Organization Active NPI

Parkwest Plastic Surgery, LLC

  • Ambulatory Surgical Clinic/Center
  • Knoxville, TN
National Provider Identifier
1710115878
Registry record updated Sep 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
0000000209 Issued in TN
Legal business name
PARKWEST PLASTIC SURGERY, LLC
Practice address
9239 Park West Blvd
Suite 101
Knoxville, TN 37923-4403
Phone
(865) 256-0200
Fax
(865) 246-6711
NPI assigned
Jun 29, 2009
Last updated
Sep 24, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2010

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

Authorized official

Name
Dr. Steven James Smith, M.D.NPI 1952517872
Title
Owner, Surgeon
Phone
(865) 246-0200

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)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 0000000209 TN Primary

Addresses

Primary practice location

9239 Park West Blvd
Suite 101
Knoxville, TN 37923-4403

Mailing address

9239 Park West Blvd
Suite 101
Knoxville, TN 37923-4403
Phone (865) 246-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1710115878. Details of each certification follow.

Ambulatory surgical center certification: CCN 44C0001175

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
PARKWEST PLASTIC SURGERY, LLC
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Nov 18, 2010
Last certification
Apr 19, 2017
Ownership / control type
Proprietary
Facility address
9239 Park West Blvd, Suite 101
Knoxville, TN 37923

National Provider Directory

National Provider Directory

Locations

9239 Park West Blvd
Ste 101
Knoxville, TN 37923
Phone (865) 246-0200

Practitioners & affiliated clinicians

Practitioners 1

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": "1246233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285286400000",
    "number": "1710115878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9239 PARK WEST BLVD",
            "address_2": "SUITE 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234403",
            "telephone_number": "865-246-0200",
            "fax_number": "865-246-6711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9239 PARK WEST BLVD",
            "address_2": "SUITE 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234403",
            "telephone_number": "865-256-0200",
            "fax_number": "865-246-6711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWEST PLASTIC SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-29",
        "last_updated": "2010-09-24",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER, SURGEON",
        "authorized_official_telephone_number": "865-246-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TN",
            "license": "0000000209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.