RANDALL GERALD TRUDELL (NPI# 1083684724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083684724 |
| Entity Type | Individual |
| Full Name | RANDALL GERALD TRUDELL |
| Credential | M.D. |
| Practice Address |
2200 Sutherland Ave. Knoxville TN 37919 |
| Practice Telephone | 8655216174 |
| Mailing Telephone | 8655216174 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2009-07-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
16509 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3015861 | 05 |
| Street Address |
2200 SUTHERLAND AVE. |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669442547 | Brian Frederick Wiseman | Psychiatry & Neurology | 2200 Sutherland Ave., Knoxville, TN 37919 | 2006-01-24 |
| 1992775605 | Knoxville Neurology Clinic, P.l.l.c. | Psychiatry & Neurology | 2200 Sutherland Ave., Knoxville, TN 37919 | 2006-01-25 |
| 1023088721 | Michelle Lanter Brewer | Psychiatry & Neurology | 2200 Sutherland Ave., Knoxville, TN 37919 | 2006-01-25 |
| 1497725121 | John Henry Dougherty Jr. | Psychiatry & Neurology | 2200 Sutherland Ave., Knoxville, TN 37919 | 2006-01-25 |
| 1730159534 | Steven Patrick Rider | Psychiatry & Neurology | 2200 Sutherland Ave., Knoxville, TN 37919 | 2006-01-24 |
| 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 |
| Find all providers in zip 37919 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255759288 | Lauren Emily Mccollum | Psychiatry & Neurology | 1932 Alcoa Hwy Ste 150, Knoxville, TN 37920-1532 | 2014-04-07 |
| 1043503964 | Medical Interactive Education, LLC | Psychiatry & Neurology | 106 W. Summit Hill Dr., Suite 301, Knoxville, TN 37902-1041 | 2011-05-25 |
| 1881895183 | Hope Neurology Pllc | Psychiatry & Neurology | 10810 Parkside Dr Ste G15, Knoxville, TN 37934-1979 | 2007-05-31 |
| 1790865335 | Michael L Eisenstadt | Psychiatry & Neurology | 1928 Alcoa Hwy., Bldg. B Ste. 119, Knoxville, TN 37920 | 2006-10-17 |
| 1942395371 | William Allred | Psychiatry & Neurology | 12113 Southwick Cir, Knoxville, TN 37934-1523 | 2006-10-03 |
| 1013019652 | Bertram R Henry | Psychiatry & Neurology | 214 S Peters Rd, 101, Knoxville, TN 37923-5229 | 2006-09-03 |
| 1780796409 | Rey N Bello | Psychiatry & Neurology | 6311 Kingston Pike Ste 3e, Knoxville, TN 37919 | 2006-08-31 |
| 1780624486 | Rosanne S Barker | Psychiatry & Neurology | 1388 Papermill Pointe Way, Knoxville, TN 37909-1903 | 2006-06-08 |
| 1083677835 | John Stephen Thomas Jr. | Psychiatry & Neurology | 1128 E Weisgarber Rd Ste 201, Knoxville, TN 37909 | 2006-04-11 |
| 1255300778 | Jennifer L. Yanoschak | Psychiatry & Neurology | 501 20th St Ste 503, Knoxville, TN 37916-1832 | 2006-03-16 |
| 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.