Fort Sanders Neurosurgical Clinic

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD7615 Issued in TN

Legal business name

FORT SANDERS NEUROSURGICAL CLINIC

Practice address

2001 Laurel Ave
Suite 103
Knoxville, TN 37916-1810

Phone

(865) 525-2601

Fax

(865) 544-3802

NPI assigned

Jan 18, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Stephen E Natelson, M.D.

Title

President

Phone

(865) 525-2601

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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

• Richard Boyer, MD

  • Neurological Surgery Physician
  • Knoxville, TN
  • NPI 1902885098
  NPD (past)
• Javier Amadeo, MD

  • Neurological Surgery Physician
  • Newport News, VA
  • NPI 1396784690
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942352992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 LAUREL AVE",
            "address_2": "SUITE 103",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379161810",
            "telephone_number": "865-525-2601",
            "fax_number": "865-544-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 LAUREL AVE",
            "address_2": "SUITE 103",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379161810",
            "telephone_number": "865-525-2601",
            "fax_number": "865-544-3802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT SANDERS NEUROSURGICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NATELSON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-525-2601",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD7615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2005526",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3382950",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Forren, M.S. CF-SLP
• David A Forsberg, MD
• Amy E Forsee, M.D.
• Thomas Charles Forsythe, PTA
• Fort Sanders Clinic Partnership
• Fort Sanders Obstetrical and Gynecological Group II LLC
• Fort Sanders Obstetrical and Gynecological Group, P.C.
• Fort Sanders Perinatal Center
• Fort Sanders Regional Medical Center
• Fort Sanders Regional Medical Center

• Specialist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.