PECTUS SERVICES OF TENNESSEE (NPI# 1548561962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548561962 |
| Entity Type | Organization |
| Organization Name | PECTUS SERVICES OF TENNESSEE |
| Practice Address |
2100 W Clinch Ave Suite 430 Knoxville TN 37916-2219 |
| Mailing Address |
96 Belmohr St Belleville NJ 07109-2202 |
| Practice Telephone | 8777328876 |
| Practice Fax Number | 9734887185 |
| Mailing Telephone | 8777328876 |
| Mailing Fax Number | 9734887185 |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2010-11-17 |
| Authorized Official Name | JOSEPH A PORCELLO (OWNER) |
| Authorized Official Telephone | 8777328876 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers |
| Street Address |
2100 W CLINCH AVE SUITE 430 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37916-2219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215922547 | Clarisa E Cuevas | Specialist | 2100 W Clinch Ave, Suite 510, Knoxville, TN 37916-2219 | 2005-09-13 |
| 1346718020 | Lauri Michelle Gingerich | Nurse Practitioner | 2100 W Clinch Ave, Knoxville, TN 37916-2219 | 2018-11-11 |
| 1841738275 | Christy Michelle Howard | Nurse Practitioner | 2100 W Clinch Ave, Suite 330, Knoxville, TN 37916-2219 | 2017-02-06 |
| 1215392030 | Gi for Kids, Pllc | Pediatrics | 2100 W Clinch Ave, Ste 510, Knoxville, TN 37916-2219 | 2015-12-21 |
| 1396114583 | Misty E Murphy | Nurse Practitioner | 2100 W Clinch Ave, # 510, Knoxville, TN 37916-2219 | 2015-09-18 |
| 1811300379 | Amanda Harper | Nurse Practitioner | 2100 W Clinch Ave, Knoxville, TN 37916-2219 | 2014-06-03 |
| 1154731917 | Pediatric Ear, Nose & Throat Associates, P.C. | Nurse Practitioner | 2100 W Clinch Ave, Ste 330, Knoxville, TN 37916-2219 | 2014-05-02 |
| 1730521667 | Danielle L Gosser | Physician Assistant | 2100 W Clinch Ave, 120, Knoxville, TN 37916-2288 | 2013-07-19 |
| 1831449800 | Callie M Jubran | Dietitian, Registered | 2100 W Clinch Ave, #510, Knoxville, TN 37916-2219 | 2012-09-17 |
| 1497005466 | Ashley N Treadway | Dietitian, Registered | 2100 W Clinch Ave, #510, Knoxville, TN 37916-2219 | 2012-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151322 | Chelsea Raye Tanner | Registered Nurse | American Anesthesiology of Tennessee, 501 20th Street, Suite 606, Knoxville, TN 37916 | 2020-10-13 |
| 1003473372 | Mary Katrina Quist Rouse | Nurse Practitioner | 2100 Clinch Ave Ste 330, Knoxville, TN 37916 | 2019-05-22 |
| 1457881724 | Leslie Lynette Taylor | Physical Medicine & Rehabilitation | 2120 Highland Avenue, Knoxville, TN 37916 | 2017-06-19 |
| 1235547423 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 2429 University Commons Way, Knoxville, TN 37916 | 2014-07-31 |
| 1801182340 | Jessica Lee Sheah | Psychiatry & Neurology | 2100 W Clinch Avenue, Suite 210, Knoxville, TN 37916 | 2011-06-23 |
| 1326203548 | Bradley Jason Davis | Internal Medicine | 1819 Clinch Ave Ste 114, Knoxville, TN 37916 | 2008-07-28 |
| 1003012782 | East Tennessee Children's Hospital Association, Inc | Clinic/Center | 2100 West Clinch Avenue, Suite 510, Knoxville, TN 37916 | 2007-06-21 |
| 1922203108 | East Tennessee Children's Hospital Primary Care Center, Inc. | Clinic/Center | 611 22nd Street, Knoxville, TN 37916 | 2007-06-18 |
| 1699825984 | Orthodontic Design By Michael Sawaf | Dentist | 2220 White Ave, Knoxville, TN 37916 | 2007-01-11 |
| 1427115096 | Deborah Lynne Maples | Physical Therapy Assistant | Nhc Ft Sanders 2120 Highland Ave, Knoxville, TN 37916 | 2007-01-03 |
| Find all providers in zip 37916 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952899205 | National Seating & Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 115 Hayfield Rd Ste A, Knoxville, TN 37922-2361 | 2018-04-23 |
| 1851763130 | Restorative Prosthetics, LLC. | Durable Medical Equipment & Medical Supplies | 11002 Kingston Pike Ste 204, Knoxville, TN 37934-2829 | 2015-10-26 |
| 1750752085 | Mckenzie Wampler | Durable Medical Equipment & Medical Supplies | 11002 Kingston Pike, Knoxville, TN 37934-2848 | 2015-10-13 |
| 1538437215 | Custom Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 201 Center Park Dr Ste 1000, Knoxville, TN 37922-2105 | 2011-12-08 |
| 1053314161 | Choice Medical, Inc. | Durable Medical Equipment & Medical Supplies | 314 Erin Dr, Suite 102, Knoxville, TN 37919-6209 | 2005-05-23 |
| 1346808862 | T&o Dental Airway Solutions LLC | Durable Medical Equipment & Medical Supplies | 2931 Essary Dr, Knoxville, TN 37918-2404 | 2019-05-30 |
| 1154891398 | United Seating and Mobility LLC | Durable Medical Equipment & Medical Supplies | 746 N Hall of Fame Dr, Knoxville, TN 37917-6721 | 2018-11-30 |
| 1457321390 | East Tennessee Infusion & Respiratory Inc | Durable Medical Equipment & Medical Supplies | 6700 Baum Dr, Suite 14, Knoxville, TN 37919-7344 | 2006-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074593 | Linx Solutions LLC | Durable Medical Equipment & Medical Supplies | 3606 W Andrew Johnson Hwy Ste 21, Morristown, TN 37814-3607 | 2020-02-05 |
| 1427693159 | Dennis R Gardner | Durable Medical Equipment & Medical Supplies | 5311 Main St Ste H, Spring Hill, TN 37174-3155 | 2019-11-18 |
| 1316589096 | Alcia Chapman | Durable Medical Equipment & Medical Supplies | 1203 Cordova Club Dr, Cordova, TN 38018-2874 | 2019-10-14 |
| 1255895561 | Chattanooga Sleep & Tmj Associates At Lunn Dentistry Pllc | Durable Medical Equipment & Medical Supplies | 5323 Brainerd Rd Ste 106, Chattanooga, TN 37411-5305 | 2019-01-31 |
| 1124516471 | National Seating & Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 3708 E Stone Dr, Kingsport, TN 37660-7112 | 2018-04-23 |
| 1639686199 | Sleep Relief Solutions LLC | Durable Medical Equipment & Medical Supplies | 1423 Mcarthur St, Manchester, TN 37355-2517 | 2018-01-05 |
| 1407360274 | Chg Solutions LLC | Durable Medical Equipment & Medical Supplies | 6138 Preservation Dr Ste 400, Chattanooga, TN 37416-3640 | 2017-11-30 |
| 1336653443 | Mink Beauty, Inc | Durable Medical Equipment & Medical Supplies | 4466 Elvis Presley Blvd Ste 169, Memphis, TN 38116-7135 | 2017-11-28 |
| 1316475114 | Weatherly Mobility Enterprises, LLC | Durable Medical Equipment & Medical Supplies | 3840 Viscount Ave Ste 14, Memphis, TN 38118-6023 | 2017-05-24 |
| 1598113656 | Sensory World Memphis | Durable Medical Equipment & Medical Supplies | 2965 N Germantown Rd Suite 107, Bartlett, TN 38133 | 2016-05-31 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PECTUS SERVICES OF TENNESSEE.
| 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.