Eric R Prenshaw, M.D.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

13167 Issued in TN

Practice address

1800 Volunteer Blvd
Knoxville, TN 37996-3102

Phone

(865) 974-3135

NPI assigned

Nov 18, 2005

Last updated

Jan 5, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Keystone Pharmacy Services LLC

  dba UT Student Health Center Pharmacy

  • Pharmacy
  • Knoxville, TN
  • NPI 1508113143
  NPD (past)

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325721600000",
    "number": "1871575340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 VOLUNTEER BLVD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379963102",
            "telephone_number": "865-974-3135",
            "fax_number": "865-974-9944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 VOLUNTEER BLVD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379963102",
            "telephone_number": "865-974-3135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRENSHAW",
        "first_name": "ERIC",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2012-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "TN",
            "license": "13167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier-Covenant Astc LLC (Premier Ambulatory Surgery Center)
• Premise Health of Tennessee Medical PC (Warner Bros. Discovery Health & Wellness Center at Knoxville)
• Premise Health of Tennessee Medical PC (City County)
• Premise Health of Tennessee Medical PC (Safety Building)
• Premise Health of Tennessee Medical PC (The Center)
• Remy Kathleen Prentice, SLP
• Presbyterian Homes of Tennessee, Inc. (WellPark at Shannondale)
• Presbyterian Homes of Tennessee, Inc. (Shannondale Health Care Center)
• Kerry Allison Prescott, APRN
• Philomina Presentation, M.D.

• Pediatric Adolescent Medicine Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Pediatric Adolescent Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; 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.