KNOXVILLE MEDICAL CENTER PC (NPI# 1912048596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912048596 |
| Entity Type | Organization |
| Organization Name | KNOXVILLE MEDICAL CENTER PC |
| Practice Address |
1826 Ailor Ave Knoxville TN 37921-5802 |
| Practice Telephone | 8655242743 |
| Practice Fax Number | 8656734971 |
| Mailing Telephone | 8655242743 |
| Mailing Fax Number | 8656734971 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2010-03-26 |
| Authorized Official Name | DR. JACK DONALD KING JR. (PRESIDENT) |
| Authorized Official Telephone | 8655242743 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
1826 AILOR AVE |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37921-5802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396375937 | Kent Benjamin | Physical Therapy Assistant | 1826 Ailor Ave, Knoxville, TN 37921-5802 | 2020-01-23 |
| 1366971665 | Jamie Johnson | Physical Therapist | 1826 Ailor Ave, Knoxville, TN 37921-5802 | 2017-06-08 |
| 1164563706 | Jack Donald King Jr. | Family Medicine | 1826 Ailor Ave, Knoxville, TN 37921-5802 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902425366 | Marissa Michelle Sharp | Home Health Aide | 6224 Western Avenue, Knoxville, TN 37921 | 2020-04-15 |
| 1245860352 | Keshyra Paulsha Robinson | Nurse's Aide | 1754 Texas Avenue, Knoxville, TN 37921 | 2020-01-17 |
| 1700435443 | Velissa Ann Caffey | Licensed Practical Nurse | 5203 Ball Camp Pk, Knoxville, TN 37921 | 2019-09-05 |
| 1720551641 | Lindsey Michelle Yarnell | Behavior Technician | 5203 Ball Camp Pike, Knoxville, TN 37921 | 2019-01-03 |
| 1205354255 | Kylee Blair Dick | Case Manager/Care Coordinator | 600 Arthur Street, Knoxville, TN 37921 | 2017-08-30 |
| 1134658230 | Nicole Elaine Roberts | Pharmacist | 3588 Workman Rd Suite 101, Knoxville, TN 37921 | 2017-06-12 |
| 1710312053 | Megan Marie Pfeifer | Counselor | 626 Bernard Avenue, Knoxville, TN 37921 | 2013-09-05 |
| 1366601775 | Drd Management, Inc | Counselor | 412 Citico, Knoxville, TN 37921 | 2008-06-02 |
| 1457521320 | Tamara Flowers | Advanced Practice Midwife | 1925 B Ailor Avenue, Knoxville, TN 37921 | 2008-03-07 |
| 1790823722 | Oxygen and Sleep Associates, Inc. | Durable Medical Equipment & Medical Supplies | 1701 Louisville Dr, Ste. 107, Knoxville, TN 37921 | 2007-02-02 |
| Find all providers in zip 37921 | ||||
| Taxonomy Code | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720341191 | Otis Cosby Jr. | Preventive Medicine | 9818 Christi Ridge Way, Knoxville, TN 37931-3828 | 2012-06-20 |
| 1346240462 | Laykoon Tan Huang | Preventive Medicine | 108 W Inskip Dr, Suite B, Knoxville, TN 37912-4058 | 2005-07-29 |
| 1306846449 | First Care Medical Center PC | Preventive Medicine | 108 W Inskip Dr, Ste B, Knoxville, TN 37912-4058 | 2005-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356706873 | Steven Serra | Preventive Medicine | 4957 Tyne Ridge Ct, Nashville, TN 37220-1531 | 2015-12-28 |
| 1811383698 | Robin Richard | Preventive Medicine | 9114 Brentmeade Blvd, Brentwood, TN 37027-8524 | 2015-04-08 |
| 1225472582 | Richard Daniel Price | Preventive Medicine | 1005 Dr. D.b.todd Blvd., Meharry Medical College, Nashville, TN 37208 | 2013-04-17 |
| 1730422031 | Saul Antonio Juliao | Preventive Medicine | 609 Granny White Pike, Brentwood, TN 37027-5732 | 2013-04-04 |
| 1245405620 | Jorge Benitez Jr. | Preventive Medicine | 1005 Dr. D. B. Todd Jr Blvd, Nashville, TN 37208 | 2008-04-25 |
| 1356520845 | Ibrahim Heiba | Preventive Medicine | 200 S Wilcox Dr, Bldg 215, Kingsport, TN 37662 | 2007-10-31 |
| 1467640375 | Theron Blickenstaff | Preventive Medicine | 709 Clandon Dr, Kingsport, TN 37660-5036 | 2007-10-05 |
| 1063630978 | Bruce James Poitrast | Preventive Medicine | 200 S. Wilcox Dr., B-215, Kingsport, TN 37662-5431 | 2007-04-23 |
| 1932221827 | Carol J Iddins | Preventive Medicine | 1299 Bethel Valley Rd, Box 117 Reacts, Oak Ridge, TN 37830-8007 | 2007-04-04 |
| 1467571216 | Martha Y Walkup | Preventive Medicine | 1578 N Greenhill Rd, Mount Juliet, TN 37122-2454 | 2007-03-29 |
| 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.