Active NPI
Tennessee GYN
- Gynecology Physician
- Knoxville, TN
National Provider Identifier
1699015727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- Legal business name
- TENNESSEE GYN
- Practice address
- 9330 Park West Blvd
Suite 409
Knoxville, TN 37923-4308 - Phone
- (865) 531-1173
- Fax
- (865) 531-8599
- NPI assigned
- Feb 27, 2013
- Last updated
- Feb 27, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Glenn Zink
- Title
- Administrator
- Phone
- (865) 531-1173
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | NU | Primary |
Addresses
Primary practice location
9330 Park West Blvd
Suite 409
Knoxville, TN 37923-4308
Mailing address
9330 Park West Blvd
Suite 409
Knoxville, TN 37923-4308
Phone (865) 531-1173
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D1016144 | OB/GYN Professionals of East Tennessee | Provider-performed microscopy | Aug 20, 2027 |
National Provider Directory
National Provider DirectoryLocations
9330 Park West Blvd
Ste 409
Knoxville, TN 37923
Phone (423) 909-0273
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Gynecology Physician
- Knoxville, TN
- NPI 1518935311
-
- Medical Physician Assistant
- Knoxville, TN
- NPI 1083903306
-
- Nurse Practitioner
- Knoxville, TN
- NPI 1063923415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361923200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1361923200000",
"number": "1699015727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9330 PARK WEST BLVD",
"address_2": "SUITE 409",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379234308",
"telephone_number": "865-531-1173",
"fax_number": "865-531-8599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9330 PARK WEST BLVD",
"address_2": "SUITE 409",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379234308",
"telephone_number": "865-531-1173",
"fax_number": "865-531-8599"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TENNESSEE GYN",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-27",
"last_updated": "2013-02-27",
"status": "A",
"authorized_official_last_name": "ZINK",
"authorized_official_first_name": "GLENN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "865-531-1173",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
- Tennessee Dental Professionals, PC (Halls Crossroads Dental Care)
- Tennessee Dental Professionals, PC (Dental Care on Parkside)
- Tennessee Dental Professionals, PC (Silver Creek Dental Care)
- Tennessee Ear, Nose & Throat Consultants, PC
- Tennessee Em-I Medical Services PC
- Tennessee Health and Care Professionals, LLC
- Tennessee Innovative Medical Services PLLC
- Tennessee Maxillofacial Surgery, PLLC
- Tennessee Medical Alert, Inc.
- Tennessee Neuropathy Center, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.