Organization Active NPI

Knoxville Orthobiology PLLC

  • General Practice Physician
  • Maryville, TN
National Provider Identifier
1891532800
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
KNOXVILLE ORTHOBIOLOGY PLLC
Practice address
1131 E Lamar Alexander Pkwy
Maryville, TN 37804-5130
Phone
(865) 300-1247
Fax
(865) 466-6500
NPI assigned
Jul 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Authorized official

Name
Mr. Steiner Douglas Sanford Jr.NPI 1588766109
Title
Manager
Phone
(865) 300-1247

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1131 E Lamar Alexander Pkwy
Maryville, TN 37804-5130

Mailing address

1131 E Lamar Alexander Pkwy
Maryville, TN 37804-5130
Phone (865) 300-1247

Other names 1

  • Maryville Spine and Laser Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250804001664 TN Part B Supplier - Clinic/Group Practice 3476061201 Receives reassigned benefits from 2 practitioners
Practice locations: Maryville, TN
O20250926000168 TN DME Supplier - Multi-Specialty - Physician 3476061201 Practice locations: Maryville, TN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749600000000",
    "number": "1891532800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 E LAMAR ALEXANDER PKWY",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045130",
            "telephone_number": "865-300-1247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 E LAMAR ALEXANDER PKWY",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045130",
            "telephone_number": "865-300-1247",
            "fax_number": "865-466-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOXVILLE ORTHOBIOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-09",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A",
        "authorized_official_last_name": "SANFORD",
        "authorized_official_first_name": "STEINER",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "865-300-1247",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maryville Spine and Laser",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Maryville Spine and Laser",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maryville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; 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.