TODD M PETERS (NPI# 1417914680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417914680 |
| Entity Type | Individual |
| Full Name | TODD M PETERS |
| Credential | MD |
| Practice Address |
1208 Merchant Dr Knoxville TN 37912-4707 |
| Mailing Address |
1225 E Weisgarber Rd Ste 200 Knoxville TN 37909-2604 |
| Practice Telephone | 8656882522 |
| Mailing Telephone | 8655844747 |
| Enumeration Date | 2006-04-29 |
| Last Update Date | 2008-05-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 35952 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | RR MEDICARE PIN | 0801955093 | 01 |
| TN | 3872129 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861711723 | Todd Peters | Pediatrics | 1230 E 6th Ave Ste 2c, Winfield, KS 67156-3145 | 2010-05-18 |
| 1245294768 | Todd William Peters | Dentist | 438 Park Road, Fleetwood, PA 19522 | 2006-04-13 |
| 1316943129 | Todd W Peters | Orthopaedic Surgery | 15785 Laguna Canyon Rd Ste 125, Irvine, CA 92618-3140 | 2005-06-27 |
| 1467515213 | Todd Peters | Psychiatry & Neurology | 6501 N Charles St, Baltimore, MD 21204 | 2006-12-19 |
| Street Address |
1208 MERCHANT DR |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37912-4707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962850040 | Jonathan Smith Dale | Family Medicine | 1208 Merchant Dr, Knoxville, TN 37912-4707 | 2016-05-30 |
| 1720412059 | Kristi L. Brown | Nurse Practitioner | 1208 Merchant Dr, Knoxville, TN 37912-4707 | 2013-08-22 |
| 1801133004 | Joshua Poston | Nurse Practitioner | 1208 Merchant Dr, Knoxville, TN 37912-4707 | 2013-01-08 |
| 1164466587 | Michael H West | Family Medicine | 1208 Merchant Dr, Knoxville, TN 37912-4707 | 2006-06-15 |
| 1295776193 | Gerald Mark Pritcher Jr. | Family Medicine | 1208 Merchant Dr, Knoxville, TN 37912-4707 | 2006-06-10 |
| 1740221647 | Paul H Wakefield | Family Medicine | 1208 Merchant Dr, Knoxville, TN 37912-4707 | 2006-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265098388 | Emily Katherine Hayes | Nurse Practitioner | 6626 Old Central Avenue Pike, Knoxville, TN 37912 | 2019-05-14 |
| 1063891620 | Sondra Haley | Counselor | 4610 Central Avenue Pike, Knoxville, TN 37912 | 2015-05-28 |
| 1518373257 | Andrew Clark | Case Manager/Care Coordinator | 100 Barberry Dr, Knoxville, TN 37912 | 2014-07-02 |
| 1265876940 | Annette Elise Long | Counselor | 4303 Central Ave.pike, Knoxville, TN 37912 | 2013-04-24 |
| 1346510393 | Lisa Taylor | Social Worker | 5800 Central Avenue Pike, Knoxville, TN 37912 | 2012-01-09 |
| 1447437447 | David Wesley Dickey IIi | Dentist | 5317 Clinton Hwy, Knoxville, TN 37912 | 2008-01-22 |
| 1962683573 | Eyexcel, Pllc | Optometrist | 715 Callahan Dr., Knoxville, TN 37912 | 2007-11-26 |
| 1538384995 | Chamberlain Chiropractic Clinic Inc | Chiropractor | 4409 Central Ave Pk, Suite 102, Knoxville, TN 37912 | 2007-04-13 |
| 1336232834 | Wesley Bruce Mclaughlin | Chiropractor | 2330 Merchants Dr., Knoxville, TN 37912 | 2006-10-02 |
| 1972073815 | Pell Enterprises | Home Health | 4303 Central Avenue Pike, Kno, TN 37912 | 2018-12-04 |
| Find all providers in zip 37912 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336755271 | Maryellen Tipton | Family Medicine | 1489 Touraine Pl, Knoxville, TN 37919-8278 | 2020-09-16 |
| 1114483864 | Ucfa Physicians Network Group of Tennessee | Family Medicine | 223 Hiawassee Ave, Knoxville, TN 37917-4933 | 2019-02-19 |
| 1285199109 | Summit Medical Group,pllc | Family Medicine | 280 Ft Sanders W Blvd Ste 101, Knoxville, TN 37922-3352 | 2019-02-05 |
| 1558843235 | Geneva Lynne Worthington | Family Medicine | 135 Lovell Rd, Knoxville, TN 37934-1904 | 2018-08-30 |
| 1306325816 | Muslim Community of Knoxville's Shifa Clinic | Family Medicine | 1801 Ailor Ave, Knoxville, TN 37921-5845 | 2018-08-07 |
| 1003307422 | Dakotah Asher | Family Medicine | 4629 Mill Branch Ln, Knoxville, TN 37938-3358 | 2018-05-21 |
| 1417461211 | Lean Knox, LLC | Family Medicine | 1415 Old Weisgarber Rd. Ste 350, Knoxville, TN 37909 | 2017-12-01 |
| 1558884254 | Jck Holdings LLC | Family Medicine | 2270 Sutherland Avenue, Knoxville, TN 37919 | 2017-07-25 |
| 1982133559 | Morgan Spurlock | Family Medicine | 2519 Willow Point Way, Knoxville, TN 37931-3162 | 2017-06-07 |
| 1700332624 | Halls Physician Services, Pllc | Family Medicine | 7000 Maynardville Highway, Knoxville, TN 37918-5736 | 2016-08-31 |
| 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.