PHILLIP DARRELL KIRKLAND (NPI# 1275720492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275720492 |
Entity Type | Individual |
Full Name | PHILLIP DARRELL KIRKLAND |
Credential | P.A. |
Practice Address |
8115 Beaver Ridge Rd Knoxville TN 37931-3314 |
Practice Telephone | 8654146654 |
Mailing Telephone | 8654146654 |
Enumeration Date | 2007-10-02 |
Last Update Date | 2014-04-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1277 | TN | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | 1516699 | 05 | |
TN | BLUECROSS BLUESHIELD | 4177381 | 01 |
Street Address |
8115 BEAVER RIDGE RD |
City | KNOXVILLE |
State | TN |
Zip Code | 37931-3314 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396223608 | Kristen Nicole Waggoner | Audiologist | 8109 Beaver Ridge Road, Karns Annex Building A, Knoxville, TN 37931 | 2018-07-31 |
1346780350 | Joseph L. Easley | Physical Therapist | 7811 Oak Ridge Hwy., Suite 3, Knoxville, TN 37931 | 2017-02-24 |
1043663495 | Tennessee Children's Home | Residential Treatment Facility, Emotionally Disturbed Children | 8550 Harold Duncan Way, Knoxville, TN 37931 | 2016-07-21 |
1780936708 | Appliance Place LLC | Durable Medical Equipment & Medical Supplies | 9025 Oak Ridge Hwy, Knoxville, TN 37931 | 2012-10-15 |
1003146440 | David Friend, Lcsw | Social Worker | 9631 W Emory Rd., Knoxville, TN 37931 | 2010-01-07 |
1235293895 | Eileen K Norton | Psychologist | 9501 Hickory Knoll Ln, Knoxville, TN 37931 | 2006-12-20 |
1104900612 | Total Health | Pharmacist | 7259 Oak Ridge Highway, Knoxville, TN 37931 | 2006-10-24 |
1346251584 | Alan Shane Presson | Optometrist | 7660 Oak Ridge Hwy, Knoxville, TN 37931 | 2006-08-11 |
1962740043 | Lauren Essary | Pharmacist | 7466 Oak Ridge Hwy, Knoxville, TN 37931 | 2013-01-23 |
1649443409 | Presson Eye Care, Pllc | Optometrist | 7660 Oak Ridge Hwy, Knoxville, TN 37931 | 2008-04-11 |
Find all providers in zip 37931 |
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.