University Urology PC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

UNIVERSITY UROLOGY PC

Doing business as

university urology

Practice address

1928 Alcoa Hwy
BLDG B Suite 222
Knoxville, TN 37920

Phone

(865) 305-9254

Fax

(865) 305-9716

NPI assigned

Jul 18, 2006

Last updated

Jul 16, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelly D Owen

Title

Billling Manager

Phone

(865) 305-9254

Specialties & licenses 1

Addresses

Other names 1

• university urology Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 18

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.

• James M Bienvenu, MD

  • Urology Physician
  • Knoxville, TN
  • NPI 1407167018
  Medicare reassignment Care Compare group NPD
• Stephanie Michelle Carter, APRN, FNP

  • Family Nurse Practitioner
  • Knoxville, TN
  • NPI 1366270761
  Medicare reassignment Care Compare group NPD
• Edward D Kim, MD

  • Urology Physician
  • Knoxville, TN
  • NPI 1316948029
  Medicare reassignment Care Compare group NPD
• John M Lacy, MD

  • Urology Physician
  • Knoxville, TN
  • NPI 1538487939
  Medicare reassignment Care Compare group NPD
• Andrea Nicole Littlefield, PA-C

  • Surgical Physician Assistant
  • Oak Ridge, TN
  • NPI 1801417613

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Kathryn Lynn Mantey, FNP-BC

  • Family Nurse Practitioner
  • Knoxville, TN
  • NPI 1932853116
  Medicare reassignment Care Compare group NPD
• Laura Mathis

  • Family Nurse Practitioner
  • Sevierville, TN
  • NPI 1841666583
  Medicare reassignment Care Compare group NPD
• Lynette Ann Medlen, FNP

  • Family Nurse Practitioner
  • Knoxville, TN
  • NPI 1740685668
  Medicare reassignment Care Compare group NPD
• Ryan Baird Pickens, MD

  • Urology Physician
  • Knoxville, TN
  • NPI 1760639850
  Medicare reassignment Care Compare group NPD
• Diane Michelle Reber, APRN FNP-C

  • Family Nurse Practitioner
  • Knoxville, TN
  • NPI 1972997005
  Medicare reassignment Care Compare group NPD
• Hannah Elizabeth Sherrod, FNP-C

  • Family Nurse Practitioner
  • Knoxville, TN
  • NPI 1801400031
  Medicare reassignment Care Compare group NPD
• Wesley M White, M.D.

  • Urology Physician
  • Knoxville, TN
  • NPI 1730353780

  Single Specialty

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626393600000",
    "number": "1740208628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1928 ALCOA HWY STE 222",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201504",
            "telephone_number": "865-305-9254",
            "fax_number": "865-305-9716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1928 ALCOA HWY",
            "address_2": "BLDG B SUITE 222",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37920",
            "telephone_number": "865-305-9254",
            "fax_number": "865-305-9716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY UROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A",
        "authorized_official_last_name": "OWEN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "BILLLING MANAGER",
        "authorized_official_telephone_number": "865-305-9254"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "university urology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "university urology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• University Orthopedic Clinic Inc
• University Pathologists, P.C.
• University Pediatric Urology, PC
• University Rehabilitation Associates, P.C.
• University Surgeons Associates
• University Vascular Surgeons, PLLC
• Nirmala Upadhyaya, MD
• Courson Upchurch, B.A.
• Ciara Uphoff
• Savannah Leigh Upshaw, OD

• Urology Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Urology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.