TENNESSEE INNOVATIVE MEDICAL SERVICES PLLC


Address: 116 Concord Rd, Ste 400, Knoxville, TN 37934-2940
Phone: 8657776880

TENNESSEE INNOVATIVE MEDICAL SERVICES PLLC (NPI# 1114285400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114285400
Entity Type Organization
Organization Name TENNESSEE INNOVATIVE MEDICAL SERVICES PLLC
Practice Address 116 Concord Rd
Ste 400
Knoxville
TN 37934-2940
Mailing Address 194 Market Place Blvd
Knoxville
TN 37922-2337
Practice Telephone 8657776880
Practice Fax Number 8657776881
Mailing Telephone 8655608787
Mailing Fax Number 8655608784
Enumeration Date 2012-04-25
Last Update Date 2012-07-02
Authorized Official Name JASON G. FUNDERBURK (SOLE OWNER)
Authorized Official Telephone 8657776880
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
TN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TN 1527902 05

Office Location

Street Address 116 CONCORD RD
STE 400
City KNOXVILLE
State TN
Zip Code 37934-2940

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104883966 Jason Glen Funderburk Radiology 116 Concord Rd, Suite 500, Knoxville, TN 37934-2940 2006-04-27
1821346107 Midstate Medical Associates Pllc Family Medicine 116 Concord Rd, Ste 400, Knoxville, TN 37934-2940 2012-08-17
1023034576 Foot & Ankle Institute of Knoxville, Pllc Clinic/Center 116 Concord Rd, Suite 300, Knoxville, TN 37934-2940 2006-07-15
1265467922 Dagon J Percer Podiatrist 116 Concord Rd, #300, Knoxville, TN 37934-2940 2006-07-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437780905 Knoxville Dentistry Group Pllc Clinic/Center 1119 Kingston Pike, Knoxville, TN 37934 2020-02-03
1073087714 Farragut Modern Dentistry, PC Dentist 109 Campbell Station Rd., Farragut, TN 37934 2019-01-16
1669949764 Cynthia Boger Optometrist 11289 Parkside Dr Spc 1108, Knoxville, TN 37934 2018-10-26
1306385927 Lindsey A Kelley Registered Nurse 11217 West Point Drive, Suite 2, Knoxville, TN 37934 2017-02-15
1740736487 Julie Noll Occupational Therapy Assistant 312 Rockwell Farm Lane, Knoxville, TN 37934 2016-09-01
1457719411 Adrianne Whitelaw Occupational Therapist 10717 Deep Woods Lane, Knoxville, TN 37934 2016-02-05
1821486150 Will Parrott Physical Therapy Assistant 917 Weatherly Hills Blvd, Knoxville, TN 37934 2015-01-09
1679988380 Lutheran Medical Center Health Maintenance Organization 305 Dominick Pont, Knoxville, TN 37934 2014-06-23
1518396761 Dr. Mark Lynn & Associates, Pllc Eyewear Supplier (Equipment, not the service) 10930 Parkside Dr., Knoxville, TN 37934 2013-11-08
1770879090 Meredith Tonks Optometrist 12744 Kingston Pike Ste 108, Knoxville, TN 37934 2011-06-24
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Taxonomy Information

Taxonomy Code 2085R0204X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Vascular & Interventional Radiology

Taxonomy Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104883966 Jason Glen Funderburk Radiology 116 Concord Rd, Suite 500, Knoxville, TN 37934-2940 2006-04-27
1689004285 Association of University Radiologists, PC Radiology 1926 Alcoa Hwy, Bldg F Ste 400, Knoxville, TN 37920-1545 2013-11-18
1073942041 Association of University Radiologists, PC Radiology 1926 Alcoa Hwy, Medical Bldg C Ste 290, Knoxville, TN 37920-1545 2013-11-11
1518004076 Laura Katherine Findeiss Radiology 1924 Alcoa Hwy, Knoxville, TN 37920-1511 2007-01-31
1013987296 Scott A Wegryn Radiology 2001 Laurel Ave, Suite N304, Knoxville, TN 37916-1810 2006-01-23
1164402715 Britton Keith Woodward Radiology 2001 Laurel Ave, Suite N304, Knoxville, TN 37916-1810 2006-01-19
1972506178 Peter Kvamme Radiology 1924 Alcoa Hwy, Knoxville, TN 37920-1511 2005-05-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1487277042 Via Institutes Pllc Radiology 8886 Classic Dr, Memphis, TN 38125-8839 2020-05-18
1609334713 Paul Wooten Radiology 1729 Curie St, Alcoa, TN 37701-1700 2019-03-07
1295112498 David R Zielske Radiology 839 Treemont Ct, Nashville, TN 37220-1536 2015-04-27
1760820625 John Dalton Braun Radiology 7600 Wolf River Blvd Ste 200, Germantown, TN 38138 2013-06-12
1942551270 Sam J Williams IIi Radiology 1610 Shore View Ln, Hixson, TN 37343-4646 2012-09-26
1144485418 Vijaykumar Agrawal Radiology 865 Jefferson Avenue Department of Radiology, F150 Chandler, Memphis, TN 38163-0001 2008-07-25
1780618942 Tennessee Phlebology PC Radiology 9020 Overlook Blvd Ste 150, Brentwood, TN 37027-2727 2006-07-11
1851865794 Zeni Interventional Pllc Radiology 6126 Poplar Ave, Memphis, TN 38119-4710 2019-01-14
1841799707 Southern Pain and Regenerative Medicine PC Radiology 176 Briarwood St Ste B, Camden, TN 38320-1456 2018-02-06
1326564972 Association of University Radiologists, PC Radiology 101 Professional Park Pvt Dr, Colonial Heights, TN 37663-2288 2017-08-16
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Competitor

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City KNOXVILLE
Zip Code 37934

Improve Information

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Dataset Information

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.

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