ILSE J ANDERSON (NPI# 1558330936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558330936 |
Entity Type | Individual |
Full Name | ILSE J ANDERSON |
Credential | MD |
Practice Address |
1924 Alcoa Hwy Ut Medical Center, Mob A, Suite 435 Knoxville TN 37920-1511 |
Practice Telephone | 8655449030 |
Practice Fax Number | 8655446675 |
Mailing Telephone | 8655449030 |
Mailing Fax Number | 8655446675 |
Enumeration Date | 2006-03-16 |
Last Update Date | 2010-03-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 170100000X | Medical Genetics, Ph.D. Medical Genetics | MD0000021338 | TN | Other Service Providers |
Street Address |
1924 ALCOA HWY UT MEDICAL CENTER, MOB A, SUITE 435 |
City | KNOXVILLE |
State | TN |
Zip Code | 37920-1511 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588667786 | Kathleen B Hudson | Radiology | 1924 Alcoa Hwy, Knoxville, TN 37920-1511 | 2005-05-23 |
1356952675 | Kara B Caldwell | Registered Nurse | 1924 Alcoa Hwy, Knoxville, TN 37920-1511 | 2020-08-11 |
1366052672 | Anne Camille Reynolds | Physician Assistant | 1924 Alcoa Hwy, Knoxville, TN 37920-1511 | 2020-08-03 |
1194334748 | Rachel Taylor | Nurse Practitioner | 1924 Alcoa Hwy, Knoxville, TN 37920-1511 | 2020-07-29 |
1619585783 | Savannah Roberts Kidd | Physician Assistant | 1924 Alcoa Hwy, Knoxville, TN 37920-1511 | 2020-07-15 |
1508482811 | Anna Love | Pharmacist | 1924 Alcoa Hwy, Knoxville, TN 37920-1511 | 2020-06-23 |
1578183067 | Mackenzie Travis | Registered Nurse | 1924 Alcoa Hwy, Knoxville, TN 37920-1511 | 2020-04-24 |
1942820493 | Cody Miller | Radiologic Technologist | 1924 Alcoa Hwy, Knoxville, TN 37920-1511 | 2020-04-24 |
1396374666 | Anna Elisabeth Brewton | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Hwy, Knoxville, TN 37920-1511 | 2020-04-07 |
1821627423 | Hannah Marie Bernstein | Registered Nurse | 1924 Alcoa Hwy, Knoxville, TN 37920-1511 | 2020-04-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033747639 | Paul Connor Shanahan | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, U-109, Knoxville, TN 37920 | 2020-03-30 |
1952938904 | Eric Becker | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, U-60, Knoxville, TN 37920 | 2020-03-26 |
1174028336 | Taylor Boulware Tapscott | Nurse Practitioner | 3118 Alcoa Highway, Knoxville, TN 37920 | 2018-03-28 |
1255860672 | Eric Christopher Riedinger | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Hwy., Box U-11, Knoxville, TN 37920 | 2017-06-08 |
1740639277 | Claudia Nieuwoudt | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, Box U-27, Knoxville, Tn 37920, Knoxville, TN 37920 | 2016-06-06 |
1841657699 | Frances D Thompson | Physical Therapy Assistant | 717 Lower Pond Way, Knoxville, TN 37920 | 2016-01-25 |
1720457989 | Independent Physical Therapy, LLC | Occupational Therapist | 7558 Mountain Grove Dr, Knoxville, TN 37920 | 2015-09-17 |
1982071189 | Ryan Dulling | Physical Therapist | 4011 Chapman Hwy Ste J, Knoxville, TN 37920 | 2015-08-24 |
1154705614 | Kailyn Sorensen | Physical Therapist | 1926 Alcoa Hwy Ste 200, Knoxville, TN 37920 | 2015-07-15 |
1093196420 | James Michael Hart II | Family Medicine | 1925 Alcoa Hwy # 56, Knoxville, TN 37920 | 2015-06-11 |
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Taxonomy Code | 170100000X |
Grouping | Other Service Providers |
Classification | Medical Genetics, Ph.D. Medical Genetics |
A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. |
Notes: A general certificate was first issued by ABMS in 1982. ACGME Accredited Residency Program Requirements: None. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518037183 | University of Tennessee | Medical Genetics, Ph.D. Medical Genetics | 1930 Alcoa Hwy Ste 435, Ut Genetics Center, Knoxville, TN 37920-1520 | 2006-11-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265683783 | Cindy Vnencak-jones | Medical Genetics, Ph.D. Medical Genetics | 4918c Tvc, Vanderbilt University Medical Center, Nashville, TN 37232-5310 | 2008-10-02 |
1124175542 | David L Smith | Medical Genetics, Ph.D. Medical Genetics | 4321 Fayette Rd, Memphis, TN 38128-5723 | 2007-01-05 |
1427151406 | Pigeon Forge Medical Clinic | Medical Genetics, Ph.D. Medical Genetics | 3342 Parkway, Pigeon Forge, TN 37863-3423 | 2006-09-06 |
1518971951 | Family Medical Group | Medical Genetics, Ph.D. Medical Genetics | 126 East Highway 72, Collierville, TN 38017-2943 | 2006-07-29 |
1720013089 | Jeffrey Karl Moore Sr. | Medical Genetics, Ph.D. Medical Genetics | 514 Fisk St, Nashville, TN 37203-2846 | 2006-07-12 |
1154373330 | Bowden Internal Medicine | Medical Genetics, Ph.D. Medical Genetics | 1652 Madison Ave, Memphis, TN 38104-2508 | 2006-05-16 |
1285974998 | Xiaoxiang Zhang | Medical Genetics, Ph.D. Medical Genetics | 201 Summit View Dr, Suite 301, Brentwood, TN 37027-4645 | 2013-02-18 |
1518155407 | Ashwini K Yenamandra | Medical Genetics, Ph.D. Medical Genetics | 3601 Tvc, Nashville, TN 37232-0001 | 2007-10-04 |
1104040229 | Bowden Internal Medicine,pllc | Medical Genetics, Ph.D. Medical Genetics | 1652 Madison Ave, Memphis, TN 38104-2508 | 2007-04-12 |
1356409049 | Ethelyn Williams-neal | Medical Genetics, Ph.D. Medical Genetics | 1407 Union Ave, Suite 305, Memphis, TN 38104-3627 | 2006-12-05 |
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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.