MORRISTOWN PAIN CONSULTANTS (NPI# 1073605663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073605663 |
| Entity Type | Organization |
| Organization Name | MORRISTOWN PAIN CONSULTANTS |
| Other Organization Name | BROADWAY NECK AND SPINE |
| Practice Address |
1124 N Broadway Knoxville TN 37917-6527 |
| Practice Telephone | 8654445059 |
| Practice Fax Number | 8655406804 |
| Mailing Telephone | 8654445059 |
| Mailing Fax Number | 8655406804 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2018-06-11 |
| Authorized Official Name | MICHAEL ALAN CHAVIN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8654445059 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
32281 | TN | Allopathic & Osteopathic Physicians |
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | MEDICARE DME PTAN | 6455330001 | 01 |
| TN | 3378614 | 05 | |
| TN | 3848928 | 05 |
| Other Name | Type Code |
|---|---|
| Broadway Neck and Spine | Doing Business As Name - Organization |
| Street Address |
1124 N BROADWAY |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37917-6527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033601786 | Angela Marie Barnett | Licensed Practical Nurse | 201 W Springdale Ave # 203, Knoxville, TN 37917 | 2018-05-30 |
| 1790283588 | Kevin Johnson | Case Manager/Care Coordinator | 201 W. Springfield Ave, Knoxville, TN 37917 | 2018-01-26 |
| 1871011437 | Sara Portwood | Registered Nurse | 140 Dameron Ave., Knoxville, TN 37917 | 2017-09-05 |
| 1962926295 | Dara Steele | Counselor | 201 West Springdale, Knoxville, TN 37917 | 2017-07-28 |
| 1043740657 | Stacy Banks | Counselor | 201 West Springdale Ave., Knoxville, TN 37917 | 2017-06-15 |
| 1861921215 | Amy J Mccowan | Registered Nurse | 201 W. Springdale Ave., Knoxville, TN 37917 | 2017-06-08 |
| 1942756523 | Skyler Daegan Winkler | Counselor | 201 West Springvale Avenue, Knoxville, TN 37917 | 2016-09-01 |
| 1821454216 | Beth Cannon | Case Manager/Care Coordinator | 201 West Sprindale Ave, Knoxville, TN 37917 | 2016-01-14 |
| 1760874986 | Sierra Brooke Finley | Case Manager/Care Coordinator | 201 W. Springdale Ave, Knoxville, TENNESSEE 37917 | 2015-02-25 |
| 1568860377 | Megumi Takayama Maynard | Family Medicine | 900 E. Oak Hill Avenue, Knoxville, TN 37917 | 2014-12-10 |
| Find all providers in zip 37917 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114492626 | George A Mears IIi | Anesthesiology | 1934 Alcoa Hwy Ste D170, Knoxville, TN 37920-1525 | 2018-10-11 |
| 1629581574 | Appa LLC | Anesthesiology | 431 Park Village Rd Ste 103, Knoxville, TN 37923-3806 | 2017-11-14 |
| 1396935227 | James J Choo | Anesthesiology | 220 Fort Sanders West Blvd., Suite 308, Knoxville, TN 37922 | 2007-07-26 |
| 1386736841 | Michael Alan Chavin | Anesthesiology | 1124 N Broadway St, Morristown Pain Consultants Dba Broadway Neck and Spine, Knoxville, TN 37917-6527 | 2006-09-29 |
| 1841697950 | Georgia Pain Physicians PC | Anesthesiology | 2805 W Governor John Sevier Hwy, Knoxville, TN 37920-5552 | 2014-12-04 |
| 1568700391 | Genesis Analgesia Center Pllc | Anesthesiology | 1408 Currier Ln, Knoxville, TN 37919-8821 | 2013-01-29 |
| 1316229404 | Mua Physicians Group PC | Anesthesiology | 1346 Papermill Pointe Way, Knoxville, TN 37909-1903 | 2011-09-14 |
| 1730460411 | Advanced Pain Therapeutics of Knoxville, Tn LLC | Anesthesiology | 900 E Woodland Ave, Knoxville, TN 37917-4511 | 2011-09-08 |
| 1376831222 | Anesthesiology & Pain Management Consultants Inc | Anesthesiology | 2606 Greenway Dr, 640 North Building, Suite 101, Knoxville, TN 37918-1904 | 2011-07-13 |
| 1962635862 | Jason M. Buehler | Anesthesiology | 1924 Alcoa Hwy, Knoxville, TN 37920-1511 | 2009-08-26 |
| Find all providers in KNOXVILLE | ||||
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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.