OSTEOPATHIC CENTER PLLC (NPI# 1104236421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104236421 |
Entity Type | Organization |
Organization Name | OSTEOPATHIC CENTER PLLC |
Practice Address |
9000 Executive Park Dr Suite A210 Knoxville TN 37923-4685 |
Practice Telephone | 8653211732 |
Practice Fax Number | 8653211733 |
Mailing Telephone | 8653211732 |
Mailing Fax Number | 8653211733 |
Enumeration Date | 2014-05-08 |
Last Update Date | 2016-10-25 |
Authorized Official Name | KRISTOPHER JS GODDARD (OWNER) |
Authorized Official Telephone | 8653211732 |
Authorized Official Credential | DO |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
DO0000002081 | TN | Allopathic & Osteopathic Physicians |
Street Address |
9000 EXECUTIVE PARK DR SUITE A210 |
City | KNOXVILLE |
State | TN |
Zip Code | 37923-4685 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083681183 | Samir Al-kabbani | Psychiatry & Neurology | 9000 Executive Park Dr, A207, Knoxville, TN 37923-4685 | 2006-03-07 |
1164996583 | Jessica Suzanne Cross | Occupational Therapist | 9000 Executive Park Dr, Knoxville, TN 37923-4685 | 2019-01-18 |
1184109159 | Kristy Lynette Williams | Family Medicine | 9000 Executive Park Dr, Knoxville, TN 37923-4685 | 2018-09-26 |
1033429659 | Katherine Williams Beck | Nurse Practitioner | 9000 Executive Park Dr, Suite A250, Knoxville, TN 37923-4685 | 2010-10-15 |
1891981007 | Blm Neurosurgery | Neurological Surgery | 9000 Executive Park Dr, Suite A-207, Knoxville, TN 37923-4685 | 2007-09-20 |
1417151325 | Bradley Allen Moore | Physical Therapist | 9000 Executive Park Dr, Suite A-205, Knoxville, TN 37923-4685 | 2007-06-13 |
1154532620 | Margaret A Bickley | Occupational Therapist | 9000 Executive Park Dr, Suite 205a Nhc Homecare, Knoxville, TN 37923 | 2007-05-25 |
1558570069 | Christie Carrion | Pharmacist | 9000 Executive Park Dr, Suite A 203, Knoxville, TN 37923-4685 | 2007-05-21 |
1740405349 | Pamela Jeanette Scarbrough | Physical Therapy Assistant | 9000 Executive Park Dr, Knoxville, TN 37923 | 2007-04-17 |
1316001282 | Jacqueline Lou Ayers | Pharmacist | 9000 Executive Park Dr, Suite A-204, Knoxville, TN 37923-4685 | 2006-12-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114541240 | Chloe Morgan | Registered Nurse | Parkwest Blvd, Knoxville, TN 37923 | 2020-06-04 |
1215551346 | Kaylee Huskey | Registered Nurse | Park West Blvd, Knoxville, TN 37923 | 2020-06-04 |
1942849914 | American Brace & Limb Enterprise, LLC | Prosthetic/Orthotic Supplier | 9333 Parkwest Blvd., 103, Knoxville, TN 37923 | 2019-12-23 |
1619510690 | Stacia Working | Speech-Language Pathologist | 310 Corporate Dr, Ste 101, Knoxville, TN 37923 | 2019-10-23 |
1497242903 | Mary Ensminger Loomis | Speech-Language Pathologist | 118 N Peters Rd Ste 174, Knoxville, TN 37923 | 2018-04-19 |
1831699602 | Shaun Elizabeth Hoffman | Counselor | 311 Directors Dr, Knoxville, TN 37923 | 2018-02-17 |
1962948737 | East Tennessee Binocular Vision Center Pllc | Optometrist | 9051 Executive Park Dr., Ste. 400, Knoxvville, TN 37923 | 2017-01-17 |
1467815761 | Hearing Conservation Associates Inc | Audiologist | 9301 Parkwest Blvd B-3, Knoxville, TN 37923 | 2016-04-04 |
1710354725 | Independent Physical Therapy, LLC | Occupational Therapist | 8905 Town and Country Cir Ste 9, Knoxville, TN 37923 | 2015-08-25 |
1568863553 | Kathryn Faye Ledbetter | Registered Nurse | 9352 Park W Blvd, Knoxville, TN 37923 | 2014-09-09 |
Find all providers in zip 37923 |
Taxonomy Code | 207QS0010X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Sports Medicine |
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
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 Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528097771 | Chris A Klenck | Family Medicine | 1551 Lake Loudon Blvd, Knoxville, TN 37996-2674 | 2006-07-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063936235 | Milligan College | Family Medicine | One Blowers Blvd., Athletics, Milligan College, TN 37682 | 2017-07-31 |
1205379989 | Elite Sports Medicine and Orthopaedic Center, Plc | Family Medicine | 356 24th Ave North, Nashville, TN 37203-1519 | 2016-11-29 |
1770915928 | Chattanooga Sports Institute | Family Medicine | 4206 N Access Rd, Chattanooga, TN 37415-3801 | 2013-07-30 |
1740527753 | Amg-hillside LLC | Family Medicine | 200 Hillside Dr, Pulaski, TN 38478-4566 | 2013-01-10 |
1265687917 | Chattanooga Family and Sports Medical Center, Pllc | Family Medicine | 6035 Shallowford Rd, Suite 101, Chattanooga, TN 37421-1688 | 2008-11-21 |
1841485018 | Crystal Shanelle Dyer | Family Medicine | 850 W Main St Ste 2, Rogersville, TN 37857-3663 | 2007-09-11 |
1053326876 | Laura N. Lendermon | Family Medicine | 9950 Crooked Creek Drive, Collierville, TN 38017 | 2006-07-30 |
1003881061 | Bill Moore Smith Jr. | Family Medicine | 632 Morrison Springs Road, Suite #202, Chattanooga, TN 37415 | 2006-02-22 |
1700860988 | James Norris Johnson | Family Medicine | 28 White Bridge Rd Ste 207, Nashville, TN 37205-1451 | 2005-12-01 |
1982690038 | Sports Care of Chattanooga Pllc | Family Medicine | 501 Houston St, Chattanooga, TN 37403-3409 | 2005-09-23 |
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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.