Tyler Edward Holt (NPI# 1336521079, PAC ID# 9739492836) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1336521079 |
| PAC ID by PECOS | 9739492836 |
| Professional Enrollment ID | I20150718000048 |
| Full Name | Tyler Edward Holt |
| Organization Legal Name | ORTHOTENNESSEE, PC |
| Address |
827 E Lamar Alexander Pkwy Maryville TN 37804-5001 |
| Phone Number | 8659840900 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3476453572 |
| Number of Group Practice Members | 123 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440011 | BLOUNT MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 260 Fort Sanders W Blvd, Knoxville, TN 37922-3355 | 8655584400 | ORTHOTENNESSEE, PC |
| 260 Fort Sanders W Blvd, Suite 110, Knoxville, TN 37922-3355 | 8655584491 | ORTHOTENNESSEE, PC |
| 827 E Lamar Alexander Pkwy, Maryville, TN 37804-5001 | 8659840900 | ORTHOTENNESSEE, PC |
| Organization Legal Name | ORTHOTENNESSEE, PC |
| Physicians | 135 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Meredith L Mayfield | Physical Therapy | Orthotennessee, PC | 7557 Dannaher Dr, Suite G30, Powell, TN 37849-3560 |
| Konstantinos Marinos Triantafillou | Orthopedic Surgery | Orthotennessee, PC | 1926 Alcoa Hwy, Bldg F, Knoxville, TN 37920-1545 |
| Charles Daniel Benson | Orthopedic Surgery | Orthotennessee, PC | 1855 Tanner Way, Suite 110, Harriman, TN 37748-8331 |
| Sydney Wallace Sherrell | Nurse Practitioner | Orthotennessee, PC | 260 Fort Sanders W Blvd, Knoxville, TN 37922-3355 |
| Eric A Morgan | Orthopedic Surgery | Orthotennessee, PC | 827 E Lamar Alexander Pkwy, Maryville, TN 37804-5001 |
| Herman G Botero | Orthopedic Surgery | Orthotennessee, PC | 1422 Old Weisgarber Rd, Knoxville, TN 37909-1293 |
| James A Engblom | Podiatry | Orthotennessee, PC | 90 Vermont Ave, Oak Ridge, TN 37830-6478 |
| Robert W Hawkins | Nurse Practitioner | Orthotennessee, PC | 7557 Dannaher Dr, Suite G30, Powell, TN 37849-3560 |
| Katherine E Mckinney | Occupational Therapy | Orthotennessee, PC | 7557 Dannaher Dr, Suite G30, Powell, TN 37849-3560 |
| Braxton S Childers | Physician Assistant | Orthotennessee, PC | 1130 Middle Creek Rd, Suite 270, Sevierville, TN 37862-3052 |
| Street Address |
827 E LAMAR ALEXANDER PKWY |
| City | MARYVILLE |
| State | TN |
| Zip | 37804-5001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric A Morgan | Orthopedic Surgery | Orthotennessee, PC | 827 E Lamar Alexander Pkwy, Maryville, TN 37804-5001 |
| Brandon S Asbury | Orthopedic Surgery | Orthotennessee, PC | 827 E Lamar Alexander Pkwy, Maryville, TN 37804-5001 |
| Kathryn O'dell | Physical Therapy | Orthotennessee, PC | 827 E Lamar Alexander Pkwy, Maryville, TN 37804-5001 |
| William F Robinson | Physical Therapy | Orthotennessee, PC | 827 E Lamar Alexander Pkwy, Maryville, TN 37804-5001 |
| Jay W Winn | Orthopedic Surgery | Orthotennessee, PC | 827 E Lamar Alexander Pkwy, Maryville, TN 37804-5001 |
| Michael L Campbell | Orthopedic Surgery | Orthotennessee, PC | 827 E Lamar Alexander Pkwy, Maryville, TN 37804-5001 |
| Todd Griffith | Orthopedic Surgery | Orthotennessee, PC | 827 E Lamar Alexander Pkwy, Maryville, TN 37804-5001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary K Poese | Physician Assistant | Carole L Long Md PC | 2036 Chilhowee, Professional Bldg, Maryville, TN 37804-0001 |
| Paul D Rook | Qualified Audiologist | Blount Hearing and Speech Services, Inc. | 1617 E Broadway, Maryville, TN 37804-2913 |
| Natalie H Mcamis | Qualified Audiologist | Blount Hearing and Speech Services, Inc. | 1617 E Broadway, Maryville, TN 37804-2913 |
| Elisabeth J Galloway | Qualified Audiologist | Blount Hearing and Speech Services, Inc. | 1617 E Broadway, Maryville, TN 37804-2913 |
| Sharon N Chastain | Psychiatry | Helen Ross Mcnabb Center | 1704 E Broadway Ave, Maryville, TN 37804-2916 |
| Tracy Gibson Grabman | Psychiatry | Helen Ross Mcnabb Center | 1704 E Broadway Ave, Maryville, TN 37804-2916 |
| Angela L Obear | Clinical Social Worker | Helen Ross Mcnabb Center | 1704 E Broadway Ave, Maryville, TN 37804-2916 |
| Shannon E Everette | Nurse Practitioner | Blount Senior Care Partners, Pllc | 2648 Sevierville Rd, Maryville, TN 37804-3643 |
| Renee J Hyatt | Internal Medicine | Blount Senior Care Partners, Pllc | 2648 Sevierville Rd, Maryville, TN 37804-3643 |
| Traci C Grime | Nurse Practitioner | Blount Senior Care Partners, Pllc | 2648 Sevierville Rd, Maryville, TN 37804-3643 |
| Find all physicians in zip 37804 | |||
| City | MARYVILLE |
| Zip Code | 37804 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MARYVILLE + 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.