Individual provider Active NPI

Joseph Michael Rothwell, MD

  • Surgery Physician
  • Sevierville, TN
National Provider Identifier
1972534295
Registry record updated Feb 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
24963 Issued in TN
Practice address
744 Middle Creek Rd
Suite 208
Sevierville, TN 37862
Phone
(865) 446-9700
Fax
(865) 446-9707
NPI assigned
Jul 5, 2006
Last updated
Feb 17, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 24963 TN Primary

Addresses

Primary practice location

744 Middle Creek Rd
Suite 208
Sevierville, TN 37862

Mailing address

744 Middle Creek Rd
Suite 208
Sevierville, TN 37862
Phone (865) 446-9700

Other identifiers 1

IdentifierTypeStateIssuer
3079230MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080311000500 TN Practitioner - General Surgery 0840243390 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
24963TNMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Well-Key Health, PLLC CurrentSince Nov 1, 2010 Accepting new patients
Smoky Mountain Urgent Care Current Accepting new patients
Macon Surgical Associates Past Accepting new patients
Covenant Medical Group, Inc Past Accepting new patients

Locations

101 Glenleigh Ct
Knoxville, TN 37934
Phone (865) 671-1110

1787 Veterans Blvd
Ste 101
Sevierville, TN 37862
Phone (865) 428-2773

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266364800000",
    "number": "1972534295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 MIDDLE CREEK RD",
            "address_2": "SUITE 208",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "37862",
            "telephone_number": "865-446-9700",
            "fax_number": "865-446-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 MIDDLE CREEK RD",
            "address_2": "SUITE 208",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "37862",
            "telephone_number": "865-446-9700",
            "fax_number": "865-446-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHWELL",
        "first_name": "JOSEPH",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2010-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "24963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3079230",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sevierville, TN

Sources for this page

Verify at the official NPI Registry.