KNOXVILLE OPHTHALMOLOGY ASC LLC (NPI# 1013997915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013997915 |
Entity Type | Organization |
Organization Name | KNOXVILLE OPHTHALMOLOGY ASC LLC |
Other Organization Name | EYE SURGERY CENTER OF EAST TENNESSEE |
Practice Address |
1124 E Weisgarber Rd Suite 110 Knoxville TN 37909-2686 |
Mailing Address |
1a Burton Hills Blvd Attn: L&c Nashville TN 37215-6103 |
Practice Telephone | 8655881037 |
Practice Fax Number | 8659099104 |
Mailing Telephone | 8655881037 |
Mailing Fax Number | 8659099104 |
Enumeration Date | 2006-01-18 |
Last Update Date | 2014-12-02 |
Authorized Official Name | MR. PHILLIP CLENDENIN (PRESIDENT) |
Authorized Official Telephone | 6156651283 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
77 | TN | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | 3287718 | 05 | |
TN | RAILROAD MEDICARE | 490002997 | 01 |
Other Name | Type Code |
---|---|
Eye Surgery Center of East Tennessee | Doing Business As Name - Organization |
Street Address |
1124 E WEISGARBER RD SUITE 110 |
City | KNOXVILLE |
State | TN |
Zip Code | 37909-2686 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013911791 | Christopher Tobin Taylor | Ophthalmology | 1124 E Weisgarber Rd, Ste 100, Knoxville, TN 37909-2686 | 2005-06-09 |
1275084386 | Knoxville Eye Anesthesia LLC | Nurse Anesthetist, Certified Registered | 1124 E Weisgarber Rd, Suite 110, Knoxville, TN 37909-2686 | 2016-10-24 |
1053675637 | Gregory S Everett | Optometrist | 1124 E Weisgarber Rd, Knoxville, TN 37909-2686 | 2012-06-28 |
1972773349 | Low Vision Center, Inc. | Optometrist | 1124 E Weisgarber Rd, Suite 204, Knoxville, TN 37909-2686 | 2008-03-02 |
1386844595 | Susan Scott | Pediatrics | 1124 E Weisgarber Rd, Suite 200, Knoxville, TN 37909-2686 | 2007-07-25 |
1902008162 | Campbell Cunningham Taylor PC | Durable Medical Equipment & Medical Supplies | 1124 E Weisgarber Rd, Suite 102, Knoxville, TN 37909-2686 | 2007-06-01 |
1063500049 | Deanna R Yen | Pediatrics | 1124 E Weisgarber Rd, Suite 200, Knoxville, TN 37909-2686 | 2006-10-11 |
1871685529 | Gregory L Swabe | Pediatrics | 1124 E Weisgarber Rd, Suite 200, Knoxville, TN 37909-2686 | 2006-09-29 |
1275625907 | Lisa B Padgett | Pediatrics | 1124 E Weisgarber Rd, Suite 200, Knoxville, TN 37909-2686 | 2006-09-29 |
1376635029 | Susan B Roberts | Pediatrics | 1124 E Weisgarber Rd, Knoxville, TN 37909-2686 | 2006-09-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326687534 | Rosalie Ting Mcglashen | Behavioral Analyst | 1508 Coleman Rd., Suites 105 and 110, Knoxville, TN 37909 | 2020-01-06 |
1770133597 | Renewal Healthcare | Family Medicine | 7035 Middlebrook Pike, Knoxville, TN 37909 | 2019-09-13 |
1417461211 | Lean Knox, LLC | Family Medicine | 1415 Old Weisgarber Rd. Ste 350, Knoxville, TN 37909 | 2017-12-01 |
1750757514 | Victor Brown | Counselor | 1451 Dowell Springs Blvd., Knoxville, TN 37909 | 2015-08-17 |
1083012488 | Melissa Wells Woodby | Marriage & Family Therapist | 6305 Lonas Dr, Knoxville, TN 37909 | 2014-12-17 |
1417375700 | David Francis Fair | Chiropractor | 1720 Tonalea Rd, Knoxville, TN 37909 | 2014-04-03 |
1295157519 | Danny Adkins, D.d.s. | Dentist | 1301 Old Weisgarber Road, Knoxville, TN 37909 | 2014-01-07 |
1376971085 | Quality Health Clinic LLC | Clinic/Center | 7348 Middlebrook Pike Suite D, Knoxville, TN 37909 | 2013-10-16 |
1952737942 | Martirea Fostine Jenkins Pratt | Nurse Practitioner | 930 Adell Ree Park Lane, Knoxville, TN 37909 | 2013-09-23 |
1104259324 | Dana Michelle Sweitzer | Nurse Practitioner | 1320 Old Weisgarber Road, Knoxville, TN 37909 | 2013-08-12 |
Find all providers in zip 37909 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528622321 | Premier-covenant Astc LLC | Clinic/Center | 6408 Papermill Dr Ste 220, Knoxville, TN 37919-4858 | 2019-04-26 |
1487071486 | Guardian Ambulatory Surgery Center | Clinic/Center | 1340 Papermill Pointe Way, Knoxville, TN 37909-1903 | 2014-03-27 |
1447599659 | Southeast Eye Surgery Center, LLC | Clinic/Center | 10025 Investment Dr, Ste 140, Knoxville, TN 37932-2664 | 2013-02-07 |
1811125149 | Knoxville Orthopaedic Surgery Center LLC | Clinic/Center | 256 Ft. Sanders West Blvd., Knoxville, TN 37922 | 2009-06-25 |
1447393194 | Knoxville Center for Reproductive Health, Inc. | Clinic/Center | 1547 W Clinch Ave, Knoxville, TN 37916-2501 | 2007-02-14 |
1609955517 | Knoxville Eye Surgery Center LLC | Clinic/Center | 140 Capital Drive Ste 2, Knoxville, TN 37922 | 2006-11-02 |
1689632119 | Children's West Surgery Center | Clinic/Center | 1020 Childrens Way, Knoxville, TN 37922-7712 | 2006-05-03 |
1023073954 | Knoxville Ambulatory Surgery Center Lp | Clinic/Center | 9300 Park West Blvd, Knoxville, TN 37923-4301 | 2006-04-20 |
1508845942 | Endoscopy Center of Knoxville Lp | Clinic/Center | 11440 Parkside Dr, Suite 100, Knoxville, TN 37934-1973 | 2006-01-13 |
1528047040 | Endoscopy Center of Knoxville Lp | Clinic/Center | 1311 Dowell Springs Blvd, Suite 200, Knoxville, TN 37909-2454 | 2006-01-12 |
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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.