BLAIR P SHORT


Address: 10810 Parkside Dr, Suite G11, Knoxville, TN 37934-1979
Phone: 8652186660

BLAIR P SHORT (NPI# 1649444324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649444324
Entity Type Individual
Full Name BLAIR P SHORT
Practice Address 10810 Parkside Dr
Suite G11
Knoxville
TN 37934-1979
Mailing Address Po Box 23740
Knoxville
TN 37933-1740
Practice Telephone 8652186660
Practice Fax Number 8652186661
Mailing Telephone 8655494342
Mailing Fax Number 8655494341
Enumeration Date 2008-04-15
Last Update Date 2008-04-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LX0001X Nurse Practitioner
Specialization: Obstetrics & Gynecology
RN0000110899 TN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TN 3704598 05

Office Location

Street Address 10810 PARKSIDE DR
SUITE G11
City KNOXVILLE
State TN
Zip Code 37934-1979

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992795702 Joseph Deleese Internal Medicine 10810 Parkside Dr, Suite 301, Knoxville, TN 37934-1979 2005-10-24
1841710530 Kasin Mayne Sanders Physician Assistant 10810 Parkside Dr, Knoxville, TN 37934-1979 2017-06-22
1538618988 Abigail Holt Nurse Practitioner 10810 Parkside Dr, Suite 103, Knoxville, TN 37934-1979 2016-09-27
1346633724 Aaron G Margulies Md Pllc Surgery 10810 Parkside Dr, Ste G-11, Knoxville, TN 37934-1979 2015-03-10
1578961967 Robert Shaun Austin Physician Assistant 10810 Parkside Dr, Physicians Plaza I, Suite 209, Knoxville, TN 37934-1979 2014-12-17
1770905960 Jennifer Guffey Physician Assistant 10810 Parkside Dr, Suite 301, Knoxville, TN 37934-1979 2014-01-08
1699017194 Parkside Internal Medicine,pllc Internal Medicine 10810 Parkside Dr, Suite 103, Knoxville, TN 37934-1979 2013-03-22
1356683205 Parkside Internal Medicine, Pllc Internal Medicine 10810 Parkside Dr, Suite 103, Knoxville, TN 37934-1979 2013-03-19
1649524448 Orthoknox Orthopaedic Surgery 10810 Parkside Dr, Suite 209, Knoxville, TN 37934-1979 2012-10-31
1083965248 Anya Myers Zerilla Nurse Practitioner 10810 Parkside Dr, Suite 306, Knoxville, TN 37934-1979 2012-09-27
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Providers in the same zip code

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 Information

Taxonomy Code 363LX0001X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Obstetrics & Gynecology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548652548 Melissa Chittum Nurse Practitioner 9314 Park West Blvd, Suite 100, Knoxville, TN 37923-4330 2015-02-27
1346658226 Ashley Brooke Hodgson Nurse Practitioner 1928 Alcoa Hwy Ste B303, Knoxville, TN 37920-1505 2014-07-23
1992087118 Teresa W Debusk Nurse Practitioner 9430 Parkwest Blvd, Suite 320, Knoxville, TN 37923 2011-09-14
1063742559 Andra Cureton-hutchins Nurse Practitioner 220 Fort Sanders West Blvd, Suite 106, Knoxville, TN 37922-3398 2010-01-05
1023273257 Susan S Houchins Nurse Practitioner 1932 Alcoa Hwy, 150, Knoxville, TN 37920-1527 2008-07-28
1881859007 Ramona G Scott Nurse Practitioner 1932 Alcoa Hwy, 150, Knoxville, TN 37920-1527 2008-07-28
1710050091 Jennifer A Colvin Nurse Practitioner 501 19th St., Suite 401, Knoxville, TN 37916-1839 2006-11-16
1205915311 Mary Elizabeth Trabalka Nurse Practitioner 501 19th St., Suite 401, Knoxville, TN 37916-1839 2006-11-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1801310446 Dana Laney Nurse Practitioner 740 Middle Creek Rd Ste 200, Sevierville, TN 37862-5056 2017-07-26
1871978213 Sarah Elizabeth Hatcher Nurse Practitioner 2011 Murphy Ave Ste 200, Nashville, TN 37203 2015-07-28
1750766382 Emily Shaye Fitzpatrick Nurse Practitioner 420 College St, Lafayette, TN 37083-1750 2015-07-24
1750719605 Hannah V Burke Nurse Practitioner 1312 Bishop Street, Union City, TN 38261 2013-10-30
1306146360 Anna R Huskey Nurse Practitioner 1102 Foxwood Drive, Suite #1, Sevierville, TN 37862 2010-10-25
1730310228 Harmony Family Health Care, LLC Nurse Practitioner 3401 John Mallette Dr, Nashville, TN 37218-2672 2009-07-31
1699811497 Kelly Pfrommer Nurse Practitioner 6215 Humphreys Blvd Ste 401, Memphis, TN 38120-2382 2007-01-29
1164465522 Nicole L Sandifer Nurse Practitioner 619 W 7th North St, Ste. F, Morristown, TN 37814-3954 2006-06-14
1073594263 Stacey Kesterson Nurse Practitioner 1621 W Morris Blvd Ste A, Morristown, TN 37813-2967 2005-11-07
1609879592 Samantha S Moody Nurse Practitioner 2215 Jackson Downs Blvd, Nashville, TN 37214-2300 2005-05-24
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Competitor

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City KNOXVILLE
Zip Code 37934

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Dataset Information

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.

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