HARRY R. HIXSON JR. (NPI# 1679701791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679701791 |
Entity Type | Individual |
Full Name | HARRY R. HIXSON JR. |
Credential | M.D. |
Practice Address |
2001 Laurel Ave # N304 Knoxville TN 37916-1810 |
Mailing Address |
Po Box 9007 Charlottesville VA 22906-9007 |
Practice Telephone | 8657666870 |
Enumeration Date | 2009-06-26 |
Last Update Date | 2019-02-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085N0700X |
Radiology Specialization: Neuroradiology |
0101250533 | VA | Allopathic & Osteopathic Physicians |
N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
55556 | TN | Allopathic & Osteopathic Physicians |
N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
0101250533 | VA | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | 0116021819 | VA | Student, Health Care |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | Q028263 | 05 | |
TN | MEDICARE | 103I303216 | 01 |
VA | 1679701791 | 05 |
Street Address |
2001 LAUREL AVE # N304 |
City | KNOXVILLE |
State | TN |
Zip Code | 37916-1810 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386645828 | Michael B Adler | Radiology | 2001 Laurel Ave # N304, Knoxville, TN 37916-1810 | 2005-08-09 |
1184269565 | James Tyler Irwin | Registered Nurse | 2001 Laurel Ave # N304, Knoxville, TN 37916-1810 | 2019-11-09 |
1427460732 | Peter C Coulson | Radiology | 2001 Laurel Ave # N304, Knoxville, TN 37916-1810 | 2014-05-21 |
1295978658 | Andrew Baither Conrad | Radiology | 2001 Laurel Ave # N304, Knoxville, TN 37916-1810 | 2009-04-15 |
1184883092 | Rachel M Barker | Radiology | 2001 Laurel Ave # N304, Knoxville, TN 37916-1810 | 2008-06-05 |
1720292352 | Monica Kessi | Radiology | 2001 Laurel Ave # N304, Knoxville, TN 37916-1810 | 2007-05-10 |
1669553764 | Samuel Paul Bilyeu | Radiology | 2001 Laurel Ave # N304, Knoxville, TN 37916-1810 | 2006-10-17 |
1740294552 | Christopher Lee Hovis | Radiology | 2001 Laurel Ave # N304, Knoxville, TN 37916-1810 | 2006-07-28 |
1417984402 | Amanda B Squires | Radiology | 2001 Laurel Ave # N304, Knoxville, TN 37916-1810 | 2006-06-27 |
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 | 2085N0700X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Neuroradiology |
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043280274 | Samuel H Feaster | Radiology | 2001 Laurel Ave, Suite N304, Knoxville, TN 37916-1810 | 2006-01-23 |
1316927999 | Daryl L Harp | Radiology | 2001 Laurel Ave, Suite N304, Knoxville, TN 37916-1810 | 2006-01-19 |
1316927908 | Frederick M Mclean | Radiology | 2001 Laurel Ave, Suite N304, Knoxville, TN 37916-1810 | 2006-01-19 |
1881691228 | John Douglas Simmons | Radiology | 1112 E Weisgarber Rd, Knoxville, TN 37909-2647 | 2005-06-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801091434 | Scott Nyshin Hwang | Radiology | 262 Danny Thomas Place, Mail Stop 220, St Jude Children's Research Hospital, Memphis, TN 38105-3678 | 2007-06-14 |
1679796486 | Richard Ian Gray | Radiology | 865 Jefferson Ave # F150, Uthsc Dept. of Radiology, Memphis, TN 38103-2807 | 2007-04-10 |
1851480776 | James Koonce | Radiology | 1301 Sunset Dr Ste 3, Mountain Empire Radiology, Johnson City, TN 37604-7906 | 2006-10-11 |
1366490617 | Jeffrey A Simon | Radiology | 750 Old Hickory Blvd Ste 1-260, Brentwood, TN 37027-4528 | 2006-05-05 |
1538143383 | Mark R Shaw | Radiology | 3310 Aspen Grove Dr, Suite 203, Franklin, TN 37067 | 2005-12-05 |
1730520842 | David Mitchell Ray | Radiology | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2013-07-17 |
1700220050 | Jacqueline Angel | Radiology | 7695 Poplar Pike Ste 101, Germantown, TN 38138-5947 | 2013-04-17 |
1134474711 | Allen Ardestani | Radiology | 7945 Wolf River Blvd, Germantown, TN 38138-1762 | 2012-07-19 |
1851688063 | Christopher Jordan Dela Houssaye | Radiology | 400 N State of Franklin Rd, Johnson City, TN 37604 | 2011-07-08 |
1114152410 | Ernest Robin Gray IIi | Radiology | 210 25th Ave N Ste 602, Nashville, TN 37203 | 2009-05-16 |
Find all providers with the same taxonomy |
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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.