MS. TRACY A PESUT (NPI# 1295751634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295751634 |
| Entity Type | Individual |
| Full Name | MS. TRACY A PESUT |
| Credential | MD |
| Practice Address |
9430 Park West Blvd Ste 130 Knoxville TN 37923-4205 |
| Mailing Address |
Po Box 32569 Knoxville TN 37930-2569 |
| Practice Telephone | 8656904861 |
| Practice Fax Number | 8655608525 |
| Mailing Telephone | 8656940062 |
| Mailing Fax Number | 8655608525 |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2020-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
39766 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3332469 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6484 Kingston Pike, Knoxville, TN 379194863 | 8656330235 | 8656027757 |
| 576 Fort Loudoun Medical Center Dr Ste 100, Lenoir City, TN 377725676 | 8659888667 | 8659888837 |
| Street Address |
9430 PARK WEST BLVD STE 130 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37923-4205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063498392 | Harold E Cates Jr. | Orthopaedic Surgery | 9430 Park West Blvd Ste 130, Knoxville, TN 37923-4205 | 2005-12-19 |
| 1427609387 | Laura E Mowell | Physician Assistant | 9430 Park West Blvd Ste 130, Knoxville, TN 37923-4205 | 2019-09-23 |
| 1194214932 | Ashley Ann Hethcoat | Nurse Practitioner | 9430 Park West Blvd Ste 130, Knoxville, TN 37923 | 2018-05-08 |
| 1184120693 | Ashlee Danielle Simpson | Physician Assistant | 9430 Park West Blvd Ste 130, Knoxville, TN 37923-4205 | 2018-04-03 |
| 1396254132 | Christopher Cody Sawyers | Physician Assistant | 9430 Park West Blvd Ste 130, Knoxville, TN 37923-4205 | 2017-09-25 |
| 1578080685 | Taylor Boone Conley | Physician Assistant | 9430 Park West Blvd Ste 130, Knoxville, TN 37923 | 2017-08-29 |
| 1740729250 | Ashton L Davis | Physician Assistant | 9430 Park West Blvd Ste 130, Knoxville, TN 37923 | 2017-02-16 |
| 1699140673 | Austin G Bigney | Physician Assistant | 9430 Park West Blvd Ste 130, Knoxville, TN 37923-4205 | 2015-12-02 |
| 1669876561 | Kegan Reilly | Physician Assistant | 9430 Park West Blvd Ste 130, Knoxville, TN 37923-4205 | 2014-10-21 |
| 1780094680 | Kelley Ramey Cunningham | Physician Assistant | 9430 Park West Blvd Ste 130, Knoxville, TN 37923-4205 | 2014-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114541240 | Chloe Morgan | Registered Nurse | Parkwest Blvd, Knoxville, TN 37923 | 2020-06-04 |
| 1215551346 | Kaylee Huskey | Registered Nurse | Park West Blvd, Knoxville, TN 37923 | 2020-06-04 |
| 1942849914 | American Brace & Limb Enterprise, LLC | Prosthetic/Orthotic Supplier | 9333 Parkwest Blvd., 103, Knoxville, TN 37923 | 2019-12-23 |
| 1619510690 | Stacia Working | Speech-Language Pathologist | 310 Corporate Dr, Ste 101, Knoxville, TN 37923 | 2019-10-23 |
| 1497242903 | Mary Ensminger Loomis | Speech-Language Pathologist | 118 N Peters Rd Ste 174, Knoxville, TN 37923 | 2018-04-19 |
| 1831699602 | Shaun Elizabeth Hoffman | Counselor | 311 Directors Dr, Knoxville, TN 37923 | 2018-02-17 |
| 1962948737 | East Tennessee Binocular Vision Center Pllc | Optometrist | 9051 Executive Park Dr., Ste. 400, Knoxvville, TN 37923 | 2017-01-17 |
| 1467815761 | Hearing Conservation Associates Inc | Audiologist | 9301 Parkwest Blvd B-3, Knoxville, TN 37923 | 2016-04-04 |
| 1710354725 | Independent Physical Therapy, LLC | Occupational Therapist | 8905 Town and Country Cir Ste 9, Knoxville, TN 37923 | 2015-08-25 |
| 1568863553 | Kathryn Faye Ledbetter | Registered Nurse | 9352 Park W Blvd, Knoxville, TN 37923 | 2014-09-09 |
| Find all providers in zip 37923 | ||||
| Taxonomy Code | 207XX0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Foot and Ankle Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225024953 | Susan N Ishikawa | Orthopaedic Surgery | 1400 S Germantown Rd, Germantown, TN 38138-2205 | 2005-09-27 |
| 1235158486 | Southern Orthopaedic Foot & Ankle Ctr | Orthopaedic Surgery | 725 Glenwood Dr, Ste E884, Chattanooga, TN 37404-1182 | 2006-07-19 |
| 1447201967 | Jeffrey Donald Willers | Orthopaedic Surgery | 2021 Church Street, Suite 200, Nashville, TN 37203 | 2006-05-12 |
| 1962467498 | Karen J Mcrae | Orthopaedic Surgery | 2410 Susannah St, Johnson City, TN 37601-1748 | 2006-04-18 |
| 1417922618 | Richard G Alvarez | Orthopaedic Surgery | 979 E 3rd St, Suite C430, Chattanooga, TN 37403-2136 | 2006-02-21 |
| 1043207186 | Elbert Greer Richardson | Orthopaedic Surgery | 1400 S Germantown Rd, Germantown, TN 38138-2205 | 2005-10-04 |
| 1912994450 | David R Richardson | Orthopaedic Surgery | 1400 S Germantown Rd, Germantown, TN 38138-2205 | 2005-09-30 |
| 1952398646 | Garnett Andrew Murphy | Orthopaedic Surgery | 1400 S Germantown Rd, Germantown, TN 38138-2205 | 2005-09-29 |
| 1326044298 | Matthew M Buchanan | Orthopaedic Surgery | 2415 Mccallie Ave, Chattanooga, TN 37404-3322 | 2005-06-24 |
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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.