Active NPI
Samuel Burch Cheek Jr., M.D., M.P.H.
- Preventive Medicine/Occupational Environmental Medicine Physician
- Maryville, TN
National Provider Identifier
1710910211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine Physician
- License
- 30135
- Practice address
- 427 Broadmoor Dr
Maryville, TN 37803-6583 - Phone
- (865) 380-6516
- Fax
- (865) 977-5449
- NPI assigned
- Jul 8, 2006
- Last updated
- Aug 20, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 30135 | TN | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 30135 | TN | |
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | 30135 | TN | Primary |
Addresses
Primary practice location
427 Broadmoor Dr
Maryville, TN 37803-6583
Mailing address
427 Broadmoor Dr
Maryville, TN 37803-6583
Phone (865) 380-0938
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30135 | TN | MD | Preventive Medicine/Occupational Environmental Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187568000000",
"number": "1710910211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "427 BROADMOOR DR",
"city": "MARYVILLE",
"state": "TN",
"postal_code": "378036583",
"telephone_number": "865-380-0938",
"fax_number": "865-977-5449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "427 BROADMOOR DR",
"city": "MARYVILLE",
"state": "TN",
"postal_code": "378036583",
"telephone_number": "865-380-6516",
"fax_number": "865-977-5449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEEK",
"first_name": "SAMUEL",
"middle_name": "BURCH",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D., M.P.H.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-08",
"last_updated": "2007-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TN",
"license": "30135",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "TN",
"license": "30135",
"primary": false
},
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "TN",
"license": "30135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maryville, TN
- Charles H. Shanks, D.D.S., P.C.
- Charles H. Shanks, D.D.S., P.C.
- Denise Liyana Charlton, M.D.
- Sharon N Chastain, MD
- Jon L Cheek, M.D.
- Irina Chelnokova, MD
- Chilhowee Medical, Inc. (Chilhowee Medical, Inc. DBA Chilhowee Pain Center)
- Chiropractic Services Inc
- Chiropractic Services Inc (Blount Chiropractic Center)
- Chiropractic Services Inc. (Blount Chiropractic Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.