PAUL C. MABEN (NPI# 1548275381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548275381 |
| Entity Type | Individual |
| Full Name | PAUL C. MABEN |
| Credential | P.A. |
| Practice Address |
123 Fox Rd Knoxville TN 37922-3369 |
| Practice Telephone | 8656909467 |
| Practice Fax Number | 8656375057 |
| Mailing Telephone | 8656909467 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2020-08-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1524465 | 05 | |
| TN | JOHN DEERE HEALTH | TN0105 | 01 |
| TN | TN STATE LICENSE | TN1343 | 01 |
| Street Address |
123 FOX RD |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37922-3369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942286729 | George C Keough | Dermatology | 123 Fox Rd, Knoxville, TN 37922-3369 | 2005-12-22 |
| 1548671928 | Robert Milton Gathings IIi | Dermatology | 123 Fox Rd, Knoxville, TN 37922-3369 | 2014-05-19 |
| 1427226778 | Katie L. Hageman | Physician Assistant | 123 Fox Rd, Knoxville, TN 37922-3369 | 2008-02-20 |
| 1538231949 | Waynette Kingman | Physician Assistant | 123 Fox Rd, Knoxville, TN 37922-3369 | 2006-11-14 |
| 1558308718 | Amy S Browning | Physician Assistant | 123 Fox Rd, Knoxville, TN 37922-3369 | 2006-05-31 |
| 1316905862 | Lee B Dittrich | Dermatology | 123 Fox Rd, Knoxville, TN 37922-3369 | 2006-05-03 |
| 1043278336 | Matthew C Hanggi | Dermatology | 123 Fox Rd, Knoxville, TN 37922-3369 | 2006-05-03 |
| 1932165370 | Susan E Freeberg | Dermatology | 123 Fox Rd, Knoxville, TN 37922-3369 | 2006-04-25 |
| 1427036607 | Angela H. Smith | Nurse Practitioner | 123 Fox Rd, Knoxville, TN 37922-3369 | 2006-01-06 |
| 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 | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538772744 | Kaitlyn Blair Barger | Physician Assistant | 2100 Clinch Ave Ste 120, Knoxville, TN 37916-2288 | 2020-08-26 |
| 1225653967 | Molly Ann Waggoner | Physician Assistant | 9050 Executive Park Dr Ste 100b, Knoxville, TN 37923-4616 | 2020-06-09 |
| 1164942355 | Debra Lynn Howard | Physician Assistant | 9314 Park West Blvd Ste 100, Knoxville, TN 37923-4338 | 2017-06-20 |
| 1255702635 | Community Healthcare | Physician Assistant | 507 N Cedar Bluff Rd, Knoxville, TN 37923-2805 | 2015-10-12 |
| 1053653220 | Amber L. Burns | Physician Assistant | 501 20th St Ste 303, Knoxville, TN 37916-1899 | 2013-03-26 |
| 1497044671 | Katie Bean | Physician Assistant | 8025 Kingston Pike Ste 1, Knoxville, TN 37919-5582 | 2011-03-28 |
| 1861704371 | Prodigal Primary Care PC | Physician Assistant | 2911 Essary Road, Knoxville, TN 37918-2468 | 2010-07-13 |
| 1336476159 | George F. Hillegas IIi | Physician Assistant | 3904 Lonas, Pa Program South College, Knoxville, TN 37909 | 2009-11-16 |
| 1225263353 | Douglas E Lillifield | Physician Assistant | 431 Park Village Dr Ste 103, Knoxville, TN 37923 | 2009-05-19 |
| 1720263213 | Leslie Anne Heller | Physician Assistant | 814 E Woodland Ave, Knoxville, TN 37917-5648 | 2008-01-03 |
| 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.