NPIMap

Organization Active NPI

Complete Family Care of Knoxville PLLC

  • Internal Medicine Physician
  • Knoxville, TN
National Provider Identifier
1760524029
Registry record updated Jun 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD0000009519 Issued in TN
Legal business name
COMPLETE FAMILY CARE OF KNOXVILLE PLLC
Practice address
1612 Downtown West Blvd
Knoxville, TN 37919-5408
Phone
(865) 357-8861
Fax
(865) 357-8866
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2014

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

Authorized official

Name
Andrew Sugantharaj, MD
Title
Owner
Phone
(865) 357-8861

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X MD0000009519 TN Primary

Addresses

Primary practice location

1612 Downtown West Blvd
Knoxville, TN 37919-5408

Mailing address

1612 Downtown West Blvd
Knoxville, TN 37919-5408
Phone (865) 357-8861

Other identifiers 1

IdentifierTypeStateIssuer
3370189MedicaidTN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401753600000",
    "number": "1760524029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 DOWNTOWN WEST BLVD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195408",
            "telephone_number": "865-357-8861",
            "fax_number": "865-357-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 DOWNTOWN WEST BLVD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195408",
            "telephone_number": "865-357-8861",
            "fax_number": "865-357-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE FAMILY CARE OF KNOXVILLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2014-06-03",
        "status": "A",
        "authorized_official_last_name": "SUGANTHARAJ",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-357-8861",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD0000009519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3370189",
            "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 3, 2014; 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.