Organization Active NPI

Appalachian Orthotic & Prosthetic Service Inc

  • Prosthetics Case Management
  • Knoxville, TN
National Provider Identifier
1932106200
Registry record updated Oct 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
Legal business name
APPALACHIAN ORTHOTIC & PROSTHETIC SERVICE INC
Practice address
2900 Sutherland Ave
Knoxville, TN 37919-4536
Phone
(865) 524-2285
Fax
(865) 971-5445
NPI assigned
Jul 1, 2005
Last updated
Oct 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2008

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

Authorized official

Name
Mr. Fredrick M Avery, CPNPI 1932640992
Title
President
Phone
(865) 524-2285

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
Prosthetics Case Management 1744P3200X Primary

Addresses

Primary practice location

2900 Sutherland Ave
Knoxville, TN 37919-4536

Mailing address

2900 Sutherland Ave
Knoxville, TN 37919-4536
Phone (865) 524-2285

Other identifiers 2

IdentifierTypeStateIssuer
3556162MedicaidTN
92857OtherTNBLUE CROSS PROVIDER NUMBE

National Provider Directory

National Provider Directory

Locations

2900 Sutherland Ave
Knoxville, TN 37919
Phone (865) 524-2285

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223251200000",
    "number": "1932106200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 SUTHERLAND AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194536",
            "telephone_number": "865-524-2285",
            "fax_number": "865-971-5445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 SUTHERLAND AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194536",
            "telephone_number": "865-524-2285",
            "fax_number": "865-971-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPALACHIAN ORTHOTIC & PROSTHETIC SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-01",
        "last_updated": "2008-10-06",
        "status": "A",
        "authorized_official_last_name": "AVERY",
        "authorized_official_first_name": "FREDRICK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-524-2285",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CP"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3556162",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "92857",
            "state": "TN"
        }
    ],
    "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 Oct 6, 2008; 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.