University Health System, Inc
Organization Active NPI Internal Medicine Physician · Lenoir, TN
NPI 1922039429 · NPPES record last updated Jun 5, 2020
Key facts
- NPI
- 1922039429
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- UNIVERSITY HEALTH SYSTEM, INC
- Practice address
- 5779 Creekwood Park Blvd
Suite 220
Lenoir, TN 37772 - Phone
- (865) 670-6750
- Fax
- (865) 988-8772
- NPI assigned
- Jul 5, 2006
- Organization subpart
- No
Authorized official
- Name
- Beth A Maynard
- Title
- Vice President
- Phone
- (865) 670-6754
Practitioners 12
-
Jonathan Hutchings, D.O.
-
Irina Lavrik, MD
-
Karmi Dipakkumar Patel, M.D.
-
Charles Hill Powell III, PA-C
-
Ramani Majjica Reddy, M.D., PH. D.
-
Milan N Sheth, M.D.
-
James Dean Webb, MD
-
Alina Post Wertz, MD
-
Haleigh Hunter, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031111000809 | TN | Part B Supplier - Clinic/Group Practice | 5294646378 |
Receives reassigned benefits from 881 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
Locations
1928 Alcoa Hwy
Ste B100
Knoxville, TN 37920
Phone (865) 305-6570
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
5779 Creekwood Park Blvd
Suite 220
Lenoir, TN 37772
Mailing address
PO Box 415000-Msc8137
Nashville, TN 37241-8137
Phone (865) 670-6199
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32851413 | Medicaid | TN |
Other names
- UT Primary Care Lenoir City
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.