Knoxville Medical and Industrial Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

KNOXVILLE MEDICAL AND INDUSTRIAL CLINIC

Practice address

4306 Asheville Hwy
Knoxville, TN 37914-3601

Phone

(865) 522-2168

Fax

(865) 522-7116

NPI assigned

Jun 15, 2006

Organization subpart

No

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

Authorized official

Name

Phillip M Watson, M.D.NPI 1598735433

Title

President/Owner

Phone

(865) 522-2168

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 3

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

• Phillip M Watson, M.D.

  • Family Medicine Physician
  • Knoxville, TN
  • NPI 1598735433

  Family Medicine, TN

  Medicare reassignment Care Compare group NPD Authorized official
• John R Blake Jr., M.D.

  • Family Medicine Physician
  • Knoxville, TN
  • NPI 1447220363

  Family Medicine, TN

  Medicare reassignment Care Compare group NPD
• Jodie L Schneitman, AG-ACNP, BC

  • Acute Care Nurse Practitioner
  • Morristown, TN
  • NPI 1801293436
  NPD (past)

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1790729515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4306 ASHEVILLE HWY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379143601",
            "telephone_number": "865-522-2168",
            "fax_number": "865-522-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4306 ASHEVILLE HWY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379143601",
            "telephone_number": "865-522-2168",
            "fax_number": "865-522-7116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOXVILLE MEDICAL AND INDUSTRIAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "865-522-2168",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CB6822",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Knoxville Integrative Medical Center PLLC
• Knoxville Internal Medicine PLLC
• Knoxville Kidney Center, PLLC
• Knoxville Lab Testing Center, LLC
• Knoxville Leadership Foundation
• Knoxville Medical Center PC
• Knoxville Medical Group, LLC
• Knoxville Mindful Wellness Center, LLC
• Knoxville Music Therapy LLC
• Knoxville Nephrology Associates LLC

• All providers in Knoxville, TN
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.