassigned benefits from 881 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

Tax ID family
Nmorth Knox Primary Car (67 organizations share this tax ID)

Locations

1924 Alcoa Hwy
#U52
Knoxville, TN 37920
Phone (865) 305-6497

5779 Creekwood Park Blvd
#230
Lenoir City, TN 37772

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 2084N0400X Yes

Addresses

Primary practice location

1924 Alcoa Hwy
Knoxville, TN 37920-1511

Mailing address

PO Box 415000-Msc8131
Nashville, TN 37241-8131
Phone (865) 670-6199

Other identifiers

IdentifierTypeStateIssuer
Q013278MedicaidTN

Other names

  • University Neurology ColeNeuro Science Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 5, 2020.

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591315200000",
    "number": "1659768778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415000-MSC8131",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372418131",
            "telephone_number": "865-670-6199",
            "fax_number": "865-670-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 ALCOA HWY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201511",
            "telephone_number": "865-305-6740",
            "fax_number": "865-305-6745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY HEALTH SYSTEM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-16",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A",
        "authorized_official_last_name": "MAYNARD",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "865-305-6427"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q013278",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Neurology ColeNeuro Science Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Knoxville, TN

All providers in Knoxville, TN · Neurology Physician in Tennessee

Sources for this page

Verify at the official NPI Registry.