Organization Active NPI

Knoxville Medical Center PC

  • Occupational Medicine Physician
  • Knoxville, TN
National Provider Identifier
1912048596
Registry record updated Mar 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
Legal business name
KNOXVILLE MEDICAL CENTER PC
Practice address
1826 Ailor Ave
Knoxville, TN 37921-5802
Phone
(865) 524-2743
Fax
(865) 673-4971
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2010

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

Authorized official

Name
Dr. Jack Donald King Jr., MD
Title
President
Phone
(865) 524-2743

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X
Occupational Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2083X0100X Primary

Addresses

Primary practice location

1826 Ailor Ave
Knoxville, TN 37921-5802

Mailing address

1826 Ailor Ave
Knoxville, TN 37921-5802
Phone (865) 524-2743

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269561600000",
    "number": "1912048596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1826 AILOR AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379215802",
            "telephone_number": "865-524-2743",
            "fax_number": "865-673-4971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1826 AILOR AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379215802",
            "telephone_number": "865-524-2743",
            "fax_number": "865-673-4971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOXVILLE MEDICAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2010-03-26",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-524-2743",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 26, 2010; 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.