Organization Active NPI

University Health System, Inc

Doing business as University Pulmonary and Critical Care

  • Pulmonary Disease Physician
  • Knoxville, TN
National Provider Identifier
1811250228
Registry record updated Jun 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
UNIVERSITY HEALTH SYSTEM, INC
Doing business as
University Pulmonary and Critical Care
Practice address
1940 Alcoa Hwy
Ste E210
Knoxville, TN 37920-2244
Phone
(865) 524-7471
Fax
(865) 305-6563
NPI assigned
Jun 20, 2012
Last updated
Jun 5, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2020

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

Authorized official

Name
Beth A Maynard
Title
Vice President
Phone
(865) 305-6427

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X NU Primary

Addresses

Primary practice location

1940 Alcoa Hwy
Ste E210
Knoxville, TN 37920-2244

Mailing address

PO Box 415000-Msc8132
Nashville, TN 37241-8132
Phone (865) 670-6199

Other identifiers 1

IdentifierTypeStateIssuer
1529445MedicaidTN

Other names 1

  • University Pulmonary and Critical Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031111000809 TN Part B Supplier - Clinic/Group Practice 5294646378 Receives reassigned benefits from 881 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory

Locations

1924 Alcoa Hwy
#U102
Knoxville, TN 37920

1924 Alcoa Hwy
#U56
Knoxville, TN 37920
Phone (865) 305-9081

1924 Alcoa Hwy
Ste 1
Knoxville, TN 37920

7326 Maynardville Pike
Ste 700
Knoxville, TN 37938
Phone (865) 925-9025

1610 Tazewell Rd
Ste 301
Tazewell, TN 37879
Phone (423) 626-4288

Practitioners & affiliated clinicians

Practitioners 58

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.

View all 58

NPI Registry JSON

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591315200000",
    "number": "1811250228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415000-MSC8132",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372418132",
            "telephone_number": "865-670-6199",
            "fax_number": "865-670-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 ALCOA HWY",
            "address_2": "STE E210",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379202244",
            "telephone_number": "865-524-7471",
            "fax_number": "865-305-6563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY HEALTH SYSTEM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-20",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A",
        "authorized_official_last_name": "MAYNARD",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "865-305-6427"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1529445",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Pulmonary and Critical Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "University Pulmonary and Critical Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 5, 2020; 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.