FORT SANDERS KIDNEY CENTER (NPI# 1366454118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366454118 |
| Entity Type | Organization |
| Organization Name | FORT SANDERS KIDNEY CENTER |
| Other Organization Name | EAST KNOX DIALYSIS CLINIC |
| Practice Address |
2717 E Magnolia Ave Knoxville TN 37914-5247 |
| Mailing Address |
2001 Laurel Ave Suite 203 Knoxville TN 37916-1810 |
| Practice Telephone | 8655440082 |
| Practice Fax Number | 8655248813 |
| Mailing Telephone | 8656375186 |
| Mailing Fax Number | 8656372151 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2007-07-08 |
| Authorized Official Name | DR. NASEEM SIDDIQI (SENIOR PHYSICIAN) |
| Authorized Official Telephone | 8656375186 |
| Authorized Official Credential | M.D. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
0000000087 | TN | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| East Knox Dialysis Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821022740 | Fort Sanders Kidney Center | Clinic/Center | 503 Elm Ave, New Tazewell, TN 37825-7525 | 2006-07-10 |
| 1154333912 | Fort Sanders Kidney Center | Clinic/Center | 120 Pearce Dr, Morristown, TN 37814-3649 | 2006-08-12 |
| Street Address |
2717 E MAGNOLIA AVE |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37914-5247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528594645 | Emory Boykins Young II | Counselor | 3535 Ne Kenilworth Ln, Knoxville, TN 37914 | 2017-05-10 |
| 1487079513 | E and K Taxi | Taxi | 1423 Fifth Ave, Knoxville, TN 37914 | 2014-02-26 |
| 1154768836 | G Way Transit | Non-emergency Medical Transport (VAN) | 513 Carta Rd., Knoxville, TN 37914 | 2013-06-04 |
| 1346511581 | Carroll W Mcginnis | Family Medicine | 9108 Brownlow Newman Ln., Knoxville, TN 37914 | 2012-01-19 |
| 1912212879 | Scarlett Marie Mynatt | Registered Nurse | 7051 Straw Plains Pike, Knoxville, TN 37914 | 2010-08-16 |
| 1356570964 | Steven Dwight Shults | Physical Therapy Assistant | 3916 Boyd's Bridge Pike, Knoxville, TN 37914 | 2009-07-06 |
| 1417152695 | East Tennessee Children's Hospital Primary Care Center, Inc. | Clinic/Center | 4529 Asheville Highway, Knoxville, TN 37914 | 2007-06-18 |
| 1639600521 | Dana Leann Byrge | Physical Therapy Assistant | 3916 Boyd's Bridge Pike, Nhc, Knoxville, TN 37914 | 2017-03-23 |
| 1861703316 | Narendra R Patel | Pharmacist | 4423 Asheville Hwy, Knoxville, TN 37914 | 2010-06-30 |
| 1346705506 | Jennifer Bolden | Psychologist | 5217 Brig Ln, Knoxville, TN 37914-2824 | 2019-02-01 |
| Find all providers in zip 37914 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396167649 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 1826 Ailor Ave Ste 100, Knoxville, TN 37921-5802 | 2014-01-06 |
| 1053752998 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 2529 E Magnolia Ave, Knoxville, TN 37914-5311 | 2013-07-08 |
| 1689944076 | Total Renal Care Inc | Clinic/Center | 2909 E Magnolia Ave, Knoxville, TN 37914-4516 | 2012-01-03 |
| 1811203938 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 431 Park 40 North Blvd., Knoxville, TN 37923-3615 | 2010-08-26 |
| 1659567634 | Total Renal Care Inc | Clinic/Center | 9141 Cross Park Dr, Ste 102, Knoxville, TN 37923-4557 | 2007-09-24 |
| 1790897510 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 4440 Walker Blvd, Knoxville, TN 37917-1523 | 2006-08-31 |
| 1073625893 | Bio Medical Applications of Tennessee, Inc. | Clinic/Center | 11305 Station West Dr, Knoxville, TN 37934-1632 | 2006-08-31 |
| 1063439784 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 1740 Western Ave, Knoxville, TN 37921-6739 | 2006-07-17 |
| 1669405056 | Dialysis Clinic,inc. | Clinic/Center | 5811 E Gov.johnseiver Hwy, Knoxville, TN 37924 | 2006-07-08 |
| 1972014132 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 324 N Park 40 Blvd, Knoxville, TN 37923-3624 | 2017-10-16 |
| 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.