Echelon Sports Medicine, PLLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

2248 Issued in TN

Legal business name

ECHELON SPORTS MEDICINE, PLLC

Doing business as

Provision Sports Medicine

Practice address

1400 Dowell Springs Blvd
Suite 140
Knoxville, TN 37909-2456

Phone

(865) 232-1408

NPI assigned

Apr 14, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Sprouse, D.O.NPI 1235442278

Title

Owner

Phone

(865) 309-5551

Specialties & licenses 1

Addresses

Other names 1

• Provision Sports Medicine Doing business as

Locations

Practitioners 1

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

• Kevin L Sprouse, D.O.

  • Sports Medicine (Emergency Medicine) Physician
  • Knoxville, TN
  • NPI 1235442278
  NPD (past) Authorized official

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

{
    "created_epoch": "1397433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397433600000",
    "number": "1932528338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 OAKHURST DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379196643",
            "telephone_number": "865-309-5551",
            "fax_number": "865-381-1967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 DOWELL SPRINGS BLVD",
            "address_2": "SUITE 140",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092456",
            "telephone_number": "865-232-1408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECHELON SPORTS MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-14",
        "last_updated": "2014-04-14",
        "status": "A",
        "authorized_official_last_name": "SPROUSE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-309-5551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TN",
            "license": "2248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Provision Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ec Knoxville Operations, LLC (Elmcroft of Halls)
• Ecc Physician Services, P.C.
• Ecc West Tennessee MC LLC
• Sierra Desiree Eccles, LPN
• Ech Health Services
• Barbara Echols
• Jennifer E Echols, MS, OTR/L
• George Love Eckles Jr., M.D.
• Grace A Eckley, RBT
• Amanda Che Eckmann

• Medical Specialty Clinic/Center in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Medical Specialty Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2014; 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.