East Tennessee Colon & Rectal Surgical Associates PC

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

Legal business name

EAST TENNESSEE COLON & RECTAL SURGICAL ASSOCIATES PC

Practice address

10810 Parkside Dr Ste 201
Knoxville, TN 37934-1983

Phone

(865) 392-9220

Fax

(865) 392-9221

NPI assigned

Oct 18, 2006

Organization subpart

No

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

Authorized official

Name

Lorie L Chasteen

Title

Billing

Phone

(865) 392-9220

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Jay Alger Young, MD

  • Colon & Rectal Surgery Physician
  • Knoxville, TN
  • NPI 1396826368

  Colon & Rectal Surgery, TN

  Medicare reassignment Care Compare group NPD
• Melissa Reeves Morgan, PA-C

  • Physician Assistant
  • Knoxville, TN
  • NPI 1942590625

  TN

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577059200000",
    "number": "1992886899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10810 PARKSIDE DR STE 201",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379341983",
            "telephone_number": "865-392-9220",
            "fax_number": "865-392-9221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10810 PARKSIDE DR STE 201",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379341983",
            "telephone_number": "865-392-9220",
            "fax_number": "865-392-9221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TENNESSEE COLON & RECTAL SURGICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A",
        "authorized_official_last_name": "CHASTEEN",
        "authorized_official_first_name": "LORIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "865-392-9220"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Tennessee Children'S Primary Care Center, Inc.
• East Tennessee Children'S Primary Care Center, Inc.
• East Tennessee Children'S Primary Care Center, Inc.
• East Tennessee Children'S Primary Care Center, Inc.
• East Tennessee Childrens Hospital Association Inc
• East Tennessee Community Open MRI
• East Tennessee Community Services Agency
• East Tennessee Diagnostic Center, LLC
• East Tennessee Emg, Inc.
• East Tennessee Foot Consultants

• All providers in Knoxville, TN
• Colon & Rectal Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.