Joseph Deleese, M.D.

Individual provider Active NPI Cardiovascular Disease Physician · Knoxville, TN

NPI 1992795702 · NPPES record last updated Nov 14, 2011

Key facts

NPI
1992795702
Entity type
Individual (NPI type 1)
Primary specialty
Cardiovascular Disease Physician 207RC0000X
License
11785 (TN)
Practice address
10810 Parkside Dr
Suite 301
Knoxville, TN 37934-1979
Phone
(865) 470-2273
Fax
(865) 693-1163
NPI assigned
Oct 24, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11785TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cocke County Hma, LLC Past Accepting new patients
Cocke County Hma LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 11785 TN Yes

Addresses

Primary practice location

10810 Parkside Dr
Suite 301
Knoxville, TN 37934-1979

Mailing address

1225 E Weisgarber Rd
Suite 190
Knoxville, TN 37909-2604
Phone (865) 602-6700

Other identifiers

IdentifierTypeStateIssuer
3829073MedicaidTN

Other providers in Knoxville, TN

All providers in Knoxville, TN · Cardiovascular Disease Physician in Tennessee

Sources for this page

Verify at the official NPI Registry.