Fredrick M Avery, CERTIFIED PROSTHETIS

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

PRO0000000036 Issued in TN

Practice address

2900 Sutherland Ave
Knoxville, TN 37919-4536

Phone

(865) 524-2285

Fax

(865) 971-5445

NPI assigned

Mar 10, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Appalachian Orthotic & Prosthetic Service Inc

  • Prosthetics Case Management
  • Knoxville, TN
  • NPI 1932106200
  NPD Authorized official

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

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489104000000",
    "number": "1932640992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 VILLA CREST DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379236016",
            "telephone_number": "865-691-7967",
            "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": {
        "last_name": "AVERY",
        "first_name": "FREDRICK",
        "middle_name": "M",
        "credential": "CERTIFIED PROSTHETIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-10",
        "last_updated": "2017-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TN",
            "license": "PRO0000000036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Autumn Care Management Inc.
• Daniela Avalos, O.D.
• Michael Avant, B.S.
• Abigail Averill, B.A.
• Averiq Medical LLC
• Shirley Bannister Avery, MD
• Julianne Elizabeth Aviles, PT, DPT
• Omar Awad
• Brannon Heath Axmacher, PHARMD
• James Andrew Axmacher, PHARM. D,

• Prosthetic/Orthotic Supplier in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Prosthetic/Orthotic Supplier in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; 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.