Active NPI
William Thomas McPeake III, M.D.
- Orthopaedic Surgery Physician
- Knoxville, TN
National Provider Identifier
1750358057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MD9647
- Practice address
- 260 Fort Sanders West Blvd
Knoxville, TN 37922-3355 - Phone
- (865) 558-4400
- Fax
- (865) 769-4536
- NPI assigned
- Mar 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | 9647 | TN | |
| Orthopaedic Surgery Physician | 207X00000X | MD9647 | TN | Primary |
Addresses
Primary practice location
260 Fort Sanders West Blvd
Knoxville, TN 37922-3355
Mailing address
260 Fort Sanders West Blvd
Knoxville, TN 37922-3355
Phone (865) 769-4500
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3071376 | Other | TN | BLUE CROSS BLUE SHIELD |
| 1195396 | Other | TN | UNITED HEALTH CARE |
| 3711620 | Other | TN | MEDICARE PTAN |
| 4458093 | Other | TN | AETNA |
| 100011078 | Other | TN | TENNCARE |
| 200030087 | Other | TN | RAILROAD MEDICARE |
| 3180899 | Medicaid | TN | |
| TN0125 | Other | TN | JOHN DEERE HEALTHCARE |
| TN0155 | Other | TN | JOHN DEERE HEALTHCARE |
| 3711675 | Other | TN | MEDICARE PTAN |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD9647 | TN | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthotennessee, PC | Orthopaedic Surgery | Past | Accepting new patients |
| Orthotennessee | Past | Accepting new patients | |
| Hovis Orthopaedic Clinic PC | Orthopaedic Surgery | Past | Accepting new patients |
| Orthotennessee, PC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Knoxville, TN
- NPI 1053392043
-
- Multi-Specialty Clinic/Center
- Knoxville, TN
- NPI 1841508751
-
- Orthopaedic Surgery Physician
- Knoxville, TN
- NPI 1053402040
-
- Multi-Specialty Clinic/Center
- Powell, TN
- NPI 1518043751
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498089600000",
"number": "1750358057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 FORT SANDERS WEST BLVD",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379223355",
"telephone_number": "865-769-4500",
"fax_number": "865-769-4557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 FORT SANDERS WEST BLVD",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379223355",
"telephone_number": "865-558-4400",
"fax_number": "865-769-4536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCPEAKE",
"first_name": "WILLIAM",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-06",
"last_updated": "2017-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "TN",
"license": "9647",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TN",
"license": "MD9647",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "3071376",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "1195396",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "3711620",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4458093",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TENNCARE",
"identifier": "100011078",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "200030087",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3180899",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE HEALTHCARE",
"identifier": "TN0125",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE HEALTHCARE",
"identifier": "TN0155",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "3711675",
"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 Jun 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.