Active NPI
Stephen Kiefer, M.D.
- Interventional Cardiology Physician
- Maryville, TN
National Provider Identifier
1760472302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 14718
- Practice address
- 162 BMH Physicians Office BLDG
Maryville, TN 37804-5902 - Phone
- (865) 982-7681
- Fax
- (865) 681-3387
- NPI assigned
- Oct 25, 2005
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 14718 | TN | |
| Interventional Cardiology Physician | 207RI0011X | 14718 | TN | Primary |
Addresses
Primary practice location
162 BMH Physicians Office BLDG
Maryville, TN 37804-5902
Mailing address
701 Morganton Square Drive
Maryville, TN 37801-4796
Phone (865) 273-1752
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1513563 | Medicaid | TN |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Tennessee Heart Consultants, P.C. | Cardiovascular Disease | Past | Accepting new patients |
| Blount Memorial Physician Group, Inc | Cardiovascular Disease | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Alcoa, TN
- NPI 1699710194
Cardiovascular Disease
-
- Cardiovascular Disease Physician
- Knoxville, TN
- NPI 1740583541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317340800000",
"number": "1760472302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 MORGANTON SQUARE DRIVE",
"city": "MARYVILLE",
"state": "TN",
"postal_code": "378014796",
"telephone_number": "865-273-1752",
"fax_number": "865-273-1755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "162 BMH PHYSICIANS OFFICE BLDG",
"city": "MARYVILLE",
"state": "TN",
"postal_code": "378045902",
"telephone_number": "865-982-7681",
"fax_number": "865-681-3387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIEFER",
"first_name": "STEPHEN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-25",
"last_updated": "2011-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TN",
"license": "14718",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "TN",
"license": "14718",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1513563",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Maryville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.