DRS BLACK&BENTON PEDIATRICS (NPI# 1376943878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376943878 |
| Entity Type | Organization |
| Organization Name | DRS BLACK&BENTON PEDIATRICS |
| Practice Address |
4741 N Broadway St Ste B Knoxville TN 37918-1793 |
| Practice Telephone | 8656871940 |
| Practice Fax Number | 8656870157 |
| Mailing Telephone | 8656871940 |
| Mailing Fax Number | 8656870157 |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2014-09-03 |
| Authorized Official Name | MRS. DONNA KESTERSON (INSURANCE) |
| Authorized Official Telephone | 8656871940 |
| Authorized Official Credential | OM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
MD17837 | TN | Ambulatory Health Care Facilities |
| Street Address |
4741 N BROADWAY ST STE B |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37918-1793 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639636145 | Samantha Fuhrmann | Physical Therapy Assistant | Beverly Park Place Health and Rehab, 5321 Beverly Park Circle, Knoxville, TN 37918 | 2019-02-21 |
| 1043701741 | Lauren Lea Wilson | Student in an Organized Health Care Education/Training Program | 4230 Homewood Rd, Knoxville, TN 37918 | 2018-05-29 |
| 1164790317 | Jennifer Young Brooks | Pharmacist | 5006 North Broadway, Knoxville, TN 37918 | 2011-12-02 |
| 1215213194 | Lu Miller | Pharmacist | 5006 N Broadway, Knoxville, TN 37918 | 2011-10-24 |
| 1326353475 | Lauren Joy Stone | Optometrist | 4829 N Broadway St Ste 103, Knoxville, TN 37918 | 2010-08-13 |
| 1699004531 | Larry Kyle Sowder | Dentist | 2944 Tazewell Pk, Ste #2, Knoxville, TN 37918 | 2009-12-23 |
| 1922233881 | Andrea' Lamar Farrior | Dentist | 2937 Essary Rd., Dr. Michael Edenfield, Knoxville, TN 37918 | 2009-05-21 |
| 1053558510 | Love-hope Academy | Counselor | 3826 Tiberius Rd Ste 315, Knoxville, TN 37918 | 2009-01-20 |
| 1497910293 | Diana Lynn Mccoy | Psychologist | 5019 Jacksboro Pike, Knoxville, TN 37918 | 2008-07-22 |
| 1740498088 | Kathleen M Riley | Pharmacist | K-mart Pharmacy #7460, 6906 Manardville Pike Ne, Knoxville, TN 37918 | 2007-05-18 |
| Find all providers in zip 37918 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447645130 | Leconte Medical Group, LLC | Clinic/Center | 129 S Gay St, Suite B, Knoxville, TN 37902-1004 | 2015-03-31 |
| 1003218207 | Urgent Care Centers Across America | Clinic/Center | 9221 Middlebrook Pike # 203, Knoxville, TN 37931-4764 | 2014-09-18 |
| 1821323924 | The Sunflower Clinic | Clinic/Center | 730 Colony Village Way, Knoxville, TN 37923-7125 | 2009-10-07 |
| 1306086277 | Travel Center Clinics | Clinic/Center | 13060 Palestine Ln, Knoxville, TN 37934-0823 | 2009-03-04 |
| 1356547988 | Children's Primary Care Center | Clinic/Center | 224 Peters Rd # 105, Knoxville, TN 37923-5203 | 2007-06-21 |
| 1922203108 | East Tennessee Children's Hospital Primary Care Center, Inc. | Clinic/Center | 611 22nd Street, Knoxville, TN 37916 | 2007-06-18 |
| 1417152695 | East Tennessee Children's Hospital Primary Care Center, Inc. | Clinic/Center | 4529 Asheville Highway, Knoxville, TN 37914 | 2007-06-18 |
| 1306041587 | East Tennessee Children's Hospital Primary Care Center, Inc. | Clinic/Center | 1341 Branton Boulevard #102, Knoxville, TN 37922 | 2007-06-18 |
| 1659403590 | Advantage Family Healthcare, Pllc | Clinic/Center | 11541 Kingston Pike 101, Knoxville, TN 37934-3918 | 2007-03-09 |
| 1265409957 | West Hills Family Practice | Clinic/Center | 7007 Kingston Pike, Knoxville, TN 37919-5706 | 2006-03-02 |
| Find all providers in KNOXVILLE | ||||
Please comment or provide details below to improve the information on DRS BLACK&BENTON PEDIATRICS.
| 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.