Active NPI
Commonwealth Medical Corp
- Family Medicine Physician
- Knoxville, TN
National Provider Identifier
1942698345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- COMMONWEALTH MEDICAL CORP
- Practice address
- 2427 Piney Grove Church Rd
Knoxville, TN 37921-3765 - Phone
- (865) 936-5635
- Fax
- (865) 622-3885
- NPI assigned
- Jan 7, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Theo S Stephens
- Title
- Infrastructure and Design Concepts
- Phone
- (865) 936-5635
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
2427 Piney Grove Church Rd
Knoxville, TN 37921-3765
Mailing address
5210 S Middlebrook Pike
Knoxville, TN 37921-5972
National Provider Directory
National Provider Directory- Tax ID family
- Commonwealth Medical Corp
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Contractor
- Knoxville, TN
- NPI 1518409978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420588800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1420588800000",
"number": "1942698345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5210 S MIDDLEBROOK PIKE",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379215972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2427 PINEY GROVE CHURCH RD",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379213765",
"telephone_number": "865-936-5635",
"fax_number": "865-622-3885"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMONWEALTH MEDICAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-07",
"last_updated": "2015-01-07",
"status": "A",
"authorized_official_last_name": "STEPHENS",
"authorized_official_first_name": "THEO",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "INFRASTRUCTURE AND DESIGN CONCEPTS",
"authorized_official_telephone_number": "865-936-5635"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
- William Clyde Comer
- Comford Physical Therapy LLC (Onward Physical Therapy)
- Taylor Douglas Comford, DPT
- Stephen Comitalo, PHARM.D.
- Susan Delane Commons, SPEECH LANGUAGE PATH
- Community Healthcare
- Community Network Services LLC
- Community Network Services, Inc.
- Community Pain Consultants
- Community Services Tennessee Dba One Community Services, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.