EAST TENNESSEE PLASTIC SURGERY,P.C. (NPI# 1578687372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578687372 |
| Entity Type | Organization |
| Organization Name | EAST TENNESSEE PLASTIC SURGERY,P.C. |
| Practice Address |
9430 Park West Blvd Ste 240 Knoxville TN 37923-4204 |
| Practice Telephone | 8656949886 |
| Practice Fax Number | 8656945023 |
| Mailing Telephone | 8656949886 |
| Mailing Fax Number | 8656945023 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-06-22 |
| Authorized Official Name | NANCY LYNN WILSON (OFFICE MANAGER) |
| Authorized Official Telephone | 8656949886 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BCBS | 3113404 | 01 |
| Street Address |
9430 PARK WEST BLVD STE 240 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37923-4204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942703848 | Knoxville Center for Dermatology and Plastic Surgery, Pl | Clinic/Center | 9430 Park West Blvd Ste 240, Knoxville, TN 37923 | 2018-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114541240 | Chloe Morgan | Registered Nurse | Parkwest Blvd, Knoxville, TN 37923 | 2020-06-04 |
| 1215551346 | Kaylee Huskey | Registered Nurse | Park West Blvd, Knoxville, TN 37923 | 2020-06-04 |
| 1942849914 | American Brace & Limb Enterprise, LLC | Prosthetic/Orthotic Supplier | 9333 Parkwest Blvd., 103, Knoxville, TN 37923 | 2019-12-23 |
| 1619510690 | Stacia Working | Speech-Language Pathologist | 310 Corporate Dr, Ste 101, Knoxville, TN 37923 | 2019-10-23 |
| 1497242903 | Mary Ensminger Loomis | Speech-Language Pathologist | 118 N Peters Rd Ste 174, Knoxville, TN 37923 | 2018-04-19 |
| 1831699602 | Shaun Elizabeth Hoffman | Counselor | 311 Directors Dr, Knoxville, TN 37923 | 2018-02-17 |
| 1962948737 | East Tennessee Binocular Vision Center Pllc | Optometrist | 9051 Executive Park Dr., Ste. 400, Knoxvville, TN 37923 | 2017-01-17 |
| 1467815761 | Hearing Conservation Associates Inc | Audiologist | 9301 Parkwest Blvd B-3, Knoxville, TN 37923 | 2016-04-04 |
| 1710354725 | Independent Physical Therapy, LLC | Occupational Therapist | 8905 Town and Country Cir Ste 9, Knoxville, TN 37923 | 2015-08-25 |
| 1568863553 | Kathryn Faye Ledbetter | Registered Nurse | 9352 Park W Blvd, Knoxville, TN 37923 | 2014-09-09 |
| Find all providers in zip 37923 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972741361 | William James Schneider | Plastic Surgery | 8101 Osler Ln, Knoxville, TN 37909-2130 | 2009-01-23 |
| 1376609842 | Dean Kleto | Plastic Surgery | 9123 Cross Park Dr, Suite #100, Knoxville, TN 37923-4552 | 2006-12-29 |
| 1710378401 | Jason J. Hall, Md, Pllc | Plastic Surgery | 9239 Park West Blvd, Suite 202, Knoxville, TN 37923-4403 | 2015-02-17 |
| 1437460821 | University Health System, Inc | Plastic Surgery | 1930 Alcoa Hwy, Ste 235, Knoxville, TN 37920-1500 | 2010-06-30 |
| 1154582450 | Daniel Peter Fowler | Plastic Surgery | 9111 Cross Park Dr Ste D200, Knoxville, TN 37923-4521 | 2008-06-19 |
| 1376747824 | Kathleen Suzanne Herbig | Plastic Surgery | 1930 Alcoa Hwy, Suite 235, Knoxville, TN 37920-1500 | 2007-06-11 |
| 1053531012 | Stacy Michelle Stephenson | Plastic Surgery | 1930 Alcoa Hwy, Suite 235, Knoxville, TN 37920-1500 | 2007-05-01 |
| 1689720690 | David B Reath | Plastic Surgery | 109 S Northshore Dr, Ste. 101, Knoxville, TN 37919-4939 | 2007-01-25 |
| 1447301270 | Jay H Lucas | Plastic Surgery | 280 Fort Sanders West Blvd, Ste 112, Knoxville, TN 37922-3352 | 2007-01-16 |
| 1609925593 | James Walter Taylor | Plastic Surgery | 1930 Alcoa Hwy, Suite 235 Bldg A, Knoxville, TN 37920-1500 | 2007-01-09 |
| 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.