KNOXVILLE DERMATOLOGY GROUP PC (NPI# 1689853806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689853806 |
| Entity Type | Organization |
| Organization Name | KNOXVILLE DERMATOLOGY GROUP PC |
| Practice Address |
200 Fort Sanders West Blvd Suite 102 Knoxville TN 37922-3357 |
| Practice Telephone | 8656909467 |
| Practice Fax Number | 8653425857 |
| Mailing Telephone | 8656909467 |
| Mailing Fax Number | 8653425857 |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2007-10-25 |
| Authorized Official Name | DAVID L SHUPP (PRESIDENT) |
| Authorized Official Telephone | 8656909467 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063736122 | Knoxville Dermatology Group PC | Dermatology | 1928 Alcoa Hwy, Suite 209, Knoxville, TN 37920-1502 | 2010-03-18 |
| 1679761274 | Knoxville Dermatology Group PC | Non-Pharmacy Dispensing Site | 1928 Alcoa Hwy, Suite 209, Knoxville, TN 37920-1502 | 2007-10-09 |
| 1760419014 | Knoxville Dermatology Group PC | Dermatology | 200 Fort Sanders West Blvd, Suite 102, Knoxville, TN 37922-3357 | 2006-06-26 |
| Street Address |
200 FORT SANDERS WEST BLVD SUITE 102 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37922-3357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922093988 | Robert E Price | Ophthalmology | 200 Fort Sanders West Blvd, Ste 101, Knoxville, TN 37922-3357 | 2005-09-15 |
| 1225445141 | Summit Medical Group, Pllc | Internal Medicine | 200 Fort Sanders West Blvd, Mob 1, Suite 301, Knoxville, TN 37922-3357 | 2014-07-14 |
| 1073826483 | Carrie R Mccoy | Nurse Practitioner | 200 Fort Sanders West Blvd, Mob 1, Suite 304, Knoxville, TN 37922-3357 | 2010-07-15 |
| 1104025105 | Casey Elizabeth Larue | Nurse Practitioner | 200 Fort Sanders West Blvd, Mob 1, Suite 304, Knoxville, TN 37922-3357 | 2007-07-11 |
| 1629195797 | Knoxville Eye Center LLC | Ophthalmology | 200 Fort Sanders West Blvd, Ste 101, Knoxville, TN 37922-3357 | 2007-03-23 |
| 1770622003 | Camilla C. Bennett Md PC | Family Medicine | 200 Fort Sanders West Blvd, Suite 107, Knoxville, TN 37922-3357 | 2007-02-05 |
| 1801975172 | Summit Medical Group, Pllc | Internal Medicine | 200 Fort Sanders West Blvd, Medical Office Bldg #1 Suite 304, Knoxville, TN 37922-3357 | 2006-11-06 |
| 1982790978 | Dan H Thompson | Dentist | 200 Fort Sanders West Blvd, Suite 103, Knoxville, TN 37922 | 2006-10-05 |
| 1700816246 | Kemberly E Harp | Family Medicine | 200 Fort Sanders West Blvd, Suite 107 Mobi, Knoxville, TN 37922-3357 | 2006-07-03 |
| 1760419014 | Knoxville Dermatology Group PC | Dermatology | 200 Fort Sanders West Blvd, Suite 102, Knoxville, TN 37922-3357 | 2006-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184132185 | Kimberly Zitko | Pharmacist | 400 Goody's Lane, Knoxville, TN 37922 | 2018-01-12 |
| 1366959314 | Matthew Smith | Physician Assistant | 1424 Randall Park Dr, Knoxville, TN 37922 | 2017-12-29 |
| 1174052823 | 24/7 Healthcare, Inc. | Nursing Care | 110 Center Park Drive, Suite 101, Knoxville, TN 37922 | 2017-06-07 |
| 1023543477 | Open Arms Care Corp | Intermediate Care Facility, Mentally Retarded | 12625 S Northshore Dr, Knoxville, TN 37922 | 2017-04-24 |
| 1275905440 | Milligan Surgical Associates, Pllc | Surgery | 1919 Pinnacle Pointe Way, Knoxville, TN 37922 | 2015-10-27 |
| 1275904096 | Medical Necessities & Services LLC | Durable Medical Equipment & Medical Supplies | 9327 S Northshore Dr, Knoxville, TN 37922 | 2015-10-20 |
| 1841668126 | Chad Szala | Behavioral Analyst | 10721 Chapman Hwy #22, Knoxville, TN 37922 | 2015-09-03 |
| 1275916470 | Nikki Nicole Peoples | Acupuncturist | 10406 Jackson Oaks Way Ste A, Knoxville, TN 37922 | 2015-07-07 |
| 1538577747 | Susan Carter | Optometrist | 2053 Thunderhead Rd, Knoxville, TN 37922 | 2014-07-31 |
| 1366868135 | Heartland Infusion | Clinic/Center | 9943 Kingston Pike, Knoxville, TN 37922 | 2014-03-17 |
| Find all providers in zip 37922 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841363165 | Andes Optical Inc. | Non-Pharmacy Dispensing Site | 4613 Papermill Dr, Knoxville, TN 37909-2069 | 2006-11-16 |
| 1740210962 | Halls Physician Services, Pllc | Non-Pharmacy Dispensing Site | 7000 Maynardville Pike, Halls Physician Services Pllc, Knoxville, TN 37918-5736 | 2006-07-04 |
| 1699320267 | Allergy Associates Pa | Non-Pharmacy Dispensing Site | 801 N Weisgarber Rd Ste 200, Knoxville, TN 37909-2707 | 2019-08-09 |
| 1487075099 | Associated Pain Specialists, PC | Non-Pharmacy Dispensing Site | 1342 Papermill Pointe Way, Knoxville, TN 37909-1903 | 2013-12-27 |
| 1346527090 | Behavioral Insights, LLC | Non-Pharmacy Dispensing Site | 6216 Lonas Dr, Knoxville, TN 37909-3235 | 2011-11-09 |
| 1205081791 | Knoxville Area Community Hospital | Non-Pharmacy Dispensing Site | 1002 S Lincoln St, Knoxville, IA 50138-3121 | 2008-11-25 |
| 1679761274 | Knoxville Dermatology Group PC | Non-Pharmacy Dispensing Site | 1928 Alcoa Hwy, Suite 209, Knoxville, TN 37920-1502 | 2007-10-09 |
| 1639206212 | Trinity Medical Associates PC | Non-Pharmacy Dispensing Site | 280 Fort Sanders West Blvd Ste 101, Knoxville, TN 37922-3352 | 2007-02-28 |
| 1831272020 | Tennessee Cancer Specialists | Non-Pharmacy Dispensing Site | 101 E Blount Ave, Ste 610, Knoxville, TN 37920-1632 | 2006-10-23 |
| 1689757866 | Tennessee Cancer Specialists | Non-Pharmacy Dispensing Site | 9430 Parkwest Blvd, Ste 120, Knoxville, TN 37923 | 2006-10-23 |
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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.