AMOS O'KEEFE (NPI# 1396018057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396018057 |
Entity Type | Individual |
Full Name | AMOS O'KEEFE |
Credential | P.A. |
Practice Address |
266 Joule St Alcoa TN 37701-2422 |
Mailing Address |
103 W Broadway Ave Maryville TN 37801-4703 |
Practice Telephone | 8659843864 |
Practice Fax Number | 8653804095 |
Mailing Telephone | 8652731752 |
Mailing Fax Number | 8652731755 |
Enumeration Date | 2012-02-10 |
Last Update Date | 2019-08-23 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2102 | TN | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA02102 | TN | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | Q011118 | 05 |
Street Address |
266 JOULE ST |
City | ALCOA |
State | TN |
Zip Code | 37701-2422 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871590943 | James Bradley Ray | Surgery | 266 Joule St, Alcoa, TN 37701-2422 | 2005-07-05 |
1831745371 | Julia Renee Zimmerman | Nurse Practitioner | 266 Joule St, Alcoa, TN 37701-2422 | 2019-08-12 |
1275190449 | Mark A Reiff | Physician Assistant | 266 Joule St, Alcoa, TN 37701-2422 | 2019-05-23 |
1487114955 | Caroline H Lutz | Registered Nurse | 266 Joule St, Alcoa, TN 37701-2422 | 2019-03-21 |
1427533488 | Jacob West | Physician Assistant | 266 Joule St, Alcoa, TN 37701-2422 | 2018-09-26 |
1740763184 | Sara Rowe | Nurse Practitioner | 266 Joule St, Alcoa, TN 37701-2422 | 2018-09-12 |
1568954329 | Emma Rose Niethammer | Physician Assistant | 266 Joule St, Alcoa, TN 37701-2422 | 2018-06-06 |
1922596261 | Victoria Sissom | Physician Assistant | 266 Joule St, Alcoa, TN 37701-2422 | 2018-04-23 |
1154818672 | Katherine Whaley | Physician Assistant | 266 Joule St, Alcoa, TN 37701 | 2018-04-19 |
1518482850 | Daniel Hill Dominique | Nurse Practitioner | 266 Joule St, Alcoa, TN 37701-2422 | 2017-08-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598070807 | Tennessee Vein Center, Pllc | Clinic/Center | 203 Corporate Place, Alcoa, TN 37701 | 2010-08-11 |
1790099638 | Bill Charles Barker | Pharmacist | 225 N. Hall Road, Walgreens, Alcoa, TN 37701 | 2010-08-03 |
1235365453 | Marsh Chiropractic & Wellness Center, LLC | Chiropractor | 1080 Hunters Crossing, Alcoa, TN 37701 | 2009-06-02 |
1457485187 | Romeo San Diego Gomez | Physical Therapist | 101 Gill Street, Alcoa, TN 37701 | 2007-03-15 |
1811039266 | Khaled Othman Abumayaleh | Optometrist | 1030 Hunters Crossing Lane, Alcoa, TN 37701 | 2007-02-13 |
1861558777 | Paula Kay Wolfe | Technician/Technologist | 237 N Calderwood St, Alcoa, TN 37701 | 2006-12-28 |
1194893883 | K Darrel Clagough | Dentist | 310 Sanderson Street, Alcoa, TN 37701 | 2006-12-01 |
1225106008 | David C Finch | Physical Therapist | 1107 N Hall Rd Ste 200, Alcoa, TN 37701 | 2006-12-01 |
1366517070 | Gabriel C Edaugal | Physical Therapist | 101 Gill St, Alcoa, TN 37701 | 2006-11-21 |
1386617462 | Alcoa Senior Center | Clinic/Center | 2445 Calderwood St., Suite C2, Alcoa, TN 37701 | 2006-02-09 |
Find all providers in zip 37701 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568811834 | Brooke Borla Chalmers | Physician Assistant | 220 Associates Blvd, Alcoa, TN 37701-1943 | 2016-06-08 |
1326386152 | David P Arpino | Physician Assistant | 266 Joule St, Alcoa, TN 37701-2422 | 2013-01-29 |
1366714420 | Kayla K Herron | Physician Assistant | 220 Associates Blvd, Alcoa, TN 37701-1943 | 2012-02-06 |
1164752010 | Amalie Beth Shanks | Physician Assistant | 230 Associates Blvd, Alcoa, TN 37701-1943 | 2009-12-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346840972 | Alexis Sierra Foster | Physician Assistant | 953 Prince Ave, Erwin, TN 37650-1445 | 2020-11-01 |
1972110831 | Marleen Yosef | Physician Assistant | 6 Whitsett Rd, Nashville, TN 37210-5345 | 2020-09-24 |
1538772744 | Kaitlyn Blair Barger | Physician Assistant | 2100 Clinch Ave Ste 120, Knoxville, TN 37916-2288 | 2020-08-26 |
1225653967 | Molly Ann Waggoner | Physician Assistant | 9050 Executive Park Dr Ste 100b, Knoxville, TN 37923-4616 | 2020-06-09 |
1134749922 | Mckenzie Jacobson | Physician Assistant | 302 Tyson Ave # B, Paris, TN 38242-4576 | 2020-04-21 |
1316580913 | Donald Jacob Calella | Physician Assistant | 8146 Propeller Dr, Ooltewah, TN 37363-9561 | 2019-10-26 |
1811458565 | Physician Associate Resources, Plc | Physician Assistant | 1559 Highland Park Drive, Lenoir City, TN 37772 | 2019-03-26 |
1336617059 | Micaela L Goebel | Physician Assistant | 120 Tanner Pl Bldg H, Clinton, TN 37716-6684 | 2018-11-12 |
1700369162 | Lauren Peyton Hunley | Physician Assistant | 6890 W Andrew Johnson Hwy, Talbott, TN 37877-8610 | 2018-09-12 |
1275039471 | Jessica Taylor Epting | Physician Assistant | 107 Glen Oak Blvd Ste 200, Hendersonville, TN 37075-3162 | 2018-04-05 |
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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.