DR. PRADUMNA S JAIN (NPI# 1306950126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306950126 |
| Entity Type | Individual |
| Full Name | DR. PRADUMNA S JAIN |
| Credential | MD |
| Practice Address |
9111 Cross Park Dr Ste D200 Knoxville TN 37923-4521 |
| Practice Telephone | 8654704130 |
| Practice Fax Number | 8656941655 |
| Mailing Telephone | 8654704130 |
| Mailing Fax Number | 8656941655 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2020-02-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD0000026667 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3095083 | 05 | |
| TN | BLUECROSS BLUE SHIELD | 3112481 | 01 |
| TN | MAGELLAN | 257338000 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3105 Essary Dr, Knoxville, TN 379182409 | 8656878990 | 8656871190 |
| Street Address |
9111 CROSS PARK DR STE D200 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37923-4521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093324261 | Momentum Speech Therapy of Knoxville, LLC | Speech-Language Pathologist | 9111 Cross Park Dr Ste D200, Knoxville, TN 37923-4521 | 2020-07-23 |
| 1972075331 | Cynthia Searcy Crawford | Counselor | 9111 Cross Park Dr Ste D200, Knoxville, TN 37923-4521 | 2018-12-26 |
| 1174019087 | Life Connections Counseling Services, Pllc | Counselor | 9111 Cross Park Dr Ste D200, Knoxville, TN 37923-4521 | 2018-07-03 |
| 1821515057 | Medicall, LLC | Case Management | 9111 Cross Park Dr Ste D200, Knoxville, TN 37923 | 2017-08-28 |
| 1174803670 | Irina V Diyankova | Psychologist | 9111 Cross Park Dr Ste D200, Knoxville, TN 37923-4521 | 2011-08-28 |
| 1154582450 | Daniel Peter Fowler | Plastic Surgery | 9111 Cross Park Dr Ste D200, Knoxville, TN 37923-4521 | 2008-06-19 |
| 1588867758 | Carrie S. Booher | Psychologist | 9111 Cross Park Dr Ste D200, Knoxville, TN 37923-4521 | 2007-06-06 |
| 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 | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093350159 | Depression Specialists of East Tennessee Inc. | Psychiatry & Neurology | 214 S Peters Rd Ste 102, Knoxville, TN 37923-5229 | 2019-11-13 |
| 1215427372 | Qro Wellness,llc | Psychiatry & Neurology | 117 Center Park Dr Ste 220, Knoxville, TN 37922-2139 | 2018-05-15 |
| 1891222634 | William M. Hogan, Md, Pllc | Psychiatry & Neurology | 1432 Hickey Road, Knoxville, TN 37932 | 2017-05-11 |
| 1518124437 | Psychiatric Associates Pllc | Psychiatry & Neurology | 6608 Sherwood Dr, Knoxville, TN 37919-7422 | 2008-05-19 |
| 1245435825 | Julia K Wood | Psychiatry & Neurology | 7610 Gleason Dr Ste 302, Knoxville, TN 37919-6844 | 2007-06-15 |
| 1427184696 | Jerry Jaggers Embry | Psychiatry & Neurology | 7632 Gleason Dr, Knoxville, TN 37919-6818 | 2007-02-24 |
| 1881737138 | Robert Homer Gentry Jr. | Psychiatry & Neurology | 1240 Old Weisgarber Rd, Ste A, Knoxville, TN 37909-2682 | 2007-02-15 |
| 1245384197 | Martin Gebrow | Psychiatry & Neurology | 9301 Park West Blvd, B, Knoxville, TN 37923-4300 | 2007-01-22 |
| 1720142599 | Marvin George Weninger | Psychiatry & Neurology | 11407 Couch Mill Rd, Knoxville, TN 37931-2908 | 2006-12-19 |
| 1255420006 | David Randal Seale | Psychiatry & Neurology | 8870 Cedar Springs Lane, Ste 209, Knoxville, TN 37923 | 2006-10-12 |
| 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.