JEFFREY R BERGQUIST


Address: 280 Fort Sanders West Blvd Ste 201, Knoxville, TN 37922-3363
Phone: 8655390270

JEFFREY R BERGQUIST (NPI# 1801828793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801828793
Entity Type Individual
Full Name JEFFREY R BERGQUIST
Credential PA
Practice Address 280 Fort Sanders West Blvd Ste 201
Knoxville
TN 37922-3363
Mailing Address Po Box 5358
Maryville
TN 37802-5358
Practice Telephone 8655390270
Practice Fax Number 8655396998
Mailing Telephone 8656819148
Mailing Fax Number 8653802131
Enumeration Date 2006-07-07
Last Update Date 2019-01-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
1351 TN Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
2217 E Lamar Alexander Pkwy, Maryville, TN 378045311 8659820835 8659821109
266 Joule St, Alcoa, TN 377012422 8659843864 8653802131

Office Location

Street Address 280 FORT SANDERS WEST BLVD STE 201
City KNOXVILLE
State TN
Zip Code 37922-3363

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487969077 Britni Michelle Allan Physician Assistant 280 Fort Sanders West Blvd Ste 201, Knoxville, TN 37922-3363 2010-08-09

Providers in the same zip code

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 Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538772744 Kaitlyn Blair Barger Physician Assistant 2100 Clinch Ave Ste 120, Knoxville, TN 37916-2288 2020-08-26
1225653967 Molly Ann Waggoner Physician Assistant 9050 Executive Park Dr Ste 100b, Knoxville, TN 37923-4616 2020-06-09
1164942355 Debra Lynn Howard Physician Assistant 9314 Park West Blvd Ste 100, Knoxville, TN 37923-4338 2017-06-20
1255702635 Community Healthcare Physician Assistant 507 N Cedar Bluff Rd, Knoxville, TN 37923-2805 2015-10-12
1053653220 Amber L. Burns Physician Assistant 501 20th St Ste 303, Knoxville, TN 37916-1899 2013-03-26
1497044671 Katie Bean Physician Assistant 8025 Kingston Pike Ste 1, Knoxville, TN 37919-5582 2011-03-28
1861704371 Prodigal Primary Care PC Physician Assistant 2911 Essary Road, Knoxville, TN 37918-2468 2010-07-13
1336476159 George F. Hillegas IIi Physician Assistant 3904 Lonas, Pa Program South College, Knoxville, TN 37909 2009-11-16
1225263353 Douglas E Lillifield Physician Assistant 431 Park Village Dr Ste 103, Knoxville, TN 37923 2009-05-19
1720263213 Leslie Anne Heller Physician Assistant 814 E Woodland Ave, Knoxville, TN 37917-5648 2008-01-03
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Competitor

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City KNOXVILLE
Zip Code 37922

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Dataset Information

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.

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