NPIMap

Organization Active NPI

University Health System, Inc

Doing business as UT Family Physicians Loudon

  • Family Medicine Physician
  • Loudon, TN
National Provider Identifier
1700109402
Registry record updated Sep 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
UNIVERSITY HEALTH SYSTEM, INC
Doing business as
UT Family Physicians Loudon
Practice address
2480 Hwy 72 N
Loudon, TN 37774
Phone
(865) 458-1183
Fax
(865) 458-7920
NPI assigned
Mar 9, 2010
Last updated
Sep 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cynthia B Marquart
Title
VP
Phone
(865) 305-9886

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

2480 Hwy 72 N
Loudon, TN 37774

Mailing address

PO Box 440227
Nashville, TN 37244-0227
Phone (865) 670-6199

Other identifiers 1

IdentifierTypeStateIssuer
1518345MedicaidTN

Other names 1

  • UT Family Physicians Loudon Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

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

National Provider Directory
Tax ID family
Unversity Health System Inc67 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284076800000",
    "number": "1700109402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440227",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372440227",
            "telephone_number": "865-670-6199",
            "fax_number": "865-670-6188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 HWY 72 N",
            "city": "LOUDON",
            "state": "TN",
            "postal_code": "37774",
            "telephone_number": "865-458-1183",
            "fax_number": "865-458-7920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY HEALTH SYSTEM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-09",
        "last_updated": "2010-09-10",
        "status": "A",
        "authorized_official_last_name": "MARQUART",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "865-305-9886"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518345",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UT Family Physicians Loudon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Loudon, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.