NPIMap

Organization Active NPI

Internal Medicince West a Member of Covenant Health

  • Internal Medicine Physician
  • Knoxville, TN
National Provider Identifier
1922138262
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
INTERNAL MEDICINCE WEST A MEMBER OF COVENANT HEALTH
Practice address
9330 Park West Blvd
Suite 402
Knoxville, TN 37923-4308
Phone
(865) 690-3003
Fax
(865) 690-6404
NPI assigned
Mar 6, 2007
Organization subpart
Yes
Parent organization
COVENANT MEDICAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 9, 2015

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

Authorized official

Name
Monty Scott
Title
President
Phone
(865) 374-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

9330 Park West Blvd
Suite 402
Knoxville, TN 37923-4308

Mailing address

1400 Centerpoint Blvd
Suite 202
Knoxville, TN 37932-1979
Phone (865) 374-5200

Other identifiers 1

IdentifierTypeStateIssuer
3712087MedicaidTN

Other names 1

  • Internal Medicine West, PLLC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Internal Medicince West a Member of Covenant Health5 organizations share this tax ID, including this one
Part of
Internal Medicince West a Member of Covenant Health

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 6

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": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433808000000",
    "number": "1922138262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 CENTERPOINT BLVD",
            "address_2": "SUITE 202",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379321979",
            "telephone_number": "865-374-5200",
            "fax_number": "865-374-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 PARK WEST BLVD",
            "address_2": "SUITE 402",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234308",
            "telephone_number": "865-690-3003",
            "fax_number": "865-690-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINCE WEST A MEMBER OF COVENANT HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COVENANT MEDICAL GROUP",
        "enumeration_date": "2007-03-06",
        "last_updated": "2015-06-09",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "MONTY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-374-5100"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3712087",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Internal Medicine West, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jun 9, 2015; 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.