Prodigal Primary Care PC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1506 Issued in TN

Legal business name

PRODIGAL PRIMARY CARE PC

Practice address

2911 Essary Road
Knoxville, TN 37918-2468

Phone

(865) 288-2754

Fax

(865) 243-2250

NPI assigned

Jul 13, 2010

Last updated

Aug 21, 2013By 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

David E Brickhouse

Title

Owner

Phone

(865) 288-3754

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Michael Anthony Lapaglia Jr., M.D.

  • Emergency Medicine Physician
  • Oak Ridge, TN
  • NPI 1902020548
  NPD

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377043200000",
    "number": "1861704371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 ESSARY ROAD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379182468",
            "telephone_number": "865-288-3754",
            "fax_number": "865-243-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 ESSARY ROAD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379182468",
            "telephone_number": "865-288-2754",
            "fax_number": "865-243-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRODIGAL PRIMARY CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-13",
        "last_updated": "2013-08-21",
        "status": "A",
        "authorized_official_last_name": "BRICKHOUSE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-288-3754"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "1506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1521979",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Proctor, LMFT
• Prodigal Family Healthcare
• Prodigal Primary Care
• Prodigal Primary Care PC
• Prodigal Primary Care PC
• Prodigy Mobile Lab & Nursing Concierge
• Professional Dental Systems, North
• Professional Drivers Medical Depots
• Professional Imaging Services LLC
• Professional Integrated Healthcare (Pihc), PLLC

• Medical Physician Assistant in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Medical Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; 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.