MARBLE CITY MEDICAL LLC (NPI# 1760940613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760940613 |
| Entity Type | Organization |
| Organization Name | MARBLE CITY MEDICAL LLC |
| Practice Address |
7500 Dodson Rd Knoxville TN 37920-9734 |
| Practice Telephone | 8653821007 |
| Mailing Telephone | 8653821007 |
| Enumeration Date | 2019-03-11 |
| Last Update Date | 2020-06-05 |
| Authorized Official Name | COURTNEY BLACKWELL MCLEOD (OWNER) |
| Authorized Official Telephone | 3864902398 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities | ||
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7000 Fieldstone Farms Ln, Knoxville, TN 379212834 | 8653847376 |
| Street Address |
7500 DODSON RD |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37920-9734 |
| 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 |
| Find all providers in zip 37920 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164070454 | Heritage At S Peters Inc | Assisted Living Facility | 273 S Peters Rd, Knoxville, TN 37923-5204 | 2019-08-29 |
| 1427601327 | Pinnacle Assisted Living | Assisted Living Facility | 10520 Waterville Ln, Knoxville, TN 37932-3754 | 2019-07-19 |
| 1457884462 | Nu-south, LLC | Assisted Living Facility | 214 Prosperity Rd, Knoxville, TN 37923-4702 | 2017-04-06 |
| 1881022739 | Al Knoxville Operations, LLC | Assisted Living Facility | 8024 Gleason Dr, Knoxville, TN 37919-5586 | 2013-10-30 |
| 1083041578 | Ec Knoxville Operations, LLC | Assisted Living Facility | 7521 Andersonville Pike, Knoxville, TN 37938-4204 | 2013-09-30 |
| 1912205899 | Hillcrest Healthcare Communities, Inc | Assisted Living Facility | 2820 Lake Brook Blvd, Knoxville, TN 37909-1133 | 2011-03-02 |
| 1811291784 | Atrium At Weston Place, LLC | Assisted Living Facility | 2900 Lake Brook Blvd, Knoxville, TN 37909-1135 | 2011-01-06 |
| 1851694798 | Autumn Care Management Inc. | Assisted Living Facility | 3222 Byington Beaver Ridge Rd, Knoxville, TN 37931-3317 | 2010-12-15 |
| 1316161839 | Homestead of Knoxville Operations LLC | Assisted Living Facility | 908 South Park Lane Drive, Knoxville, IA 50138 | 2007-04-13 |
| 1649219965 | Morningside of Knoxville, LLC | Assisted Living Facility | 3020 Heatherton Way, Knoxville, TN 37920-5586 | 2006-06-05 |
| 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.