PARKWEST MEDICAL CENTER (NPI# 1508848516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508848516 |
Entity Type | Organization |
Organization Name | PARKWEST MEDICAL CENTER |
Other Organization Name | PENINSULA OUTPATIENT CENTER |
Practice Address |
124 N Henderson Ave Sevierville TN 37862 |
Mailing Address |
Po Box 1999 Louisville TN 37777 |
Practice Telephone | 8659709800 |
Practice Fax Number | 8653801461 |
Mailing Telephone | 8659701295 |
Mailing Fax Number | 8653801461 |
Enumeration Date | 2005-11-16 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. JOHN T GEPPI (EXECUTIVE VICE PRESIDENT CFO) |
Authorized Official Telephone | 8653746872 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
L 214-076-1470 | TN | Ambulatory Health Care Facilities |
X | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
L 214-076-1470 | TN | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | 0440173 | 05 |
Other Name | Type Code |
---|---|
Peninsula Outpatient Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366785867 | Parkwest Medical Center | Pharmacy | 220 Fort Sanders West Blvd Ste 104, Knoxville, TN 37922-3373 | 2013-04-03 |
1427132786 | Parkwest Medical Center | Residential Treatment Facility, Emotionally Disturbed Children | 2341 Jones Bend Rd, Louisville, TN 37777 | 2006-10-24 |
1801878830 | Parkwest Medical Center | Clinic/Center | 520 Cook St, Madisonville, TN 37354-1508 | 2005-11-16 |
1154303162 | Parkwest Medical Center | Clinic/Center | 6800 Baum Dr, Knoxville, TN 37919-7315 | 2005-11-16 |
1558343566 | Parkwest Medical Center | Psychiatric Hospital | 2347 Jones Bend Rd, Louisville, TN 37777-5213 | 2005-11-16 |
1922080936 | Parkwest Medical Center | Clinic/Center | 423 Medical Park Dr, Lenoir City, TN 37772-5640 | 2005-11-16 |
1396739165 | Parkwest Medical Center | Clinic/Center | 9352 Parkwest Blvd, Knoxville, TN 37923 | 2005-09-07 |
1851369243 | Parkwest Medical Center | Psychiatric Unit | 9352 Parkwest Blvd, Knoxville, TN 37923 | 2006-03-10 |
1699757609 | Parkwest Medical Center | Clinic/Center | 210 Simmons St, Maryville, TN 37801-4750 | 2005-11-16 |
Street Address |
124 N HENDERSON AVE |
City | SEVIERVILLE |
State | TN |
Zip Code | 37862 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689954067 | Nathan O. Smith | Counselor | 124 N Henderson Ave, Sevierville, TN 37862-5948 | 2011-08-17 |
1568768398 | Kimberly D Kelly | Registered Nurse | 124 N Henderson Ave, Sevierville, TN 37862-5948 | 2011-01-26 |
1356671382 | Lisa J Eldridge | Licensed Practical Nurse | 124 N Henderson Ave, Sevierville, TN 37862-5948 | 2010-01-14 |
1356675128 | Kyle Walker Williamson | Counselor | 124 N Henderson Ave, Sevierville, TN 37862-5948 | 2009-09-28 |
1487881256 | Clayton A Laprees | Counselor | 124 N Henderson Ave, Building A, Sevierville, TN 37862-5948 | 2009-06-18 |
1144462474 | Kristi M Gray | Licensed Practical Nurse | 124 N Henderson Ave, Sevierville, TN 37862-5948 | 2009-04-01 |
1770747800 | Tamara Vanvalkenburg | Counselor | 124 N Henderson Ave, Buiding A, Sevierville, TN 37862-5928 | 2008-07-17 |
1396915278 | Nicki Ownby | Counselor | 124 N Henderson Ave, Building A, Sevierville, TN 37862-5928 | 2008-03-06 |
1588833859 | Linda S Ward | Registered Nurse | 124 N Henderson Ave, Building A, Sevierville, TN 37862-5928 | 2008-02-21 |
1558549550 | Erica Sluss | Counselor | 124 N Henderson Ave, Building A, Sevierville, TN 37862-5928 | 2008-02-01 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902330376 | Nichole Reed | Nurse Practitioner | 1787 Veteran Blvd, Suite 101, Sevierville, TN 37862 | 2017-04-12 |
1912395104 | Mark Mckinney | Physician Assistant | 1130 Middle Creek Rd., Ste. 260, Sevierville, TN 37862 | 2014-12-23 |
1538587431 | Calli Drummey | Speech-Language Pathologist | 1102 Medical Park Court, Sevierville, TN 37862 | 2014-03-29 |
1720400377 | Tonia Denise Littleton | Physical Therapist | 699 Parkway Ste 2, Sevierville, TN 37862 | 2014-01-16 |
1386986727 | Lisa May | Counselor | 1103 Dolly Parton Pkwy, Sevierville, TN 37862 | 2013-03-25 |
1073890422 | Lorrie Tate | Nurse Practitioner | 744 Middle Creek Rd Ste 114, Sevierville, TN 37862 | 2011-11-14 |
1306146360 | Anna R Huskey | Nurse Practitioner | 1102 Foxwood Drive, Suite #1, Sevierville, TN 37862 | 2010-10-25 |
1114234382 | Well-key Health, Pllc | Clinic/Center | 1787 Veterans Blvd, Suite 101, Sevierville, TN 37862 | 2010-09-08 |
1053544742 | Mcfarland Group Inc. | Durable Medical Equipment & Medical Supplies | 819 Dolly Parton Pkwy, Sevierville, TN 37862 | 2009-08-27 |
1407090855 | Carolyn Hare, Arnp | Nurse Practitioner | 415 Catlett Road, Sevier County Health Care Center, Inc, Sevierville, TN 37862 | 2009-04-29 |
Find all providers in zip 37862 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679195036 | Mckenzie Medical Center PC | Clinic/Center | 205 Hospital Dr Ste C, Mc Kenzie, TN 38201-1649 | 2020-05-08 |
1316573199 | Omni Community Health | Clinic/Center | 740 Conference Drive, Suite 101, Goodlettsville, TN 37072-2084 | 2020-03-12 |
1942832506 | Arrow of Hope Counseling Center, Pllc | Clinic/Center | 130 Hillcrest Dr Ste 105, Clarksville, TN 37043-5064 | 2020-02-11 |
1184269573 | Greeneville Counseling and Consultation | Clinic/Center | 1107 Temple St Ste 406, Greeneville, TN 37745-6357 | 2019-11-09 |
1033752597 | Tms of East Tennessee Pllc | Clinic/Center | 10241 Kingston Pike Ste 2, Knoxville, TN 37922-3240 | 2019-10-28 |
1104469931 | Trailhead Treatment Center | Clinic/Center | 2607 Kingston Pike Ste 2, Knoxville, TN 37919-3336 | 2019-10-24 |
1801437785 | Open Door Treatment Center Inc | Clinic/Center | 3622 Merritt St, Memphis, TN 38128-3734 | 2019-10-02 |
1316597354 | Innovative Care Solutions | Clinic/Center | 4582 W Andrew Johnson Hwy, Morristown, TN 37814-1038 | 2019-09-11 |
1942854583 | Mava Healthcare System LLC | Clinic/Center | 18230 Fm 1488 Suite 201, Magnolia, TN 77354 | 2019-08-01 |
1073165254 | Faraday Chattanooga PC | Clinic/Center | 6031 Shallowford Rd Ste 113, Chattanooga, TN 37421-1984 | 2019-07-09 |
Find all providers with the same taxonomy |
City | SEVIERVILLE |
Zip Code | 37862 |
Please comment or provide details below to improve the information on PARKWEST MEDICAL CENTER.
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.