Active NPI
Hospitalists of East Tennessee, PC
- Hospitalist Physician
- Maryville, TN
National Provider Identifier
1700064060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- Legal business name
- HOSPITALISTS OF EAST TENNESSEE, PC
- Practice address
- 907 E Lamar Alexander Pkwy
Maryville, TN 37804-5015 - Phone
- (865) 983-7211
- Fax
- (865) 273-1755
- NPI assigned
- Feb 8, 2008
- 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
- Dr. Deaver T Shattuck, M.D.
- Title
- MD/Sole Owner
- Phone
- (865) 273-1752
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | TN | Primary |
Addresses
Primary practice location
907 E Lamar Alexander Pkwy
Maryville, TN 37804-5015
Mailing address
PO Box 4156
Maryville, TN 37802-4156
Phone (865) 273-1752
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hospitalist Physician
- Maryville, TN
- NPI 1013985407
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1295568000000",
"number": "1700064060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4156",
"city": "MARYVILLE",
"state": "TN",
"postal_code": "378024156",
"telephone_number": "865-273-1752",
"fax_number": "865-273-1755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "907 E LAMAR ALEXANDER PKWY",
"city": "MARYVILLE",
"state": "TN",
"postal_code": "378045015",
"telephone_number": "865-983-7211",
"fax_number": "865-273-1755"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOSPITALISTS OF EAST TENNESSEE, PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-08",
"last_updated": "2011-01-21",
"status": "A",
"authorized_official_last_name": "SHATTUCK",
"authorized_official_first_name": "DEAVER",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "MD/SOLE OWNER",
"authorized_official_telephone_number": "865-273-1752",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Hospitalist",
"state": "TN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maryville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.