KEVIN MATTHEW MARTINOLICH (NPI# 1659388197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659388197 |
| Entity Type | Individual |
| Full Name | KEVIN MATTHEW MARTINOLICH |
| Credential | MD |
| Practice Address |
1928 Alcoa Hwy Medical Building B, Suite 119 Knoxville TN 37920-1502 |
| Practice Telephone | 8653058761 |
| Practice Fax Number | 8653059869 |
| Mailing Telephone | 8653058761 |
| Mailing Fax Number | 8653059869 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2015-04-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
31837 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3843482 | 05 |
| Street Address |
1928 ALCOA HWY MEDICAL BUILDING B, SUITE 119 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37920-1502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316948029 | Edward D Kim | Urology | 1928 Alcoa Hwy, Bldg B Suite 222, Knoxville, TN 37920-1502 | 2005-08-03 |
| 1821625849 | Mary Elizabeth Booker | Student in an Organized Health Care Education/Training Program | 1928 Alcoa Hwy, Knoxville, TN 37920-1502 | 2020-03-27 |
| 1225665508 | Leanne Elizabeth Brechtel | Student in an Organized Health Care Education/Training Program | 1928 Alcoa Hwy, Knoxville, TN 37920-1502 | 2020-03-25 |
| 1780231654 | Kelly Jane Tipton | Student in an Organized Health Care Education/Training Program | 1928 Alcoa Hwy, Knoxville, TN 37920-1502 | 2019-08-24 |
| 1578024873 | Kristen Michelle Lilly | Student in an Organized Health Care Education/Training Program | 1928 Alcoa Hwy, Knoxville, TN 37920-1502 | 2019-03-28 |
| 1720548662 | Sandberg Foot Health Center PC | Podiatrist | 1928 Alcoa Hwy, Building B., Suite 200, Knoxville, TN 37920-1502 | 2019-03-25 |
| 1811457872 | Laurel Pace Carbone | Student in an Organized Health Care Education/Training Program | 1928 Alcoa Hwy, Knoxville, TN 37920-1502 | 2019-03-24 |
| 1598225617 | Elizabeth Ljuba Mirsky | Student in an Organized Health Care Education/Training Program | 1928 Alcoa Hwy, Knoxville, TN 37920-1502 | 2019-03-24 |
| 1629565239 | Elizabeth Altizer | Student in an Organized Health Care Education/Training Program | 1928 Alcoa Hwy, Knoxville, TN 37920-1502 | 2018-04-18 |
| 1093211849 | Charlotte B Mccarley | Student in an Organized Health Care Education/Training Program | 1928 Alcoa Hwy, Knoxville, TN 37920-1502 | 2018-04-02 |
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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 | 207RS0012X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sleep Medicine |
| An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
| Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053838714 | Summit Medical Group,pllc | Internal Medicine | 1128 E Weisgarber Rd Ste 201, Knoxville, TN 37909-2677 | 2017-08-24 |
| 1275736324 | University Health System, Inc | Internal Medicine | 1924 Alcoa Hwy, Ste 119, Knoxville, TN 37920-1511 | 2007-06-07 |
| 1932245743 | Bert A Hampton | Internal Medicine | 1901 W Clinch Ave, Knoxville, TN 37916-2307 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558831115 | Blue Ridge Medical Management Corporation | Internal Medicine | 404 Bemberg Rd, Elizabethton, TN 37643 | 2018-11-27 |
| 1477091486 | Premier Medical Consultants,llc | Internal Medicine | 1707 Grove Drive, Attn. Kathleen Browning, Columbia, TN 38401-3840 | 2017-02-09 |
| 1689073397 | Sleep Medicine Associates, Pllc | Internal Medicine | 7103 Bakers Bridge Ave, Suite 101, Brentwood, TN 37027-2892 | 2014-08-19 |
| 1528369766 | Apex Sleep Professionals, LLC | Internal Medicine | 204 Lynn Garden Dr, Ste:2, Kingsport, TN 37660-3191 | 2010-11-04 |
| 1356474415 | Dr. Vijay Pethkar Md Pllc | Internal Medicine | 780 N Mount Juliet Rd, Mount Juliet, TN 37122-3323 | 2007-03-14 |
| 1770612236 | Appalachian Sleep Disorders Center LLC | Internal Medicine | 488 S. Florence Ave., Jellico, TN 37762-2378 | 2007-03-02 |
| 1003914201 | Sleep Centers of Middle Tennessee LLC | Internal Medicine | 1505 Williams Dr Ste 200, Murfreesboro, TN 37129-3755 | 2006-09-20 |
| 1831156686 | Advanced Center for Sleep Disorders, Inc | Internal Medicine | 6624 Lee Hwy, Chattanooga, TN 37421-2421 | 2006-04-26 |
| 1144284662 | Louviere Enterprises, Inc. | Internal Medicine | 386 Carriage House Dr Ste D, Jackson, TN 38305 | 2006-04-13 |
| 1265057855 | Tn Lung and Sleep Center LLC | Internal Medicine | 221 N Oak Ave, Cookeville, TN 38501-2437 | 2020-06-10 |
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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.