Select Specialty Hospital - North Knoxville Inc
Organization Active NPI Long Term Care Hospital · Powell, TN
NPI 1942200522 · NPPES record last updated Sep 10, 2025
Key facts
- NPI
- 1942200522
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Long Term Care Hospital 282E00000X
- License
- 000000418 (TN)
- Legal business name
- SELECT SPECIALTY HOSPITAL - NORTH KNOXVILLE INC
- Practice address
- 7557B Dannaher Dr
Ste 145
Powell, TN 37849-3568 - Phone
- (865) 362-7602
- Fax
- (845) 362-7608
- NPI assigned
- Jul 26, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. John Duggan
- Title
- Vice President
- Phone
- (717) 972-1100
Facilities with the same owner 129
Practitioners 3
-
Corey Cudzilo, M.D.
Affiliated clinicians 17
-
Mohammad Arabiat, MD
-
Bashar H Bargoty, MD
-
Jayen M Bhakta, MD
-
Andrew Baither Conrad, M.D.
-
Corey Cudzilo, M.D.
-
Kunal Gada, MD
-
James Scott Schauberger, M.D.
-
James Stanfield, M.D.
-
Scott A Wegryn, MD
Medicare Care Compare: Long-term care hospital
- Listed as
- Select Specialty Hospital-North Knoxville
- Ownership
- For profit
- Certified
- Jan 1, 1999
- Medicare certification status
- Active
- Beds
- 68
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D0930200 | Select Specialty Hospital-North Knoxville, Inc | Accreditation | Feb 10, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Hospital certification: CCN 442015
- Legal name
- SELECT SPECIALTY HOSPITAL - NORTH KNOXVILLE, INC.
- Doing business as
- SELECT SPECIALTY HOSPITAL NORTH KNOXVILLE
- Certification status
- Active
- Provider type (POS)
- Hospital – Long-term
- Participating since
- Jan 1, 1999
- Last certification
- Jun 6, 1998
- Beds
- 68
- Ownership / control type
- Private (for profit)
- Most recent change of ownership
- Jan 1, 2018 (1 total)
- Organization structure
- Corporation · Proprietary
- Incorporated
- Feb 6, 1997 in MO
- Enrollment address
- 7557B Dannaher Dr
Powell, TN 37849-3568 - Hospital subgroups
- Long-term
All disclosed owners & managing parties 10
| Name | Role | Since | Share |
|---|---|---|---|
| Select Medical Corporation |
5% Or Greater Indirect Ownership Interest | Dec 10, 1996 | 100% |
| Operational/Managerial Control | Dec 10, 1996 | 100% | |
| Thomas Mullin |
Corporate Officer | Aug 29, 2025 | |
| Intensiva Healthcare Corporation |
5% Or Greater Direct Ownership Interest | Dec 16, 1998 | 100% |
| John Saich |
Corporate Officer | Aug 29, 2025 | |
| Steve Plumlee |
Corporate Officer |
Oct 21, 2019 | |
| W-2 Managing Employee |
Oct 21, 2019 | ||
| Operational/Managerial Control |
Oct 21, 2019 | ||
| Stacey Naughton |
Corporate Officer |
Jun 20, 2020 | |
| W-2 Managing Employee |
Jun 20, 2020 | ||
| Operational/Managerial Control |
Jun 20, 2020 | ||
| Robert Breighner |
W-2 Managing Employee |
Aug 29, 2025 | |
| Michael Malatesta |
Corporate Officer | Apr 9, 2025 | |
| Robert Kido |
Corporate Officer | Aug 29, 2025 | |
| John Duggan |
Corporate Officer | Feb 5, 1998 | |
| Corporate Director | Sep 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051109000906 | TN | Part a Provider - Hospital | 2567480379 | Practice locations: Knoxville, TN; Powell, TN |
National Provider Directory
Locations
7557B Dannaher Dr
Powell, TN 37849
Phone (865) 305-8888
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Hospital | 282E00000X | 000000418 | TN | Yes |
Addresses
Primary practice location
7557B Dannaher Dr
Ste 145
Powell, TN 37849-3568
Mailing address
4714 Gettysburg Rd
Legal Dept.
Mechanicsburg, PA 17055-4325
Phone (717) 972-1100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3108861 | Other | TN | BCBS TN |
Other providers in Powell, TN
- Michael S. Schroeder
- David G. Schutter
- Ilene Schwind
- Shelley Beth Seaver
- Lekshmi Seemanthini
- Bronagh Senning
- Luanne Setzer
- Rachel Shah
- Arlene Teresa Shaw
- Ashley Lynn Shehane
All providers in Powell, TN · Long Term Care Hospital in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2025. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.