University Health System, Inc
Organization Active NPI Clinical Genetics (M.D.) Physician · Knoxville, TN
NPI 1962800912 · NPPES record last updated Jun 5, 2020
Key facts
- NPI
- 1962800912
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Genetics (M.D.) Physician 207SG0201X
- Legal business name
- UNIVERSITY HEALTH SYSTEM, INC
- Practice address
- 1930 Alcoa Hwy
Ste 235
Knoxville, TN 37920-1500 - Phone
- (865) 305-9030
- Fax
- (865) 305-6675
- NPI assigned
- Dec 8, 2014
- Organization subpart
- No
Authorized official
- Name
- Beth A Maynard
- Title
- Vice President
- Phone
- (865) 305-6427
Corporate family (same tax ID) 13
Practitioners 10
-
Kristin Anklowitz, PA-C
-
David Alan Perkel, M.D.
-
Erin Hagen Pidkowicz, FNP-BC
-
Amber Lea Ridner, FNP-BC
-
Ashley B White, CNM
-
Bruce R Leforce, MD
-
Gary L. Klipple, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031111000809 | TN | Part B Supplier - Clinic/Group Practice | 5294646378 |
Receives reassigned benefits from 881 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
- Tax ID family
- Nmorth Knox Primary Car
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Genetics (M.D.) Physician |
207SG0201X | TN | Yes |
Addresses
Primary practice location
1930 Alcoa Hwy
Ste 235
Knoxville, TN 37920-1500
Mailing address
PO Box 415000-Msc8149
Nashville, TN 37241-8149
Phone (865) 670-6199
NPI Registry JSON
{
"created_epoch": "1417996800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1591315200000",
"number": "1962800912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 415000-MSC8149",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372418149",
"telephone_number": "865-670-6199",
"fax_number": "865-670-6198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1930 ALCOA HWY",
"address_2": "STE 235",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379201500",
"telephone_number": "865-305-9030",
"fax_number": "865-305-6675"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY HEALTH SYSTEM, INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-08",
"last_updated": "2020-06-05",
"certification_date": "2020-06-05",
"status": "A",
"authorized_official_last_name": "MAYNARD",
"authorized_official_first_name": "BETH",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "865-305-6427"
},
"taxonomies": [
{
"code": "207SG0201X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Medical Genetics, Clinical Genetics (M.D.)",
"state": "TN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Knoxville, TN
- University Health System, Inc
- University Health System, Inc
- University Health System, Inc
- University Health System, Inc
- University Health System, Inc
- University Health System, Inc.
- University Health System, Inc.
- University Health System, Inc.
- University Health System, Inc.
- University Health System, Inc.
All providers in Knoxville, TN · Clinical Genetics (M.D.) Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2020. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.