DR. SHANE E KELLEY (NPI# 1891007605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891007605 |
| Entity Type | Individual |
| Full Name | DR. SHANE E KELLEY |
| Credential | M.D. |
| Practice Address |
4117 E Emory Rd Knoxville TN 37938-4229 |
| Mailing Address |
1275 Dick Lonas Rd Unit 101 Knoxville TN 37909-1383 |
| Practice Telephone | 8659222121 |
| Practice Fax Number | 8659220006 |
| Mailing Telephone | 8655844747 |
| Mailing Fax Number | 8655841363 |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2020-03-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 49860 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q000692 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053694372 | Shane Anna Kelley | Psychologist | 5421 Kietzke Ln, Suite 101, Reno, NV 89511-3027 | 2011-09-22 |
| Street Address |
4117 E EMORY RD |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37938-4229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891745436 | Rodney Sturgeon | Family Medicine | 4117 E Emory Rd, Knoxville, TN 37938-4229 | 2006-05-12 |
| 1104479641 | Ashley N Smith | Nurse Practitioner | 4117 E Emory Rd, Knoxville, TN 37938-4229 | 2019-07-23 |
| 1184143174 | Heather Diane Saunders | Nurse Practitioner | 4117 E Emory Rd, Knoxville, TN 37938-4229 | 2017-09-12 |
| 1073961181 | Shana L Roark | Nurse Practitioner | 4117 E Emory Rd, Knoxville, TN 37938-4229 | 2016-05-31 |
| 1558723916 | Melanie W. Kelly | Nurse Practitioner | 4117 E Emory Rd, Knoxville, TN 37938-4229 | 2016-03-24 |
| 1609240050 | Clara Renae Hubbs | Nurse Practitioner | 4117 E Emory Rd, Knoxville, TN 37938-4229 | 2015-11-23 |
| 1629452032 | Ann E. Cole | Nurse Practitioner | 4117 E Emory Rd, Knoxville, TN 37938-4229 | 2015-07-15 |
| 1043647043 | Alyssa R. Atchley | Nurse Practitioner | 4117 E Emory Rd, Knoxville, TN 37938-4229 | 2013-10-04 |
| 1013252998 | Molly C. Mcgill | Nurse Practitioner | 4117 E Emory Rd, Knoxville, TN 37938-4229 | 2012-12-04 |
| 1861571028 | Summit Medical Group, Pllc | Family Medicine | 4117 E Emory Rd, Knoxville, TN 37938-4229 | 2006-11-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538698170 | Kaitlin Blankenship | Specialist/Technologist | 6800 Highbank Ln, Knoxville, TN 37938 | 2017-06-07 |
| 1336454529 | Wal-mart Stores East Lp | Technician/Technologist | 7550 Norris Freeway, Knoxville, TN 37938 | 2010-08-11 |
| 1093908733 | Steven M Burns | Physical Medicine & Rehabilitation | 970 E. Emory Rd, Knoxville, TN 37938 | 2007-08-27 |
| 1629131040 | Murray Mckinnon | Chiropractor | 4605 Mill Branch Lane, Knoxville, TN 37938 | 2006-12-18 |
| 1811356744 | Tennessee Health and Care Professionals, LLC | Respite Care | 7110 Texas Valley Rd, Knoxville, TN 37938-1601 | 2016-02-20 |
| 1790109981 | Rachel E. Enigk | Physician Assistant | 5247 Salem Church Rd, Knoxville, TN 37938-2144 | 2014-02-10 |
| 1003325994 | Sabrina Ponder | Registered Nurse | 4614 Nathan Dr, Knoxville, TN 37938-2527 | 2017-09-24 |
| 1871618363 | Michael David Sulack | Chiropractor | 713 E Emory Road, Knoxville, TN 37938-2856 | 2007-03-21 |
| 1396219333 | Emily Sweet | Occupational Therapist | 4312 Rare Earth Dr, Knoxville, TN 37938-2983 | 2019-01-13 |
| 1477923340 | Mary Ann Montemayor Wong | Physical Therapist | 7865 Thomas Henry Way, Knoxville, TN 37938-3044 | 2015-10-04 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053810457 | Noi Nuyen Md, Pllc | Internal Medicine | 214 Prosperity Dr, Knoxville, TN 37923-4702 | 2018-02-12 |
| 1962935254 | Sandra Zaki | Internal Medicine | 333 Forest Oak Dr, Knoxville, TN 37919-6812 | 2017-04-04 |
| 1649647249 | Afc Physicians of Tennessee, PC | Internal Medicine | 9203 Kingston Pike, Knoxville, TN 37922-2318 | 2015-08-31 |
| 1902272099 | Natacha Rigual Soler | Internal Medicine | 320 N Park 40 Blvd Ste A, Knoxville, TN 37923-3624 | 2015-08-12 |
| 1821492158 | East Tennessee Urgent Care | Internal Medicine | 311 S Weisgarber Rd, Knoxville, TN 37919-7504 | 2014-10-15 |
| 1649686742 | Charles Milton Wender Sr. | Internal Medicine | 6205 Apache Tr., Knoxville, TN 37920 | 2014-07-09 |
| 1144630070 | Kristen Annette Mcfarland | Internal Medicine | 1934 Alcoa Hwy Ste 472, Knoxville, TN 37920-1526 | 2014-04-30 |
| 1578983094 | Eva Misra | Internal Medicine | 116 Glenleigh Ct, Ste.2, Knoxville, TN 37934-3097 | 2014-04-23 |
| 1912343542 | Brendan Jonathan Knowles | Internal Medicine | 501 20th St Ste 404, Knoxville, TN 37916-1822 | 2013-05-22 |
| 1851650865 | Kenneth Robert Johnsen | Internal Medicine | 4707 Papermill Dr Ste 200, Knoxville, TN 37909-1907 | 2012-05-10 |
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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.