COREY CUDZILO (NPI# 1003012022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003012022 |
| Entity Type | Individual |
| Full Name | COREY CUDZILO |
| Credential | M.D. |
| Practice Address |
2240 Sutherland Ave Suite 103 Knoxville TN 37919-2333 |
| Mailing Address |
Po Box 94670 Oklahoma City OK 73143-4670 |
| Practice Telephone | 8655888831 |
| Practice Fax Number | 8655888841 |
| Mailing Telephone | 4056823303 |
| Mailing Fax Number | 4053846793 |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2019-05-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
50968 | TN | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
50968 | TN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10904 Kingston Pike Ste 103, Knoxville, TN 379342953 | 8655888831 | 8685888841 |
| 550 Fort Loudoun Medical Center Dr, Lenoir City, TN 377725673 | 8652716000 | 8652716245 |
| 744 Middle Creek Rd Ste 208, Sevierville, TN 378625036 | 8654469725 | 8654469726 |
| Street Address |
2240 SUTHERLAND AVE SUITE 103 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37919-2333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336145069 | Caroline E Cooley | Internal Medicine | 2240 Sutherland Ave, Suite 104, Knoxville, TN 37919-2333 | 2005-06-27 |
| 1134653892 | Statcare Outpatient, LLC | Internal Medicine | 2240 Sutherland Ave, Suite 103, Knoxville, TN 37919-2333 | 2017-04-19 |
| 1639601396 | Newstat LLC | Internal Medicine | 2240 Sutherland Ave, Suite 103, Knoxville, TN 37919-2333 | 2017-03-31 |
| 1558711879 | Alexandria B Geer | Nurse Practitioner | 2240 Sutherland Ave, Suite 104, Knoxville, TN 37919-2333 | 2016-06-17 |
| 1306292834 | Lyndsey C Parker | Physician Assistant | 2240 Sutherland Ave, Suite 104, Knoxville, TN 37919-2333 | 2016-05-13 |
| 1801256193 | Jamie Erin Nuyen | Nurse Practitioner | 2240 Sutherland Ave, Suite 104, Knoxville, TN 37919-2333 | 2016-02-29 |
| 1801261870 | Megan Ashley Daniels | Physician Assistant | 2240 Sutherland Ave, Suite 104, Knoxville, TN 37919-2333 | 2015-12-02 |
| 1003289612 | Katie Lynne Styke | Physician Assistant | 2240 Sutherland Ave, Suite 104, Knoxville, TN 37919-2333 | 2015-11-04 |
| 1447621040 | Sarah C Myers | Physician Assistant | 2240 Sutherland Ave, Suite 104, Knoxville, TN 37919-2333 | 2015-10-08 |
| 1710357967 | Cheri R Allen | Registered Nurse | 2240 Sutherland Ave, Suite 104, Knoxville, TN 37919-2333 | 2015-09-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760099188 | Edp Biotech Corporation | Clinical Medical Laboratory | 6701 Baum Dr, Suite 110, Knoxville, TN 37919 | 2020-09-29 |
| 1649836248 | Jessica Diane Moody | Counselor | 6070 Lyons View Pike, Knoxville, TN 37919 | 2019-05-20 |
| 1952802571 | Maisie Drew Buckner | Physical Therapist | 301 S Gallaher View Rd Ste 105, Knoxville, TN 37919 | 2018-02-28 |
| 1992217400 | Jay S. Desvaux, D.d.s. | Dentist | 6311 Kingston Pike #27w, Knoxville, TN 37919 | 2017-10-25 |
| 1346768975 | Marilyn Lee | Occupational Therapist | 7014 Lawford Road, Knoxville, TN 37919 | 2017-09-04 |
| 1558884254 | Jck Holdings LLC | Family Medicine | 2270 Sutherland Avenue, Knoxville, TN 37919 | 2017-07-25 |
| 1295255503 | Emily M King | Marriage & Family Therapist | 131 N. Concord St, Knoxville, TN 37919 | 2017-06-27 |
| 1487105128 | Kathleen Rachelle Matteson | Physician Assistant | 2461 University Commons Way, Knoxville, TN 37919 | 2016-10-18 |
| 1689046161 | Meagan Lynn Ogunrinde | Registered Nurse | 265 Brockview Centre Way, Suite 400, Knoxville, TN 37919 | 2015-10-23 |
| 1720467624 | Chizoba Ngesina | Emergency Medicine | Teamhealth, 265 Brookview Centre Way Suite 400, Knoxville, TN 37919 | 2015-05-26 |
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| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063830826 | Rachel Guthrie | Internal Medicine | 1900 N Winston Rd Ste 501, Knoxville, TN 37919-3605 | 2014-03-30 |
| 1174738421 | The Pulmonary and Sleep Consultants | Internal Medicine | 1508 Coleman Rd, Suite 107, Knoxville, TN 37909-3808 | 2007-05-11 |
| 1437264074 | D. Matthew Sellers, M.d., P.C. | Internal Medicine | 200 E Blount Ave Ste 201, Knoxville, TN 37920-1612 | 2006-08-21 |
| 1255719688 | Southeastern Occupational Pulmonary Services | Internal Medicine | 311 S Weisgarber Rd Ste D, Knoxville, TN 37919-7504 | 2015-05-18 |
| 1811250228 | University Health System, Inc | Internal Medicine | 1940 Alcoa Hwy, Ste E210, Knoxville, TN 37920-2244 | 2012-06-20 |
| 1962604140 | Arseniy V. Tsapenko | Internal Medicine | 1940 Alcoa Hwy, Suite E210, Knoxville, TN 37920-2244 | 2007-06-01 |
| 1841407939 | Seth Brant | Internal Medicine | 1940 Alcoa Hwy, E-210, Knoxville, TN 37920-2244 | 2007-05-17 |
| 1942413281 | Richard Alexander Obenour | Internal Medicine | 1924 Alcoa Hwy # U-114, Knoxville, TN 37920-1511 | 2007-05-07 |
| 1427105212 | Jared Noah Kravitz | Internal Medicine | 1940 Alcoa Hwy, Suite E-210, Knoxville, TN 37920-2244 | 2007-01-04 |
| 1932279346 | Summit Medical Group, Pllc | Internal Medicine | 2240 Sutherland Ave, Suite 103, Knoxville, TN 37919-2333 | 2006-11-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.