PREMIER SURGICAL ASSOCIATES, PLLC (NPI# 1285806919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285806919 |
| Entity Type | Organization |
| Organization Name | PREMIER SURGICAL ASSOCIATES, PLLC |
| Practice Address |
6408 Papermill Dr Suite 100 Knoxville TN 37919-4858 |
| Mailing Address |
Po Box 52948 Knoxville TN 37950-2948 |
| Practice Telephone | 8654747096 |
| Practice Fax Number | 8886064409 |
| Mailing Telephone | 8654747096 |
| Mailing Fax Number | 8886064409 |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2015-11-17 |
| Authorized Official Name | GARY KEVIN BURRIS (CEO) |
| Authorized Official Telephone | 8654747096 |
| Is Organization Subpart | Y |
| Parent Organization Name | PREMIER SURGICAL ASSOCIATES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | 148 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1455291 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750449443 | Premier Surgical Associates, Pllc | Surgery | 6408 Papermill Dr, Suite 220, Knoxville, TN 37919-4858 | 2006-12-05 |
| 1992719801 | Premier Surgical Associates, Pllc | Surgery | 991 Medical Park Dr, 201, Maysville, KY 41056-8764 | 2006-07-28 |
| Street Address |
6408 PAPERMILL DR SUITE 100 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37919-4858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902827728 | Christopher Scott Callicutt | Surgery | 6408 Papermill Dr, Knoxville, TN 37919-4858 | 2006-07-21 |
| 1770120479 | Cameron M Rayment | Physician Assistant | 6408 Papermill Dr, Knoxville, TN 37919-4858 | 2019-12-02 |
| 1780241539 | Caroline Elizabeth Williams | Physician Assistant | 6408 Papermill Dr, Knoxville, TN 37919-4858 | 2019-05-28 |
| 1518423847 | Sadia Khan | Nurse Practitioner | 6408 Papermill Dr, Knoxville, TN 37919-4858 | 2019-02-12 |
| 1689937989 | Stephen A. Tonks | Surgery | 6408 Papermill Dr, Knoxville, TN 37919-4858 | 2012-06-21 |
| 1598057861 | Afshin Andrew Skibba | Surgery | 6408 Papermill Dr, Knoxville, TN 37919-4858 | 2011-05-05 |
| 1386816833 | Deanna L Nelson | Surgery | 6408 Papermill Dr, Knoxville, TN 37919-4858 | 2008-03-25 |
| 1750449443 | Premier Surgical Associates, Pllc | Surgery | 6408 Papermill Dr, Suite 220, Knoxville, TN 37919-4858 | 2006-12-05 |
| 1104904028 | John R Reisser | Surgery | 6408 Papermill Dr, Knoxville, TN 37919-4858 | 2006-11-01 |
| 1013019322 | Charles Stone Mitchell | Surgery | 6408 Papermill Dr, Knoxville, TN 37919-4858 | 2006-09-05 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 37919 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154955268 | A Step Ahead Orthotics and Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1415 Old Weisgarber Rd Ste 360, Knoxville, TN 37909-1327 | 2020-02-27 |
| 1942849914 | American Brace & Limb Enterprise, LLC | Prosthetic/Orthotic Supplier | 9333 Parkwest Blvd., 103, Knoxville, TN 37923 | 2019-12-23 |
| 1841834322 | Southern Orthocare, Inc | Prosthetic/Orthotic Supplier | 11440 Parkside Dr Ste 304, Knoxville, TN 37934-2662 | 2019-10-29 |
| 1437692548 | Victory Orthotics & Prosthetics LLC | Prosthetic/Orthotic Supplier | 9051 Executive Park Dr Ste 100, Knoxville, TN 37923-4651 | 2016-11-21 |
| 1083985014 | Paul Gary Lakins Ah-mazing Orthotics | Prosthetic/Orthotic Supplier | 151 Sherway Rd Ste 2, Knoxville, TN 37922-2236 | 2012-01-23 |
| 1770760654 | Betty's Boutique | Prosthetic/Orthotic Supplier | 414 Overhill Rd, Knoxville, TN 37914-4328 | 2008-01-23 |
| 1073680591 | Regina Nannette Cox | Prosthetic/Orthotic Supplier | 6618 Bay Circle Dr, Knoxville, TN 37918-9109 | 2006-11-29 |
| 1902993124 | Akbk | Prosthetic/Orthotic Supplier | 10932 Murdock Dr, Suite 105a, Knoxville, TN 37932-3239 | 2006-10-09 |
| 1306933130 | Specialty Medical | Prosthetic/Orthotic Supplier | 7815 B Oak Ridge Hwy, Knoxville, TN 37931-2314 | 2006-10-05 |
| 1083727358 | Akbk | Prosthetic/Orthotic Supplier | 4503 Walker Blvd, Knoxville, TN 37917-1526 | 2006-08-17 |
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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.