CHRIS A KLENCK (NPI# 1528097771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528097771 |
| Entity Type | Individual |
| Full Name | CHRIS A KLENCK |
| Credential | M.D. |
| Practice Address |
1551 Lake Loudon Blvd Knoxville TN 37996-2674 |
| Mailing Address |
1422 Old Weisgarber Rd Knoxville TN 37909-2674 |
| Practice Telephone | 8655584400 |
| Practice Fax Number | 8655584471 |
| Mailing Telephone | 8655584400 |
| Mailing Fax Number | 8655584471 |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2017-06-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
01060568A | IN | Allopathic & Osteopathic Physicians |
| Y | 207RS0010X |
Internal Medicine Specialization: Sports Medicine |
41783 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA | 7827802 | 01 | |
| TN | BLUECROSS BLUESHIELD | 4140843 | 01 |
| TN | CIGNA | 8832551 | 01 |
| TN | RAILROAD MEDICARE | P00903946 | 01 |
| TN | JOHN DEERE HEALTHCARE | TN01L8 | 01 |
| Street Address |
1551 LAKE LOUDON BLVD |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37996-2674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831662493 | Brock Ryan David Reichardt | Specialist/Technologist | 1551 Lake Loudon Blvd, Knoxville, TN 37916-4009 | 2019-01-07 |
| 1093215790 | Stephanie Grace Horvath | Dietitian, Registered | 1551 Lake Loudon Blvd, Knoxville, TN 37916-4009 | 2018-02-19 |
| 1801297791 | University of Tenn Athletic Dept. Pharmacy | Pharmacy | 1551 Lake Loudon Blvd, A107, Knoxville, TN 37916-4009 | 2014-09-10 |
| 1437590171 | Marisa Maleike | Specialist/Technologist | 1551 Lake Loudon Blvd, Knoxville, TN 37916-4009 | 2013-07-10 |
| 1376888537 | Orthotennessee, PC | Internal Medicine | 1551 Lake Loudon Blvd, Knoxville, TN 37916-4009 | 2012-11-29 |
| 1841508751 | Orthotennessee | Physical Therapist | 1551 Lake Loudon Blvd, Knoxville, TN 37916-4009 | 2010-09-14 |
| 1811225410 | John B. Dean | Physical Therapist | 1551 Lake Loudon Blvd, Knoxville, TN 37916-4009 | 2009-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093957227 | Advance Medical Transportation Company | Non-emergency Medical Transport (VAN) | 400 Hialeah Dr., #42, Knoxville, TN 37996 | 2009-04-02 |
| 1033232913 | Jennifer Jackson Wilson | Speech-Language Pathologist | 1600 Peyton Manning, Knoxville, TN 37996 | 2007-04-07 |
| 1700810132 | Leticia Yolanda Flores | Psychologist | 600 Henley Street, Suite 208 Ut Psychological Clinic Ut Conference Center, Knoxville, TN 37996 | 2006-07-10 |
| 1821436569 | Clayton Alexander Culp | Social Worker | 1800 Volunteer Blvd, Knoxville, TN 37996 | 2013-06-04 |
| 1720609498 | Kevin Matthew Fry | Psychologist | 208 Conference Center Building 600 Henley Street, Knoxville, TN 37996-0001 | 2020-05-04 |
| 1487908067 | University of Tennessee Health Science Center | Audiologist | 444 S Stadium Hl, Knoxville, TN 37996-0001 | 2012-11-02 |
| 1750695581 | Steven Michael Doettl | Audiologist | 578 S Stadium Hl, Ut Knoxville, Knoxville, TN 37996-0001 | 2010-08-04 |
| 1720301948 | Casey Laurel Surber | Speech-Language Pathologist | The University of Tennessee, 578 South Stadium Hall, Knoxville, TN 37996-0001 | 2010-03-02 |
| 1619202454 | Gina Owens | Psychologist | 1404 Circle Dr Dept of Psychology, University of Tennessee, Knoxville, TN 37996-0001 | 2009-10-13 |
| 1669604823 | University of Tennessee-knoxville Psychological Clinic | Clinic/Center | 227 Austin Peay Building University of Tenn, Knoxville, TN 37996-0001 | 2009-08-20 |
| Find all providers in zip 37996 | ||||
| Taxonomy Code | 207RS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sports Medicine |
| An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376888537 | Orthotennessee, PC | Internal Medicine | 1551 Lake Loudon Blvd, Knoxville, TN 37916-4009 | 2012-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699290130 | Burena Jervene Edens | Internal Medicine | Po Box 500, Milligan College, TN 37682-0500 | 2017-08-05 |
| 1649536434 | Billy Derek Worley | Internal Medicine | 105 S Willow Ave, Cookeville, TN 38501-4667 | 2012-04-05 |
| 1346537370 | Aneesh Garg | Internal Medicine | 2400 Patterson St Ste 300, Nashville, TN 37203-1558 | 2011-06-28 |
| 1699869297 | Amg-livingston LLC | Internal Medicine | 506 W Main St, Livingston, TN 38570-1718 | 2006-10-03 |
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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.