JESSE E VON FANGE (NPI# 1265996672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265996672 |
| Entity Type | Individual |
| Full Name | JESSE E VON FANGE |
| Credential | PA-C |
| Practice Address |
280 Fort Sanders West Blvd Ste 101 Knoxville TN 37922-3352 |
| Mailing Address |
1275 Dick Lonas Rd Unit 101 Knoxville TN 37909-1383 |
| Practice Telephone | 8655390270 |
| Practice Fax Number | 8655396998 |
| Mailing Telephone | 8655844747 |
| Mailing Fax Number | 8655841363 |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2020-03-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
3804 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
280 FORT SANDERS WEST BLVD STE 101 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37922-3352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720185531 | Peggy Lynn Descamps | Physician Assistant | 280 Fort Sanders West Blvd Ste 101, Knoxville, TN 37922-3352 | 2006-09-20 |
| 1881174670 | Carly Stapleton Slagle | Dietitian, Registered | 280 Fort Sanders West Blvd Ste 101, Knoxville, TN 37922-3352 | 2018-08-21 |
| 1871092478 | Kathryn Grace Cochran | Registered Nurse | 280 Fort Sanders West Blvd Ste 101, Knoxville, TN 37922-3352 | 2018-02-08 |
| 1003324674 | Matthew Cox | Physician Assistant | 280 Fort Sanders West Blvd Ste 101, Knoxville, TN 37922-3352 | 2018-01-17 |
| 1891151767 | Katelin Gowder Hollingsworth | Nurse Practitioner | 280 Fort Sanders West Blvd Ste 101, Knoxville, TN 37922-3352 | 2016-01-07 |
| 1356728620 | Ashley Marie Haney | Nurse Practitioner | 280 Fort Sanders West Blvd Ste 101, Knoxville, TN 37922-3352 | 2015-05-06 |
| 1437416716 | Katie J Tipton | Internal Medicine | 280 Fort Sanders West Blvd Ste 101, Knoxville, TN 37922 | 2012-04-11 |
| 1639206212 | Trinity Medical Associates PC | Non-Pharmacy Dispensing Site | 280 Fort Sanders West Blvd Ste 101, Knoxville, TN 37922-3352 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184132185 | Kimberly Zitko | Pharmacist | 400 Goody's Lane, Knoxville, TN 37922 | 2018-01-12 |
| 1366959314 | Matthew Smith | Physician Assistant | 1424 Randall Park Dr, Knoxville, TN 37922 | 2017-12-29 |
| 1174052823 | 24/7 Healthcare, Inc. | Nursing Care | 110 Center Park Drive, Suite 101, Knoxville, TN 37922 | 2017-06-07 |
| 1023543477 | Open Arms Care Corp | Intermediate Care Facility, Mentally Retarded | 12625 S Northshore Dr, Knoxville, TN 37922 | 2017-04-24 |
| 1275905440 | Milligan Surgical Associates, Pllc | Surgery | 1919 Pinnacle Pointe Way, Knoxville, TN 37922 | 2015-10-27 |
| 1275904096 | Medical Necessities & Services LLC | Durable Medical Equipment & Medical Supplies | 9327 S Northshore Dr, Knoxville, TN 37922 | 2015-10-20 |
| 1841668126 | Chad Szala | Behavioral Analyst | 10721 Chapman Hwy #22, Knoxville, TN 37922 | 2015-09-03 |
| 1275916470 | Nikki Nicole Peoples | Acupuncturist | 10406 Jackson Oaks Way Ste A, Knoxville, TN 37922 | 2015-07-07 |
| 1538577747 | Susan Carter | Optometrist | 2053 Thunderhead Rd, Knoxville, TN 37922 | 2014-07-31 |
| 1366868135 | Heartland Infusion | Clinic/Center | 9943 Kingston Pike, Knoxville, TN 37922 | 2014-03-17 |
| Find all providers in zip 37922 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538772744 | Kaitlyn Blair Barger | Physician Assistant | 2100 Clinch Ave Ste 120, Knoxville, TN 37916-2288 | 2020-08-26 |
| 1225653967 | Molly Ann Waggoner | Physician Assistant | 9050 Executive Park Dr Ste 100b, Knoxville, TN 37923-4616 | 2020-06-09 |
| 1164942355 | Debra Lynn Howard | Physician Assistant | 9314 Park West Blvd Ste 100, Knoxville, TN 37923-4338 | 2017-06-20 |
| 1255702635 | Community Healthcare | Physician Assistant | 507 N Cedar Bluff Rd, Knoxville, TN 37923-2805 | 2015-10-12 |
| 1053653220 | Amber L. Burns | Physician Assistant | 501 20th St Ste 303, Knoxville, TN 37916-1899 | 2013-03-26 |
| 1497044671 | Katie Bean | Physician Assistant | 8025 Kingston Pike Ste 1, Knoxville, TN 37919-5582 | 2011-03-28 |
| 1861704371 | Prodigal Primary Care PC | Physician Assistant | 2911 Essary Road, Knoxville, TN 37918-2468 | 2010-07-13 |
| 1336476159 | George F. Hillegas IIi | Physician Assistant | 3904 Lonas, Pa Program South College, Knoxville, TN 37909 | 2009-11-16 |
| 1225263353 | Douglas E Lillifield | Physician Assistant | 431 Park Village Dr Ste 103, Knoxville, TN 37923 | 2009-05-19 |
| 1720263213 | Leslie Anne Heller | Physician Assistant | 814 E Woodland Ave, Knoxville, TN 37917-5648 | 2008-01-03 |
| 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.