Tennessee Urology Associates, PLLC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

TENNESSEE UROLOGY ASSOCIATES, PLLC

Practice address

9245 Park West Blvd
Knoxville, TN 37923-4425

Phone

(865) 276-2764

Fax

(865) 694-7621

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Mary Lauterbach

Title

Credentialing

Phone

(443) 738-2889

Specialties & licenses 1

Addresses

Other names 1

• Tennessee Urology Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Men'S Health Management of East Tennessee

  • Urology Physician
  • Knoxville, TN
  • NPI 1720382336

  Member Of

  NPD member

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy James Leroy, MD

  • Urology Physician
  • Knoxville, TN
  • NPI 1770754137

  TN, Urology

  Medicare reassignment NPD
• Christopher D Harris, M.D.

  • Urology Physician
  • Knoxville, TN
  • NPI 1295721355

  Urology

  NPD
• Steven A Morris, M.D.

  • Urology Physician
  • Knoxville, TN
  • NPI 1508852898

  Urology

  NPD

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608163200000",
    "number": "1720172489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CROSSROADS DR STE 306",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175437",
            "telephone_number": "866-953-3111",
            "fax_number": "443-471-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9245 PARK WEST BLVD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234425",
            "telephone_number": "865-276-2764",
            "fax_number": "865-694-7621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE UROLOGY ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A",
        "authorized_official_last_name": "LAUTERBACH",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "443-738-2889"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tennessee Urology Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tennessee Urology Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tennessee Spine Specialists PLLC
• Tennessee Sports Medicine Group
• Tennessee State Veterans Home Board
• Tennessee Support Services Inc.
• Tennessee Surgical Specialists, PC
• Tennessee Urology Associates, PLLC
• Tennessee Valley Dental
• Tennessee Valley Orthopedics & Sports Medicine Assoc PC
• Tennessee Valley Recovery LLC
• Tennessee Valley Regional Laboratory

• All providers in Knoxville, TN
• Non-Pharmacy Dispensing Site in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; 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.