MR. RUSSELL ERIC DICKENSON (NPI# 1497745814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497745814 |
| Entity Type | Individual |
| Full Name | MR. RUSSELL ERIC DICKENSON |
| Credential | PA-C |
| Practice Address |
10800 Parkside Dr Ste 331 Knoxville TN 37934-1922 |
| Practice Telephone | 8653923400 |
| Practice Fax Number | 8653923449 |
| Mailing Telephone | 8653923400 |
| Mailing Fax Number | 8653923449 |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2020-09-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 100 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3665210 | 05 |
| Street Address |
10800 PARKSIDE DR STE 331 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37934-1922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083601629 | Harry L Bishop | Internal Medicine | 10800 Parkside Dr Ste 331, Knoxville, TN 37934-1922 | 2005-09-29 |
| 1619479789 | Frankie C Cate | Nurse Practitioner | 10800 Parkside Dr Ste 331, Knoxville, TN 37934-1922 | 2018-03-05 |
| 1669715546 | Neil Gordon Barry Iv | Internal Medicine | 10800 Parkside Dr Ste 331, Knoxville, TN 37934-1922 | 2013-03-29 |
| 1487973335 | Lucille R Vara | Nurse Practitioner | 10800 Parkside Dr Ste 331, Knoxville, TN 37934-1922 | 2010-05-18 |
| 1689829590 | Janet Lillian Eichholz | Internal Medicine | 10800 Parkside Dr Ste 331, Knoxville, TN 37934-1922 | 2008-11-19 |
| 1376664672 | Nilamkumar Patel | Internal Medicine | 10800 Parkside Dr Ste 331, Knoxville, TN 37934-1922 | 2007-04-03 |
| 1053411355 | Timothy Eugene Ballard | Nurse Practitioner | 10800 Parkside Dr Ste 331, Knoxville, TN 37934-1922 | 2006-09-25 |
| 1851381198 | Stephen Miller | Nurse Practitioner | 10800 Parkside Dr Ste 331, Knoxville, TN 37934-1922 | 2005-10-27 |
| 1669462834 | Steven Reed | Internal Medicine | 10800 Parkside Dr Ste 331, Knoxville, TN 37934-1922 | 2005-10-27 |
| 1538159017 | Barry I Michelson | Internal Medicine | 10800 Parkside Dr Ste 331, Knoxville, TN 37934-1922 | 2005-10-25 |
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| 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 | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770198061 | John Intemann | Physician Assistant | 2708 Swafford Rd, Knoxville, TN 37932-1311 | 2020-09-13 |
| 1942839311 | Melissa Joanne O'neill | Physician Assistant | 814 Landings River Way Unit 301, Knoxville, TN 37915-1444 | 2020-04-07 |
| 1447895370 | Keiana Skinner | Physician Assistant | 2206 Finley Cane Ln, Knoxville, TN 37932-1572 | 2019-11-14 |
| 1780231068 | Kaycee Heitzman | Physician Assistant | 3055 W Gallaher Ferry Rd, Knoxville, TN 37932-1022 | 2019-08-21 |
| 1366009169 | John Powell Williams Iv | Physician Assistant | 501 19th St Ste 503, Knoxville, TN 37916-1874 | 2019-05-28 |
| 1508423369 | Bradley-james Ryan Faulkner | Physician Assistant | 1924 Pinnacle Pointe Way Ste 100, Knoxville, TN 37922-3700 | 2019-05-28 |
| 1316406499 | David M Beauchamp | Physician Assistant | 10714 Silver Leaf Way Apt 104, Knoxville, TN 37931-2758 | 2019-03-18 |
| 1568920593 | Richard Ervin Birmingham II | Physician Assistant | 304 Bagwell Rd, Knoxville, TN 37924-2813 | 2019-03-08 |
| 1710443080 | Devon Meske Herrin | Physician Assistant | 6484 Kingston Pike, Knoxville, TN 37919-4863 | 2019-02-12 |
| 1780149070 | Shelby Paige Bean | Physician Assistant | 7661 Red Bay Way, Knoxville, TN 37919-4722 | 2019-01-31 |
| 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.