Russell E Dickenson (NPI# 1497745814, PAC ID# 4082747175) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1497745814 |
| PAC ID by PECOS | 4082747175 |
| Professional Enrollment ID | I20100726000586 |
| Full Name | Russell E Dickenson |
| Organization Legal Name | KNOXVILLE HMA CARDIOLOGY PPM, LLC |
| Address |
434 4th St Suite 201 Newport TN 37821-3736 |
| Phone Number | 8656475800 |
| Gender | M |
| Graduation Year | 1986 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1658542758 |
| Number of Group Practice Members | 31 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440120 | PHYSICIANS REGIONAL MEDICAL CENTER |
| 440153 | NEWPORT MEDICAL CENTER |
| 440056 | TENNOVA HEALTHCARE-JEFFERSON MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 10810 Parkside Dr, Suite 301, Knoxville, TN 37934-1982 | 8654702273 | KNOXVILLE HMA CARDIOLOGY PPM, LLC |
| 10820 Parkside Dr, Knoxville, TN 37934-1956 | 8653923400 | KNOXVILLE HMA CARDIOLOGY PPM, LLC |
| 7323 Chapman Hwy, Suite 100, Knoxville, TN 37920-6757 | 8656473845 | KNOXVILLE HMA CARDIOLOGY PPM, LLC |
| 434 4th St, Suite 201, Newport, TN 37821-3736 | 8656475800 | KNOXVILLE HMA CARDIOLOGY PPM, LLC |
| Organization Legal Name | KNOXVILLE HMA CARDIOLOGY PPM, LLC |
| Physicians | 33 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yasir Naeem Akhtar | Cardiovascular Disease (cardiology) | Knoxville Hma Cardiology Ppm, LLC | 900 E Oak Hill Ave, Suite 600, Knoxville, TN 37917-4524 |
| Harry L Bishop | Cardiovascular Disease (cardiology) | Knoxville Hma Cardiology Ppm, LLC | 10800 Parkside Dr, Suite 331, Knoxville, TN 37934-1922 |
| Meredith Bauerband | Physician Assistant | Knoxville Hma Cardiology Ppm, LLC | 120 Hospital Dr, Suite G50, Jefferson City, TN 37760-5279 |
| Kyle Wiley Mccoy | Cardiovascular Disease (cardiology) | Knoxville Hma Cardiology Ppm, LLC | 120 Hospital Dr, Suite G50, Jefferson City, TN 37760-5279 |
| Timothy E Ballard | Nurse Practitioner | Knoxville Hma Cardiology Ppm, LLC | 7565 Dannaher Dr, Powell, TN 37849-4029 |
| William C Lindsay | Cardiovascular Disease (cardiology) | Knoxville Hma Cardiology Ppm, LLC | 120 Hospital Dr, Suite G50, Jefferson City, TN 37760-5279 |
| Rashmi Ujaneppa Hottigoudar | Cardiac Electrophysiology | Knoxville Hma Cardiology Ppm, LLC | 7565 Dannaher Dr, Powell, TN 37849-4029 |
| Mukesh K Sharma | Cardiovascular Disease (cardiology) | Knoxville Hma Cardiology Ppm, LLC | 10810 Parkside Dr, Suite 301, Knoxville, TN 37934-1982 |
| David A Cox | Cardiovascular Disease (cardiology) | Knoxville Hma Cardiology Ppm, LLC | 7565 Dannaher Dr, Powell, TN 37849-4029 |
| Rebecca Davis Vale | Nurse Practitioner | Knoxville Hma Cardiology Ppm, LLC | 7565 Dannaher Dr, Powell, TN 37849-4029 |
| Street Address |
434 4TH ST SUITE 201 |
| City | NEWPORT |
| State | TN |
| Zip | 37821-3736 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William B Harris Jr. | Obstetrics/gynecology | Knoxville Hma Physician Management, LLC | 434 4th St, Suite 305, Newport, TN 37821-3735 |
| Jeffrey A Mathews | General Surgery | Knoxville Hma Physician Management, LLC | 434 4th St, Suite 305, Newport, TN 37821-3735 |
| Osareme Irivbogbe | Interventional Cardiology | Knoxville Hma Cardiology Ppm, LLC | 434 4th St, Suite 201, Newport, TN 37821-3736 |
| Jeanette Ann Toney | Obstetrics/gynecology | Knoxville Hma Physician Management, LLC | 434 4th St, Suite 305, Newport, TN 37821-3735 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kaitlyn Voss | Physical Therapy | Drayer Physical Therapy of Tennessee LLC | 123 Western Plaza Way, Newport, TN 37821-2215 |
| Megan Stinson | Physical Therapy | Drayer Physical Therapy of Tennessee LLC | 123 Western Plaza Way, Newport, TN 37821-2215 |
| Sonya N Hance | Nurse Practitioner | Healthstar Physicians, P.C. | 150 E Broadway, Newport, TN 37821-2329 |
| Candi C Overholt | Internal Medicine | Healthstar Physicians, P.C. | 150 E Broadway, Newport, TN 37821-2329 |
| Heather N Browder | Clinical Social Worker | Cherokee Health Systems | 215 Hedrick Dr, Newport, TN 37821-2902 |
| Melissa R Lamb | Nurse Practitioner | Rural Medical Services, Inc. | 229 Hedrick Dr, Newport, TN 37821-2902 |
| Patricia Conner | Family Medicine | Rural Medical Services, Inc. | 229 Hedrick Dr, Newport, TN 37821-2902 |
| Rachel A Mathers | Nurse Practitioner | Rural Medical Services, Inc. | 229 Hedrick Dr, Newport, TN 37821-2902 |
| Crystal D Lane | Nurse Practitioner | Cherokee Health Systems | 215 Hedrick Dr, Newport, TN 37821-2902 |
| Patricia A Kyle | Nurse Practitioner | Cherokee Health Systems | 215 Hedrick Dr, Newport, TN 37821-2902 |
| Find all physicians in zip 37821 | |||
| City | NEWPORT |
| Zip Code | 37821 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | NEWPORT + PHYSICIAN ASSISTANT |
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| 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.