Waynette M Kingman (NPI# 1538231949, PAC ID# 0648286690) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1538231949 |
| PAC ID by PECOS | 0648286690 |
| Professional Enrollment ID | I20060228000424 |
| Full Name | Waynette M Kingman |
| Organization Legal Name | KNOXVILLE DERMATOLOGY GROUP PC |
| Address |
740 Middle Creek Rd Suite 114 Sevierville TN 37862-5055 |
| Phone Number | 8656909467 |
| Gender | F |
| Credential | PA |
| Graduation Year | 2001 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8123009636 |
| Number of Group Practice Members | 27 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440125 | FORT SANDERS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 123 Fox Rd, Knoxville, TN 37922-3369 | KNOXVILLE DERMATOLOGY GROUP PC | |
| 740 Middle Creek Rd, Suite 114, Sevierville, TN 37862-5055 | 8656909467 | KNOXVILLE DERMATOLOGY GROUP PC |
| Organization Legal Name | KNOXVILLE DERMATOLOGY GROUP PC |
| Physicians | 25 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda Nicole Maples | Physician Assistant | Knoxville Dermatology Group PC | 123 Fox Rd, Knoxville, TN 37922-3369 |
| Robert P Unkefer | Dermatology | Knoxville Dermatology Group PC | 133 Associates Blvd, Alcoa, TN 37701-1944 |
| Drew Wilson Miller | Dermatology | Knoxville Dermatology Group PC | 740 Middle Creek Rd, Suite 114, Sevierville, TN 37862-5055 |
| Matthew C Hanggi | Dermatology | Knoxville Dermatology Group PC | 740 Middle Creek Rd, Suite 114, Sevierville, TN 37862-5055 |
| Sandra L Gass | Nurse Practitioner | Knoxville Dermatology Group PC | 740 Middle Creek Rd, Suite 114, Sevierville, TN 37862-5055 |
| Marcus Rene Ortiz | Physician Assistant | Knoxville Dermatology Group PC | 123 Fox Rd, Knoxville, TN 37922-3369 |
| Edward J Primka Iii | Dermatology | Knoxville Dermatology Group PC | 740 Middle Creek Rd, Suite 114, Sevierville, TN 37862-5055 |
| Amanda C Wilks | Physician Assistant | Knoxville Dermatology Group PC | 123 Fox Rd, Knoxville, TN 37922-3369 |
| Lee B Dittrich | Dermatology | Knoxville Dermatology Group PC | 740 Middle Creek Rd, Suite 114, Sevierville, TN 37862-5055 |
| Angela Hope Smith | Nurse Practitioner | Knoxville Dermatology Group PC | 740 Middle Creek Rd, Suite 114, Sevierville, TN 37862-5055 |
| Street Address |
740 MIDDLE CREEK RD SUITE 114 |
| City | SEVIERVILLE |
| State | TN |
| Zip | 37862-5055 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Drew Wilson Miller | Dermatology | Knoxville Dermatology Group PC | 740 Middle Creek Rd, Suite 114, Sevierville, TN 37862-5055 |
| Matthew C Hanggi | Dermatology | Knoxville Dermatology Group PC | 740 Middle Creek Rd, Suite 114, Sevierville, TN 37862-5055 |
| Sandra L Gass | Nurse Practitioner | Knoxville Dermatology Group PC | 740 Middle Creek Rd, Suite 114, Sevierville, TN 37862-5055 |
| Edward J Primka Iii | Dermatology | Knoxville Dermatology Group PC | 740 Middle Creek Rd, Suite 114, Sevierville, TN 37862-5055 |
| Lee B Dittrich | Dermatology | Knoxville Dermatology Group PC | 740 Middle Creek Rd, Suite 114, Sevierville, TN 37862-5055 |
| Angela Hope Smith | Nurse Practitioner | Knoxville Dermatology Group PC | 740 Middle Creek Rd, Suite 114, Sevierville, TN 37862-5055 |
| Katie L Hageman | Physician Assistant | Knoxville Dermatology Group PC | 740 Middle Creek Rd, Suite 114, Sevierville, TN 37862-5055 |
| Paul C Maben | Physician Assistant | Knoxville Dermatology Group PC | 740 Middle Creek Rd, Suite 114, Sevierville, TN 37862-5055 |
| Robert Milton Gathings | Dermatology | Knoxville Dermatology Group PC | 740 Middle Creek Rd, Suite 114, Sevierville, TN 37862-5055 |
| Amy S Browning | Physician Assistant | Knoxville Dermatology Group PC | 740 Middle Creek Rd, Suite 114, Sevierville, TN 37862-5055 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven W Johnson | Family Medicine | 1135 Fox Landing Ct, Sevierville, TN 37862-1002 | |
| Ma Paz Corazon Casanova Alana | Physical Therapy | Alanova and Associates, LLC | 1014 Middle Creek Rd, Sevierville, TN 37862-2939 |
| Jan Paul Dela Cruz | Physical Therapy | Alanova and Associates, LLC | 1014 Middle Creek Rd, Sevierville, TN 37862-2939 |
| Ben L Christopher | Physical Therapy | Alanova and Associates, LLC | 1014 Middle Creek Rd, Sevierville, TN 37862-2939 |
| Eric S Jones | Physical Therapy | Alanova and Associates, LLC | 1014 Middle Creek Rd, Sevierville, TN 37862-2939 |
| John A Hood | Chiropractic | 1011 Middle Creek Rd, Suite 103, Sevierville, TN 37862-2940 | |
| Daniel R Mays | Physician Assistant | University Health System,inc | 1130 Middle Creek Rd, Suite 270, Sevierville, TN 37862-2941 |
| Jamie M Leonard | Physician Assistant | University Health System,inc | 1130 Middle Creek Rd, Suite 270, Sevierville, TN 37862-2941 |
| Eric J Littleton | Family Medicine | University Health System,inc | 1130 Middle Creek Rd, Suite 270, Sevierville, TN 37862-2941 |
| Sonya D Knight | Nurse Practitioner | University Health System,inc | 1130 Middle Creek Rd, Suite 270, Sevierville, TN 37862-2941 |
| Find all physicians in zip 37862 | |||
| City | SEVIERVILLE |
| Zip Code | 37862 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SEVIERVILLE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Waynette M Kingman.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.