DR. NICHOLAS GRAY ANDERSON (NPI# 1972509297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972509297 |
| Entity Type | Individual |
| Full Name | DR. NICHOLAS GRAY ANDERSON |
| Credential | M.D. |
| Practice Address |
1124 E Weisgarber Rd Ste 207 Knoxville TN 37909-2686 |
| Practice Telephone | 8655880811 |
| Practice Fax Number | 8655842153 |
| Mailing Telephone | 8655880811 |
| Mailing Fax Number | 8655842153 |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2017-04-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
39535 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3329764 | 05 | |
| TN | RAILROAD MEDICARE | P00242478 | 01 |
| VA | 010157684 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720450638 | Nicholas Anderson | Psychologist | 2901 S Sepulveda Blvd Apt 206, Los Angeles, CA 90064-3946 | 2015-10-30 |
| 1700269693 | Nicholas Reed Anderson | Emergency Medical Technician, Basic | 24095 Marathon St, Mission Viejo, CA 92691-3803 | 2015-07-09 |
| 1295046712 | Nicholas Robert Anderson | Physical Medicine & Rehabilitation | 121 Cahill Rd Suite 206, Branson, MO 65616 | 2010-06-30 |
| 1669094108 | Nicholas E Anderson | Student in an Organized Health Care Education/Training Program | 603 S Chestnut St, Ellensburg, WA 98926-3875 | 2020-05-06 |
| 1679100408 | Nicholas Beecher Anderson | Student in an Organized Health Care Education/Training Program | 7450 Hospital Dr Ste 4500, Dublin, OH 43016-9693 | 2020-03-23 |
| 1396378519 | Nicholas Kent Anderson | Pharmacist | 1895 E Fire Tower Rd, Greenville, NC 27858-4132 | 2020-02-17 |
| 1962041301 | Nicholas C Anderson | Physical Therapy Assistant | 1700 Keystone Pacific Pkwy, Patterson, CA 95363-8874 | 2020-01-02 |
| 1740827229 | Nicholas A Anderson | Counselor | 8 Kilburn St, New Bedford, MA 02740-7321 | 2019-12-04 |
| 1700443777 | Nicholas Wilson Anderson | Family Medicine | 98-1005 Moanalua Rd Spc 3030, Aiea, HI 96701-4735 | 2019-05-24 |
| 1093281016 | Nicholas Anderson | Physician Assistant | 315 E Elm, Ste 100, Caldwell, ID 83605 | 2018-10-17 |
| Street Address |
1124 E WEISGARBER RD STE 207 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37909-2686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013911791 | Christopher Tobin Taylor | Ophthalmology | 1124 E Weisgarber Rd, Ste 100, Knoxville, TN 37909-2686 | 2005-06-09 |
| 1275084386 | Knoxville Eye Anesthesia LLC | Nurse Anesthetist, Certified Registered | 1124 E Weisgarber Rd, Suite 110, Knoxville, TN 37909-2686 | 2016-10-24 |
| 1053675637 | Gregory S Everett | Optometrist | 1124 E Weisgarber Rd, Knoxville, TN 37909-2686 | 2012-06-28 |
| 1972773349 | Low Vision Center, Inc. | Optometrist | 1124 E Weisgarber Rd, Suite 204, Knoxville, TN 37909-2686 | 2008-03-02 |
| 1386844595 | Susan Scott | Pediatrics | 1124 E Weisgarber Rd, Suite 200, Knoxville, TN 37909-2686 | 2007-07-25 |
| 1902008162 | Campbell Cunningham Taylor PC | Durable Medical Equipment & Medical Supplies | 1124 E Weisgarber Rd, Suite 102, Knoxville, TN 37909-2686 | 2007-06-01 |
| 1063500049 | Deanna R Yen | Pediatrics | 1124 E Weisgarber Rd, Suite 200, Knoxville, TN 37909-2686 | 2006-10-11 |
| 1871685529 | Gregory L Swabe | Pediatrics | 1124 E Weisgarber Rd, Suite 200, Knoxville, TN 37909-2686 | 2006-09-29 |
| 1275625907 | Lisa B Padgett | Pediatrics | 1124 E Weisgarber Rd, Suite 200, Knoxville, TN 37909-2686 | 2006-09-29 |
| 1376635029 | Susan B Roberts | Pediatrics | 1124 E Weisgarber Rd, Knoxville, TN 37909-2686 | 2006-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326687534 | Rosalie Ting Mcglashen | Behavioral Analyst | 1508 Coleman Rd., Suites 105 and 110, Knoxville, TN 37909 | 2020-01-06 |
| 1770133597 | Renewal Healthcare | Family Medicine | 7035 Middlebrook Pike, Knoxville, TN 37909 | 2019-09-13 |
| 1417461211 | Lean Knox, LLC | Family Medicine | 1415 Old Weisgarber Rd. Ste 350, Knoxville, TN 37909 | 2017-12-01 |
| 1750757514 | Victor Brown | Counselor | 1451 Dowell Springs Blvd., Knoxville, TN 37909 | 2015-08-17 |
| 1083012488 | Melissa Wells Woodby | Marriage & Family Therapist | 6305 Lonas Dr, Knoxville, TN 37909 | 2014-12-17 |
| 1417375700 | David Francis Fair | Chiropractor | 1720 Tonalea Rd, Knoxville, TN 37909 | 2014-04-03 |
| 1295157519 | Danny Adkins, D.d.s. | Dentist | 1301 Old Weisgarber Road, Knoxville, TN 37909 | 2014-01-07 |
| 1376971085 | Quality Health Clinic LLC | Clinic/Center | 7348 Middlebrook Pike Suite D, Knoxville, TN 37909 | 2013-10-16 |
| 1952737942 | Martirea Fostine Jenkins Pratt | Nurse Practitioner | 930 Adell Ree Park Lane, Knoxville, TN 37909 | 2013-09-23 |
| 1104259324 | Dana Michelle Sweitzer | Nurse Practitioner | 1320 Old Weisgarber Road, Knoxville, TN 37909 | 2013-08-12 |
| Find all providers in zip 37909 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376644476 | Robert Keith Shuler Jr. | Ophthalmology | 1124 E Weisgarber Rd, Suite 207, Knoxville, TN 37909-2686 | 2006-09-25 |
| 1710983721 | James Howard Miller Jr. | Ophthalmology | 1124 E Weisgarber Rd, Ste 207, Knoxville, TN 37909-2686 | 2005-06-23 |
| 1427054436 | Stephen Lee Perkins | Ophthalmology | 1124 E Weisgarber Rd, Ste 207, Knoxville, TN 37909-2686 | 2005-06-23 |
| 1366448672 | Joseph Morris Googe Jr. | Ophthalmology | 1124 E Weisgarber Rd, Ste 207, Knoxville, TN 37909-2686 | 2005-06-22 |
| 1023014347 | Tod Alan Mcmillan | Ophthalmology | 1124 E Weisgarber Rd, Ste 207, Knoxville, TN 37909-2686 | 2005-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801892146 | Richard I Breazeale | Ophthalmology | 1605 Williams Rd, Ste 201, Hixson, TN 37343-4934 | 2005-06-22 |
| 1669478996 | Howard Lee Cummings | Ophthalmology | 2412 N John B Dennis Hwy, Kingsport, TN 37660-4772 | 2005-06-22 |
| 1861495780 | Steve T Charles | Ophthalmology | 1432 Kimbrough Rd, Germantown, TN 38138-2405 | 2005-05-24 |
| 1548760234 | Matt Katz, Md, PC | Ophthalmology | 342 22nd Ave N, Nashville, TN 37203-1844 | 2018-02-19 |
| 1134515042 | Adam Pflugrath | Ophthalmology | 1432 Kimbrough Rd, Germantown, TN 38138-2405 | 2015-04-08 |
| 1619298262 | Devon Ghodasra | Ophthalmology | 1605 Williams Rd, Ste 201, Hixson, TN 37343-4934 | 2010-06-17 |
| 1992022800 | Stephen Michael Huddleston | Ophthalmology | 1432 Kimbrough Rd, Germantown, TN 38138-2405 | 2010-05-01 |
| 1811139470 | Rohan Shah | Ophthalmology | 1605 Williams Rd, Ste 201, Hixson, TN 37343-4934 | 2009-03-29 |
| 1871627554 | Francis C Decroos | Ophthalmology | 1605 Williams Rd, Ste 201, Hixson, TN 37343-4934 | 2007-03-15 |
| 1205803285 | Cristoforo Larzo | Ophthalmology | 2412 N John B Dennis Hwy, Kingsport, TN 37660-4772 | 2006-03-08 |
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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.