ALBERT C.S. EBENEZER, M.D. (NPI# 1659581080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659581080 |
| Entity Type | Organization |
| Organization Name | ALBERT C.S. EBENEZER, M.D. |
| Practice Address |
2001 Laurel Ave Newland Professional Building Suite 601 Knoxville TN 37916-1810 |
| Practice Telephone | 8655230614 |
| Practice Fax Number | 8655462625 |
| Mailing Telephone | 8655230614 |
| Mailing Fax Number | 8655462625 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ALBERT C S EBENEZER (OWNER PHYSICIAN) |
| Authorized Official Telephone | 8655230614 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
7866 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | MEDICAL LICENSE | 7866 | 01 |
| Street Address |
2001 LAUREL AVE NEWLAND PROFESSIONAL BUILDING SUITE 601 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37916-1810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871599084 | Gerald Scott Borrelli | Internal Medicine | 2001 Laurel Ave, Ste 206, Knoxville, TN 37916-1865 | 2005-06-22 |
| 1891184131 | Medical Rehab Clinic Pllc | Physical Medicine & Rehabilitation | 2001 Laurel Ave, Suite 404, Knoxville, TN 37916-1810 | 2015-01-09 |
| 1720483308 | Jennifer Templeton | Physical Therapist | 2001 Laurel Ave, Suite 504, Knoxville, TN 37916-1810 | 2014-10-25 |
| 1407198302 | Mckesson Patient Care Solutions Inc. | Durable Medical Equipment & Medical Supplies | 2001 Laurel Ave, Suite Ng-6, Knoxville, TN 37916-1810 | 2013-03-19 |
| 1043443997 | Sung Yong Bae | Internal Medicine | 2001 Laurel Ave, Suite 206, Knoxville, TN 37916 | 2009-08-26 |
| 1619103918 | Healthtronix Lymphedema Management, Inc. | Durable Medical Equipment & Medical Supplies | 2001 Laurel Ave, Suite Ng6, Knoxville, TN 37916-1810 | 2009-06-02 |
| 1265666747 | East Tennessee Pediatric Cardiology, P.C. | Pediatrics | 2001 Laurel Ave, Suite Ng4, Knoxville, TN 37916-1810 | 2009-05-12 |
| 1356513998 | James Macdonald Burkhart Md | Durable Medical Equipment & Medical Supplies | 2001 Laurel Ave, Suite 601, Knoxville, TN 37916-1826 | 2008-03-24 |
| 1821278474 | Asif Sultan | Internal Medicine | 2001 Laurel Ave, Suite 202, Knoxville, TN 37916-1810 | 2007-11-13 |
| 1922207059 | Timothy Leslie Alder | Radiology | 2001 Laurel Ave, Suite N304, Knoxville, TN 37916-1810 | 2007-07-18 |
| 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 | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407201882 | Tennessee Cancer Specialists, Pllc | Internal Medicine | 6408 Papermill Drive, Suite 220, Knoxville, TN 37919-4858 | 2016-05-04 |
| 1366740425 | Richert Edgar Goyette | Internal Medicine | 1706 Alcott Manor Ln, Knoxville, TN 37922-8094 | 2011-03-14 |
| 1356585574 | Tennessee Cancer Specialists Pllc | Internal Medicine | 1415 Old Weisgarber Road, Suite 200, Knoxville, TN 37909 | 2009-05-01 |
| 1568510717 | Tennessee Cancer Specialists Pllc | Internal Medicine | 6307 Lonas Dr, Knoxville, TN 37909-2737 | 2007-01-06 |
| 1245387703 | Tennessee Cancer Specialists Pllc | Internal Medicine | 18820 Parkside Drive, Tennova Turkey Creek, Knoxville, TN 37934-1956 | 2007-01-05 |
| 1871693150 | Wahid Hanna, Md, PC | Internal Medicine | 1926 Alcoa Hwy Ste 380 Bldg F, Knoxville, TN 37920-1526 | 2006-09-25 |
| 1841228871 | Tennessee Cancer Specialists Pllc | Internal Medicine | 900 E Hill Ave, Suite 230, Knoxville, TN 37915-2566 | 2006-06-29 |
| 1679543805 | Richard T Grapski | Internal Medicine | 1915 White Avenue, Knoxville, TN 37916 | 2006-01-23 |
| 1619947876 | Daniel M Ibach | Internal Medicine | 2607 Kingston Pike Ste 100, Knoxville, TN 37919-3343 | 2006-01-23 |
| 1588664627 | Raymond Brig | Internal Medicine | 1400 Dowell Springs Road, Suite 200, Knoxville, TN 37909-1292 | 2005-07-29 |
| 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.