Organization Active NPI

University Orthopedic Clinic

  • Specialist
  • Knoxville, TN
National Provider Identifier
1720073810
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD020653 Issued in TN
Legal business name
UNIVERSITY ORTHOPEDIC CLINIC
Practice address
501 19TH St
Suite 601
Knoxville, TN 37916-1854
Phone
(865) 521-7662
Fax
(865) 541-2895
NPI assigned
Sep 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Authorized official

Name
Dr. Jonathan N. Degnan, M.D.
Title
Owner
Phone
(865) 521-7662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD020653 TN Primary

Addresses

Primary practice location

501 19TH St
Suite 601
Knoxville, TN 37916-1854

Mailing address

501 19TH St
Suite 601
Knoxville, TN 37916-1854
Phone (865) 521-7662

Other identifiers 3

IdentifierTypeStateIssuer
166410400OtherTNU.S. DEPT. OF LABOR PROV.
21159366OtherTNWAUSAU PROVIDER #
121659OtherTNBLUE CROSS PROVIDER #

National Provider Directory

National Provider Directory

Locations

501 19th St
Ste 601
Knoxville, TN 37916
Phone (865) 521-7662

NPI Registry JSON

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1720073810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 19TH ST",
            "address_2": "SUITE 601",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379161854",
            "telephone_number": "865-521-7662",
            "fax_number": "865-541-2895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 19TH ST",
            "address_2": "SUITE 601",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379161854",
            "telephone_number": "865-521-7662",
            "fax_number": "865-541-2895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY ORTHOPEDIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-14",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "DEGNAN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-521-7662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD020653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U.S. DEPT. OF LABOR PROV.",
            "identifier": "166410400",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WAUSAU PROVIDER #",
            "identifier": "21159366",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER #",
            "identifier": "121659",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.