DR. STEPHEN K SOUTHER (NPI# 1124022017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124022017 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN K SOUTHER |
| Credential | M.D. |
| Practice Address |
8033 Ray Mears Blvd Knoxville TN 37919 |
| Mailing Address |
115 Nantahala Drive Townsend TN 37882 |
| Practice Telephone | 8655454592 |
| Mailing Telephone | 2298698898 |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2018-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 44108 | GA | Other Service Providers |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
044108 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073978383 | Stephen Souther | Counselor | 515 Park Avenue Sw, Norton, VA 24273 | 2015-12-31 |
| Street Address |
8033 RAY MEARS BLVD |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265927057 | Lisa Ann Fuller | Nurse Practitioner | 8033 Ray Mears Blvd, Knoxville, TN 37919-5458 | 2018-06-25 |
| 1043667389 | Alyssa Luigart Musser | Nurse Practitioner | 8033 Ray Mears Blvd, Va Outpatient Clinic, Knoxville, TN 37919 | 2016-05-17 |
| 1326470576 | Darlene Anderson Settles | Nurse Practitioner | 8033 Ray Mears Blvd, Knoxville, TN 37919-5458 | 2013-07-30 |
| 1144576216 | Scott Andrew Swan Jr. | Psychologist | 8033 Ray Mears Blvd, Knoxville, TN 37919-5458 | 2012-07-26 |
| 1073875175 | Genevieve Davis | Psychologist | 8033 Ray Mears Blvd, Knoxville, TN 37919-5458 | 2012-06-13 |
| 1235316928 | Mountain Home Vamc | Clinic/Center | 8033 Ray Mears Blvd, Knoxville, TN 37919-5458 | 2008-01-25 |
| 1508949207 | Elizabeth Bishop | Internal Medicine | 8033 Ray Mears Blvd, William C. Tallent Veterans Affairs Outpatient Clinic, Knoxville, TN 37919-5458 | 2006-10-24 |
| 1740398684 | Edwin Clay Jones | Psychiatry & Neurology | 8033 Ray Mears Blvd, Knoxville, TN 37919-5458 | 2006-08-29 |
| 1508887092 | Laurie Louise Elliott | Nurse Practitioner | 8033 Ray Mears Blvd, Knoxville, TN 37919-5458 | 2006-07-21 |
| 1609897099 | Robert Orr Crocker | Internal Medicine | 8033 Ray Mears Blvd, Knoxville, TN 37919-5458 | 2006-07-21 |
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| 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 |
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| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356630008 | John Noah Meriwether | Internal Medicine | 9320 Parkwest Blvd, Knoxville, TN 37923 | 2011-04-04 |
| 1083848733 | Benjamin I Shepple | Internal Medicine | 9153 Hailes Abbey Ln, Knoxville, TN 37922-8563 | 2009-05-11 |
| 1619154358 | Muddassir Mehmood | Internal Medicine | 1940 Alcoa Hwy Ste E310, Knoxville, TN 37920-2267 | 2008-01-24 |
| 1982816948 | Hitesh Jitendra Mehta | Internal Medicine | 1819 W Clinch Ave Ste 108, Knoxville, TN 37916-2435 | 2007-05-03 |
| 1114965902 | Mukesh K Sharma | Internal Medicine | 10810 Parkside Dr Ste 206, Knoxville, TN 37934-1981 | 2006-06-03 |
| 1083604623 | William C. Lindsay | Internal Medicine | 10800 Parkside Dr, Suite 331, Knoxville, TN 37934-1922 | 2005-10-25 |
| 1992795702 | Joseph Deleese | Internal Medicine | 10810 Parkside Dr, Suite 301, Knoxville, TN 37934-1979 | 2005-10-24 |
| 1811986623 | George Menees Krisle IIi | Internal Medicine | 1819 W Clinch Ave, Suite 108, Knoxville, TN 37916-2435 | 2005-10-14 |
| 1013906809 | Joseph Samuel Smith IIi | Internal Medicine | 1819 Clinch Avenue, Suite 108, Knoxville, TN 37916-2435 | 2005-10-14 |
| 1285621870 | Gregory Vaughn Brewer | Internal Medicine | 314 Prosperity Drive, Knoxville, TN 37923 | 2005-09-29 |
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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.