DR. DAVID GORDON PETTY JR. (NPI# 1366481574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366481574 |
| Entity Type | Individual |
| Full Name | DR. DAVID GORDON PETTY JR. |
| Credential | M.D. |
| Practice Address |
11408 Kingston Pike Suite 400 Knoxville TN 37934-3975 |
| Practice Telephone | 8656716026 |
| Mailing Telephone | 8656716026 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2009-01-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD14895 | TN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508302068 | David A Petty I | Physical Therapy Assistant | 2100 N Amidon Ave # S208, Wichita, KS 67203-2126 | 2017-01-09 |
| 1770531782 | David Petty | Pharmacist | 103 South Y Square, Selmer, TN 38375 | 2006-05-04 |
| 1376877795 | David Aaron Petty | Allergy & Immunology | 3422 S 15th E, Idaho Falls, ID 83404-8262 | 2009-10-01 |
| 1205054335 | David William Petty | Pharmacist | 707 S Mills St, Suite 300, Madison, WI 53715-1849 | 2007-04-23 |
| 1598797151 | David K Petty | Specialist/Technologist | 2415 Mccallie Ave, Chattanooga, TN 37404-3322 | 2006-07-06 |
| Street Address |
11408 KINGSTON PIKE SUITE 400 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37934-3975 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316492887 | Redmon Family Practice Pllc | Family Medicine | 11408 Kingston Pike, Ste 400, Knoxville, TN 37934-3975 | 2016-08-24 |
| 1821296625 | Farragut Walk In Clinic | Preferred Provider Organization | 11408 Kingston Pike, Suite 400, Knoxville, TN 37934-3975 | 2007-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437780905 | Knoxville Dentistry Group Pllc | Clinic/Center | 1119 Kingston Pike, Knoxville, TN 37934 | 2020-02-03 |
| 1073087714 | Farragut Modern Dentistry, PC | Dentist | 109 Campbell Station Rd., Farragut, TN 37934 | 2019-01-16 |
| 1669949764 | Cynthia Boger | Optometrist | 11289 Parkside Dr Spc 1108, Knoxville, TN 37934 | 2018-10-26 |
| 1306385927 | Lindsey A Kelley | Registered Nurse | 11217 West Point Drive, Suite 2, Knoxville, TN 37934 | 2017-02-15 |
| 1740736487 | Julie Noll | Occupational Therapy Assistant | 312 Rockwell Farm Lane, Knoxville, TN 37934 | 2016-09-01 |
| 1457719411 | Adrianne Whitelaw | Occupational Therapist | 10717 Deep Woods Lane, Knoxville, TN 37934 | 2016-02-05 |
| 1821486150 | Will Parrott | Physical Therapy Assistant | 917 Weatherly Hills Blvd, Knoxville, TN 37934 | 2015-01-09 |
| 1679988380 | Lutheran Medical Center | Health Maintenance Organization | 305 Dominick Pont, Knoxville, TN 37934 | 2014-06-23 |
| 1518396761 | Dr. Mark Lynn & Associates, Pllc | Eyewear Supplier (Equipment, not the service) | 10930 Parkside Dr., Knoxville, TN 37934 | 2013-11-08 |
| 1770879090 | Meredith Tonks | Optometrist | 12744 Kingston Pike Ste 108, Knoxville, TN 37934 | 2011-06-24 |
| Find all providers in zip 37934 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053810457 | Noi Nuyen Md, Pllc | Internal Medicine | 214 Prosperity Dr, Knoxville, TN 37923-4702 | 2018-02-12 |
| 1962935254 | Sandra Zaki | Internal Medicine | 333 Forest Oak Dr, Knoxville, TN 37919-6812 | 2017-04-04 |
| 1649647249 | Afc Physicians of Tennessee, PC | Internal Medicine | 9203 Kingston Pike, Knoxville, TN 37922-2318 | 2015-08-31 |
| 1902272099 | Natacha Rigual Soler | Internal Medicine | 320 N Park 40 Blvd Ste A, Knoxville, TN 37923-3624 | 2015-08-12 |
| 1821492158 | East Tennessee Urgent Care | Internal Medicine | 311 S Weisgarber Rd, Knoxville, TN 37919-7504 | 2014-10-15 |
| 1649686742 | Charles Milton Wender Sr. | Internal Medicine | 6205 Apache Tr., Knoxville, TN 37920 | 2014-07-09 |
| 1144630070 | Kristen Annette Mcfarland | Internal Medicine | 1934 Alcoa Hwy Ste 472, Knoxville, TN 37920-1526 | 2014-04-30 |
| 1578983094 | Eva Misra | Internal Medicine | 116 Glenleigh Ct, Ste.2, Knoxville, TN 37934-3097 | 2014-04-23 |
| 1912343542 | Brendan Jonathan Knowles | Internal Medicine | 501 20th St Ste 404, Knoxville, TN 37916-1822 | 2013-05-22 |
| 1851650865 | Kenneth Robert Johnsen | Internal Medicine | 4707 Papermill Dr Ste 200, Knoxville, TN 37909-1907 | 2012-05-10 |
| 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.