DR. CHARLES I HUDDLESTON (NPI# 1518925825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518925825 |
| Entity Type | Individual |
| Full Name | DR. CHARLES I HUDDLESTON |
| Credential | MD |
| Practice Address |
200 Fort Sanders West Blvd Suite 102 Knoxville TN 37922-3357 |
| Practice Telephone | 8653425811 |
| Practice Fax Number | 8653425857 |
| Mailing Telephone | 8653425811 |
| Mailing Fax Number | 8653425857 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 5764 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BLUE CROSS | 2005934 | 01 |
| TN | 3376258 | 05 | |
| TN | AETNA | 4034632 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942226162 | Charles Buford Huddleston | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1465 South Grand Blvd., Suite 5730 Cardinal Glennon Hosp., St. Louis, MO 63104-1095 | 2006-07-14 |
| 1144319336 | Charles Huddleston | Chiropractor | 27 N Main St, Fort Loramie, OH 45845 | 2006-10-12 |
| 1295744043 | Charles Louis Huddleston | Physical Medicine & Rehabilitation | 3400 Lebanon Rd, Murfreesboro, TN 37129-1237 | 2006-08-07 |
| 1609805431 | Charles T Huddleston | Emergency Medicine | 203 N Cedar Ave, Cookeville, TN 38501 | 2006-07-02 |
| Street Address |
200 FORT SANDERS WEST BLVD SUITE 102 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37922-3357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922093988 | Robert E Price | Ophthalmology | 200 Fort Sanders West Blvd, Ste 101, Knoxville, TN 37922-3357 | 2005-09-15 |
| 1225445141 | Summit Medical Group, Pllc | Internal Medicine | 200 Fort Sanders West Blvd, Mob 1, Suite 301, Knoxville, TN 37922-3357 | 2014-07-14 |
| 1073826483 | Carrie R Mccoy | Nurse Practitioner | 200 Fort Sanders West Blvd, Mob 1, Suite 304, Knoxville, TN 37922-3357 | 2010-07-15 |
| 1689853806 | Knoxville Dermatology Group PC | Non-Pharmacy Dispensing Site | 200 Fort Sanders West Blvd, Suite 102, Knoxville, TN 37922-3357 | 2007-10-25 |
| 1104025105 | Casey Elizabeth Larue | Nurse Practitioner | 200 Fort Sanders West Blvd, Mob 1, Suite 304, Knoxville, TN 37922-3357 | 2007-07-11 |
| 1629195797 | Knoxville Eye Center LLC | Ophthalmology | 200 Fort Sanders West Blvd, Ste 101, Knoxville, TN 37922-3357 | 2007-03-23 |
| 1770622003 | Camilla C. Bennett Md PC | Family Medicine | 200 Fort Sanders West Blvd, Suite 107, Knoxville, TN 37922-3357 | 2007-02-05 |
| 1801975172 | Summit Medical Group, Pllc | Internal Medicine | 200 Fort Sanders West Blvd, Medical Office Bldg #1 Suite 304, Knoxville, TN 37922-3357 | 2006-11-06 |
| 1982790978 | Dan H Thompson | Dentist | 200 Fort Sanders West Blvd, Suite 103, Knoxville, TN 37922 | 2006-10-05 |
| 1700816246 | Kemberly E Harp | Family Medicine | 200 Fort Sanders West Blvd, Suite 107 Mobi, Knoxville, TN 37922-3357 | 2006-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184132185 | Kimberly Zitko | Pharmacist | 400 Goody's Lane, Knoxville, TN 37922 | 2018-01-12 |
| 1366959314 | Matthew Smith | Physician Assistant | 1424 Randall Park Dr, Knoxville, TN 37922 | 2017-12-29 |
| 1174052823 | 24/7 Healthcare, Inc. | Nursing Care | 110 Center Park Drive, Suite 101, Knoxville, TN 37922 | 2017-06-07 |
| 1023543477 | Open Arms Care Corp | Intermediate Care Facility, Mentally Retarded | 12625 S Northshore Dr, Knoxville, TN 37922 | 2017-04-24 |
| 1275905440 | Milligan Surgical Associates, Pllc | Surgery | 1919 Pinnacle Pointe Way, Knoxville, TN 37922 | 2015-10-27 |
| 1275904096 | Medical Necessities & Services LLC | Durable Medical Equipment & Medical Supplies | 9327 S Northshore Dr, Knoxville, TN 37922 | 2015-10-20 |
| 1841668126 | Chad Szala | Behavioral Analyst | 10721 Chapman Hwy #22, Knoxville, TN 37922 | 2015-09-03 |
| 1275916470 | Nikki Nicole Peoples | Acupuncturist | 10406 Jackson Oaks Way Ste A, Knoxville, TN 37922 | 2015-07-07 |
| 1538577747 | Susan Carter | Optometrist | 2053 Thunderhead Rd, Knoxville, TN 37922 | 2014-07-31 |
| 1366868135 | Heartland Infusion | Clinic/Center | 9943 Kingston Pike, Knoxville, TN 37922 | 2014-03-17 |
| Find all providers in zip 37922 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245679661 | Maya Aravind Raiman | Dermatology | 939 E Emerald Ave Ste 705, Knoxville, TN 37917-4573 | 2013-06-19 |
| 1619235355 | Robert Denison Griffith | Dermatology | 6311 Kingston Pike Ste 22e, Knoxville, TN 37919 | 2012-05-01 |
| 1619204476 | Carley O'shea Fowler | Dermatology | 220 Fort Sanders West Blvd Ste 100, Knoxville, TN 37922-3373 | 2009-11-14 |
| 1861439648 | Kevin Blazer | Dermatology | 1928 Alcoa Hwy Ste 209, Knoxville, TN 37920-1504 | 2006-06-01 |
| 1306891494 | Matthew Brent Doppelt | Dermatology | 1924 Pinnacle Pt, 300, Knoxville, TN 37922-6648 | 2006-05-24 |
| 1073589925 | Elizabeth Brittian Anderson | Dermatology | 6516 Kingston Pike, Knoxville, TN 37919-4825 | 2006-02-28 |
| 1942286729 | George C Keough | Dermatology | 123 Fox Rd, Knoxville, TN 37922-3369 | 2005-12-22 |
| 1134105919 | Edward John Primka IIi | Dermatology | 1450 Dowell Springs Blvd Ste 210, Knoxville, TN 37909-2448 | 2005-12-22 |
| 1023534732 | Brittany Noel Ware | Dermatology | 10215 Kingston Pike Ste 200, Knoxville, TN 37922-3492 | 2017-08-15 |
| 1851747695 | Joshua Randall Bakke | Dermatology | 6516 Kingston Pike, Knoxville, TN 37919-4825 | 2016-05-11 |
| 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.