5534 Medical, Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

5534 MEDICAL, INC

Doing business as

Wellness North

Practice address

6626 Central Avenue Pike
Knoxville, TN 37912-1400

Phone

(865) 249-6214

Fax

(865) 249-6503

NPI assigned

May 3, 2017

Last updated

May 3, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael Corum

Title

President

Phone

(865) 919-3546

Specialties & licenses 1

Addresses

Other names 1

• Wellness North Doing business as

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493769600000",
    "number": "1821524430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 CENTRAL AVENUE PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379121400",
            "telephone_number": "865-249-6214",
            "fax_number": "865-249-6503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6626 CENTRAL AVENUE PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379121400",
            "telephone_number": "865-249-6214",
            "fax_number": "865-249-6503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "5534 MEDICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-03",
        "last_updated": "2017-05-03",
        "status": "A",
        "authorized_official_last_name": "CORUM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-919-3546",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness North",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinic/Center in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.

Verify at the official NPI Registry.