DR. BARRY I MICHELSON (NPI# 1538159017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538159017 |
Entity Type | Individual |
Full Name | DR. BARRY I MICHELSON |
Credential | M.D. |
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 | 2005-10-25 |
Last Update Date | 2020-09-21 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
23728 | TN | Allopathic & Osteopathic Physicians |
Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
23728 | TN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | 3069000 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366690083 | Barry Michelson | Social Worker | 776 Farmington Ave, West Hartford, CT 06119-1677 | 2008-09-06 |
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 |
1497745814 | Russell Eric Dickenson | Physician Assistant | 10800 Parkside Dr Ste 331, Knoxville, TN 37934-1922 | 2005-10-26 |
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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 |
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Taxonomy Code | 207RI0011X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Interventional Cardiology |
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730460718 | Ronald Craig Sebold | Internal Medicine | 7450 Chapman Hwy, #309, Knoxville, TN 37920-6614 | 2011-09-02 |
1689017535 | Christopher David Capps | Internal Medicine | 1819 Clinch Ave Ste 108, Knoxville, TN 37916-2435 | 2013-04-10 |
1689829590 | Janet Lillian Eichholz | Internal Medicine | 10800 Parkside Dr Ste 331, Knoxville, TN 37934-1922 | 2008-11-19 |
1003017963 | Joshua Weber Todd | Internal Medicine | 1819 W Clinch Ave, Suite 108, Knoxville, TN 37916-2435 | 2007-05-29 |
1811954860 | Brian James Adams | Internal Medicine | 1819 Clinch Avenue, Suite 108, Knoxville, TN 37916-2435 | 2006-04-26 |
1669462230 | Ravi Mehta | Internal Medicine | 10800 Parkside Dr, Suite 331, Knoxville, TN 37934-1922 | 2005-10-25 |
1588653141 | Thomas Miller Ayres | Internal Medicine | 1819 W Clinch Ave, Suite 108, Knoxville, TN 37916-2435 | 2005-10-17 |
1821087479 | David Emerson Wood | Internal Medicine | 1819 Clinch Avenue, Suite 108, Knoxville, TN 37916-2435 | 2005-10-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972145456 | Cardiovascular & Vein Associates Pllc | Internal Medicine | 2785 Summer Oaks Dr, Bartlett, TN 38134-2883 | 2019-10-16 |
1063910529 | James Joseph Acker I | Internal Medicine | 205 Todaly Cir, Loudon, TN 37774-2990 | 2018-01-30 |
1215445192 | Cardiac Cin of Middle Tennessee LLC | Internal Medicine | 315 Deaderick St Ste 1550c, Nashville, TN 37238-3000 | 2018-01-13 |
1588172464 | Cardiac Cin of West Tennessee LLC | Internal Medicine | 5865 Ridgeway Center Pkwy Ste 300c, Memphis, TN 38120-4032 | 2018-01-13 |
1922520873 | Telemedico Physicians Professional Corporation | Internal Medicine | 5490 Shady Grove Ter, Memphis, TN 38120-2414 | 2017-07-12 |
1114455326 | Nashville Heart and Vascular | Internal Medicine | 397 Wallace Rd Ste C216, Nashville, TN 37211-8019 | 2017-06-01 |
1942631387 | Cvc Imaging LLC | Internal Medicine | 9203 Sheridan Park Ct, Brentwood, TN 37027-1748 | 2013-12-11 |
1467494070 | Apex Cardiology PC | Internal Medicine | 327 Summar Dr, Jackson, TN 38301-3930 | 2006-06-11 |
1700823960 | Thomas Little | Internal Medicine | 228 W. 4th Street, Suite 200, Cookeville, TN 38501 | 2006-05-31 |
1801863105 | Eric Raul Guerra | Internal Medicine | 2253 Chambliss Ave Nw Ste 301, Cleveland, TN 37311-3961 | 2006-03-06 |
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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.