| Peninsula Div Parkwest Mc | |
|
9352 Parkwest Blvd Knoxville TN 37923 | |
| (865) 374-3000 | |
| Not Available |
| Full Name | Peninsula Div Parkwest Mc |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 9352 Parkwest Blvd, Knoxville, Tennessee |
| Authorized Official Name and Position | Rick Carringer (VP REVENUE CYCLE) |
| Authorized Official Contact | 8653743090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peninsula Div Parkwest Mc Po Box 440436 Nashville TN 37244-0436 Ph: () - | Peninsula Div Parkwest Mc 9352 Parkwest Blvd Knoxville TN 37923 Ph: (865) 374-3000 |
| NPI Number | 1396739165 |
|---|---|
| Provider Enumeration Date | 09/07/2005 |
| Last Update Date | 11/21/2023 |
| Certification Date | 09/19/2023 |
| Medicare PECOS PAC ID | 8527965417 |
|---|---|
| Medicare Enrollment ID | O20040429000423 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396739165 | NPI | - | NPPES |
| 0440173 | Medicaid | TN |
| Provider Name | Gary W Lethco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851466247 PECOS PAC ID: 4880593441 Enrollment ID: I20040102000801 |
| Provider Name | Jon S Parham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588612907 PECOS PAC ID: 5991606113 Enrollment ID: I20040120000210 |
| Provider Name | Bert E Simpson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093792442 PECOS PAC ID: 5193627792 Enrollment ID: I20040123000641 |
| Provider Name | Sibyl E Wray |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881662591 PECOS PAC ID: 3870496797 Enrollment ID: I20040129000074 |
| Provider Name | Roger A Riedel |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1356331805 PECOS PAC ID: 0345143947 Enrollment ID: I20040130000509 |
| Provider Name | Gregory Brewer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285621870 PECOS PAC ID: 2668367202 Enrollment ID: I20040220000882 |
| Provider Name | Manju Khanna |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043287899 PECOS PAC ID: 1557257490 Enrollment ID: I20040226000393 |
| Provider Name | Mitchell H Weiss |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1316902687 PECOS PAC ID: 2860380946 Enrollment ID: I20040309001287 |
| Provider Name | Samir Al-kabbani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083681183 PECOS PAC ID: 5698664167 Enrollment ID: I20040312000543 |
| Provider Name | Berta M Bergia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275501728 PECOS PAC ID: 1052200581 Enrollment ID: I20040312000878 |
| Provider Name | Mohammad I Hussain |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699773747 PECOS PAC ID: 4587563010 Enrollment ID: I20040312000926 |
| Provider Name | Albert R Blacky |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1699762252 PECOS PAC ID: 6507756020 Enrollment ID: I20040318000527 |
| Provider Name | Joanne V Filchock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477521037 PECOS PAC ID: 6709878366 Enrollment ID: I20040401001572 |
| Provider Name | Andrews Paul |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1780656249 PECOS PAC ID: 2466445143 Enrollment ID: I20040414000284 |
| Provider Name | Lesley Y Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932186970 PECOS PAC ID: 3274529052 Enrollment ID: I20040426000701 |
| Provider Name | John M Prince |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1861501991 PECOS PAC ID: 3971592486 Enrollment ID: I20040510001268 |
| Provider Name | Douglas L Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083669345 PECOS PAC ID: 1850381757 Enrollment ID: I20040513000797 |
| Provider Name | Darrell L Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649206616 PECOS PAC ID: 0244211043 Enrollment ID: I20040527000490 |
| Provider Name | Emily A Diltz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972593986 PECOS PAC ID: 6103808159 Enrollment ID: I20040603000323 |
| Provider Name | Stephen L Marietta |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1053301606 PECOS PAC ID: 2668454133 Enrollment ID: I20040607001223 |
| Provider Name | Robert P Martyn |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1265422760 PECOS PAC ID: 2264415736 Enrollment ID: I20040608000440 |
| Provider Name | David E Wood |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821087479 PECOS PAC ID: 3476536939 Enrollment ID: I20040615001048 |
| Provider Name | Terry F Holmes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174557722 PECOS PAC ID: 6709862535 Enrollment ID: I20040624000747 |
| Provider Name | Daniel L Cox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417059254 PECOS PAC ID: 2769462050 Enrollment ID: I20040726000974 |
| Provider Name | Donna G Mckenzie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841209715 PECOS PAC ID: 7719957802 Enrollment ID: I20040727001111 |
| Provider Name | Paul Dcruz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558361493 PECOS PAC ID: 0345210167 Enrollment ID: I20040729000270 |
| Provider Name | Daniel Brewer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013975168 PECOS PAC ID: 9436129145 Enrollment ID: I20040729001016 |
| Provider Name | Marshall D Stockton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437116944 PECOS PAC ID: 8921078387 Enrollment ID: I20040731000079 |
| Provider Name | Malcolm T Foster |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861482556 PECOS PAC ID: 2264405000 Enrollment ID: I20040818001159 |
| Provider Name | Mona S Ford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952378291 PECOS PAC ID: 9032178975 Enrollment ID: I20041006001421 |
| Provider Name | Sergio Loaiza |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306828314 PECOS PAC ID: 2264496942 Enrollment ID: I20041112000533 |
| Provider Name | Rebecca Anne Nichols |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013985597 PECOS PAC ID: 8224092747 Enrollment ID: I20041115001066 |
| Provider Name | Janiece R Foust |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457350829 PECOS PAC ID: 7719935998 Enrollment ID: I20050104000808 |
| Provider Name | Kathryn A Duncan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215987193 PECOS PAC ID: 9335190826 Enrollment ID: I20050202000108 |
| Provider Name | Clay E Stalcup |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750389979 PECOS PAC ID: 8820041023 Enrollment ID: I20050228001012 |
| Provider Name | Laraine Lieberman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336108562 PECOS PAC ID: 4688620156 Enrollment ID: I20050328000862 |
| Provider Name | Mujeeb H Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417924002 PECOS PAC ID: 2264472497 Enrollment ID: I20050506000696 |
| Provider Name | Safia M Sabri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881661627 PECOS PAC ID: 5092786616 Enrollment ID: I20050517000953 |
| Provider Name | Jeffery L Easterly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134165178 PECOS PAC ID: 2365486321 Enrollment ID: I20050610000775 |
| Provider Name | Maria Liquete |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942266580 PECOS PAC ID: 4385670298 Enrollment ID: I20050712001003 |
| Provider Name | Randall Douglas Towne |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750372751 PECOS PAC ID: 7416985411 Enrollment ID: I20050801000583 |
| Provider Name | Steven W Reed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669462834 PECOS PAC ID: 9436187457 Enrollment ID: I20050801000762 |
| Provider Name | Shyamsunder Prasad Vuyyuru |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568430726 PECOS PAC ID: 7012947203 Enrollment ID: I20050817000581 |
| Provider Name | Rajendra T Raman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346219441 PECOS PAC ID: 0446280648 Enrollment ID: I20050817000689 |
| Provider Name | Nancy Blaylock Citty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396709960 PECOS PAC ID: 7012947112 Enrollment ID: I20050818000334 |
| Provider Name | Tamela King |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386609956 PECOS PAC ID: 4880624865 Enrollment ID: I20050818001068 |
| Provider Name | Thea Cross |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093788044 PECOS PAC ID: 3577597160 Enrollment ID: I20050922001026 |
| Provider Name | Alice M Kachelries |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043270481 PECOS PAC ID: 6709811821 Enrollment ID: I20050928000241 |
| Provider Name | Angelina A Supan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588750640 PECOS PAC ID: 3870514433 Enrollment ID: I20051209000667 |
| Provider Name | Kevin S Corum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316945504 PECOS PAC ID: 9638172844 Enrollment ID: I20060808000434 |
| Provider Name | Kimberly Quigley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619041803 PECOS PAC ID: 9638189442 Enrollment ID: I20070124000499 |
| Provider Name | Karen D Tipton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205917168 PECOS PAC ID: 4284636382 Enrollment ID: I20070201000647 |
| Provider Name | Nareshbhai R Mistry |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699763250 PECOS PAC ID: 1557466711 Enrollment ID: I20070417000208 |
| Provider Name | Malik Ibrahim |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588617187 PECOS PAC ID: 9133161573 Enrollment ID: I20070517000063 |
| Provider Name | Thomas M Ayres |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588653141 PECOS PAC ID: 8527166628 Enrollment ID: I20070613000743 |
| Provider Name | Angela J Wentworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265572689 PECOS PAC ID: 9931209376 Enrollment ID: I20070713000440 |
| Provider Name | Heather L Surber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467580688 PECOS PAC ID: 3173616059 Enrollment ID: I20070908000183 |
| Provider Name | Tony A Elkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639390685 PECOS PAC ID: 2264526474 Enrollment ID: I20070919000457 |
| Provider Name | Gwendolyn D Crenshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972654374 PECOS PAC ID: 5496844888 Enrollment ID: I20071207000867 |
| Provider Name | Matthew M Reichert |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477684405 PECOS PAC ID: 2466416771 Enrollment ID: I20080618000029 |
| Provider Name | Elizabeth R Langley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538246459 PECOS PAC ID: 0042310310 Enrollment ID: I20080916000105 |
| Provider Name | Nalini Samavedy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629121447 PECOS PAC ID: 6709979693 Enrollment ID: I20081210000343 |
| Provider Name | Melanie R Fuertes-hunt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336109933 PECOS PAC ID: 2264493527 Enrollment ID: I20090128000467 |
| Provider Name | Veronica M Gubatan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558369736 PECOS PAC ID: 7416840053 Enrollment ID: I20090128000519 |
| Provider Name | James Hora |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447224621 PECOS PAC ID: 2769589621 Enrollment ID: I20090205000573 |
| Provider Name | Gabriel Ojeda |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023045556 PECOS PAC ID: 5294890646 Enrollment ID: I20090218000357 |
| Provider Name | Charles G Rodwell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346219409 PECOS PAC ID: 1456337880 Enrollment ID: I20090220000167 |
| Provider Name | Ayaz M Rahman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881871374 PECOS PAC ID: 3779640826 Enrollment ID: I20090317000626 |
| Provider Name | David W Brandes |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487761144 PECOS PAC ID: 4486687167 Enrollment ID: I20090605000545 |
| Provider Name | Brent A Grishkin |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1003809617 PECOS PAC ID: 7911057211 Enrollment ID: I20090608000532 |
| Provider Name | Anthony Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659436830 PECOS PAC ID: 9335153667 Enrollment ID: I20090713000693 |
| Provider Name | Kenneth M Bielak |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861459836 PECOS PAC ID: 7810041589 Enrollment ID: I20090813000843 |
| Provider Name | Donna Lynne Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528296548 PECOS PAC ID: 9335109735 Enrollment ID: I20091116000436 |
| Provider Name | Scott Luchsinger |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164467429 PECOS PAC ID: 0345328357 Enrollment ID: I20100210000059 |
| Provider Name | Jesse T Doers |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1467498097 PECOS PAC ID: 0840378832 Enrollment ID: I20100223000093 |
| Provider Name | Shannon L Byrd |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1265477400 PECOS PAC ID: 9133207277 Enrollment ID: I20100224000417 |
| Provider Name | Robert G Harned |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184699845 PECOS PAC ID: 8628113495 Enrollment ID: I20100304000158 |
| Provider Name | Lori P Brooks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720284896 PECOS PAC ID: 0749318418 Enrollment ID: I20100518000036 |
| Provider Name | Thimmappayya Hasanadka |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255469359 PECOS PAC ID: 0648301515 Enrollment ID: I20100622000501 |
| Provider Name | Ron O Debord |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851614564 PECOS PAC ID: 1759414238 Enrollment ID: I20100804000621 |
| Provider Name | Norma Jean Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598784191 PECOS PAC ID: 0840314704 Enrollment ID: I20100830000081 |
| Provider Name | Max W Lawson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346292729 PECOS PAC ID: 7315062437 Enrollment ID: I20100914001083 |
| Provider Name | Bruce Neal Allsop |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982650727 PECOS PAC ID: 9032004445 Enrollment ID: I20101018001039 |
| Provider Name | John G Kupfner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285832964 PECOS PAC ID: 7810064177 Enrollment ID: I20101104001255 |
| Provider Name | Amanda Albertsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386964641 PECOS PAC ID: 4385830041 Enrollment ID: I20101122000242 |
| Provider Name | Beverly H Hancock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386957330 PECOS PAC ID: 1355538182 Enrollment ID: I20101206001312 |
| Provider Name | Jayne Lcsw Kraft |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679619969 PECOS PAC ID: 0244428092 Enrollment ID: I20101221000916 |
| Provider Name | Thomas R Terrell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083703003 PECOS PAC ID: 2860429917 Enrollment ID: I20110303000010 |
| Provider Name | Ashley R Tindell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629262589 PECOS PAC ID: 2264614775 Enrollment ID: I20110304000246 |
| Provider Name | Nicholas Peter Xenopoulos |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1568548006 PECOS PAC ID: 4981594546 Enrollment ID: I20110520000323 |
| Provider Name | Navneet Taneja |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366601841 PECOS PAC ID: 1951579713 Enrollment ID: I20110721000411 |
| Provider Name | Surendra K Sharma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841516440 PECOS PAC ID: 7315118726 Enrollment ID: I20110915000280 |
| Provider Name | Amir Hussaini |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235137415 PECOS PAC ID: 2567635725 Enrollment ID: I20111103000174 |
| Provider Name | Jennifer K Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962775403 PECOS PAC ID: 6709040785 Enrollment ID: I20120605000107 |
| Provider Name | Caitlin Adele Greenwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710231964 PECOS PAC ID: 1557514346 Enrollment ID: I20130102000468 |
| Provider Name | Jeremy M Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134462864 PECOS PAC ID: 7810136694 Enrollment ID: I20130627000326 |
| Provider Name | Robert Hamm |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700067642 PECOS PAC ID: 1052580206 Enrollment ID: I20130724000924 |
| Provider Name | Saadi Ahmad Siddiqi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396944575 PECOS PAC ID: 7315027968 Enrollment ID: I20131114000508 |
| Provider Name | Jonathan P Mccollum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003002734 PECOS PAC ID: 9234354077 Enrollment ID: I20140710001338 |
| Provider Name | Sherryl Kathryn Croitor |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417190729 PECOS PAC ID: 3072783661 Enrollment ID: I20140822001520 |
| Provider Name | Samuel A Moore |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467684621 PECOS PAC ID: 1850415985 Enrollment ID: I20140825000197 |
| Provider Name | Cynthia T Buckner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780004531 PECOS PAC ID: 6507084860 Enrollment ID: I20140827002826 |
| Provider Name | Michael E Wentworth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659607323 PECOS PAC ID: 3072763481 Enrollment ID: I20150414000754 |
| Provider Name | Thomas Wannenburg |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1346225380 PECOS PAC ID: 6608904420 Enrollment ID: I20150624002410 |
| Provider Name | Christopher Trotter |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1538321393 PECOS PAC ID: 0648583096 Enrollment ID: I20150714003286 |
| Provider Name | Bethany Townsend |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205091816 PECOS PAC ID: 3173837507 Enrollment ID: I20150729009948 |
| Provider Name | Abdelhamid M Alsharif |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1689985285 PECOS PAC ID: 2860630100 Enrollment ID: I20150924001765 |
| Provider Name | Megan E Stonecypher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508156563 PECOS PAC ID: 5496990996 Enrollment ID: I20151027002787 |
| Provider Name | Joseph C Petit |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285865667 PECOS PAC ID: 0941510457 Enrollment ID: I20151113000514 |
| Provider Name | Matthews W. Gwynn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225112667 PECOS PAC ID: 0244425320 Enrollment ID: I20151118002590 |
| Provider Name | Robert Malka |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174785513 PECOS PAC ID: 7416118658 Enrollment ID: I20151203001964 |
| Provider Name | Janice S Ledford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790140648 PECOS PAC ID: 8729377908 Enrollment ID: I20160511000577 |
| Provider Name | Lekshmi Seemanthini |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1326229352 PECOS PAC ID: 6103014980 Enrollment ID: I20160801002218 |
| Provider Name | Michael A Corbin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548365463 PECOS PAC ID: 4082518410 Enrollment ID: I20160812001894 |
| Provider Name | Umang L Shah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750514154 PECOS PAC ID: 1557503919 Enrollment ID: I20160824002802 |
| Provider Name | Shamir Haji |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659684488 PECOS PAC ID: 8820268519 Enrollment ID: I20161017000366 |
| Provider Name | Lori A Stallings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417404419 PECOS PAC ID: 0941588057 Enrollment ID: I20161025000727 |
| Provider Name | James M Kiely |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205911096 PECOS PAC ID: 6608061783 Enrollment ID: I20161025001352 |
| Provider Name | Logan S Mccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508200437 PECOS PAC ID: 4385957067 Enrollment ID: I20161212000817 |
| Provider Name | Rhonda K Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538286315 PECOS PAC ID: 1951682020 Enrollment ID: I20170103001820 |
| Provider Name | Nikki S Sparks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457893109 PECOS PAC ID: 1153607536 Enrollment ID: I20170419002723 |
| Provider Name | Kaycia Vansickle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780796755 PECOS PAC ID: 0941279079 Enrollment ID: I20170718003727 |
| Provider Name | Natalie Steele Bradford |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861713505 PECOS PAC ID: 4082938840 Enrollment ID: I20170725001488 |
| Provider Name | Jaime Claudette Holbert |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1487064283 PECOS PAC ID: 5395030027 Enrollment ID: I20170823001467 |
| Provider Name | Jessica N Paskwietz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760909592 PECOS PAC ID: 2163780271 Enrollment ID: I20171219002296 |
| Provider Name | Christel Amber Redfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033358379 PECOS PAC ID: 1557618675 Enrollment ID: I20180720001246 |
| Provider Name | Ogei Yar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528198272 PECOS PAC ID: 1557458882 Enrollment ID: I20180720001896 |
| Provider Name | Laura G Kaplan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942583901 PECOS PAC ID: 0446530265 Enrollment ID: I20180720003054 |
| Provider Name | Tamara Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396860086 PECOS PAC ID: 3274872981 Enrollment ID: I20190225000958 |
| Provider Name | Brandon D Rowan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669436481 PECOS PAC ID: 4284976945 Enrollment ID: I20190429001466 |
| Provider Name | Thomas Patrick Jensen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780843599 PECOS PAC ID: 2567618879 Enrollment ID: I20191113000713 |
| Provider Name | Kamran Boka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922249770 PECOS PAC ID: 8820266943 Enrollment ID: I20191118003083 |
| Provider Name | Carrie Ratliff-yahyavi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326699323 PECOS PAC ID: 0840625547 Enrollment ID: I20200125000452 |
| Provider Name | Spencer Austin Pugh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003294992 PECOS PAC ID: 7618262593 Enrollment ID: I20200227001700 |
| Provider Name | Sara Negrotto |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1932456621 PECOS PAC ID: 9335380013 Enrollment ID: I20200629001910 |
| Provider Name | Rachel Guthrie Samuel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063830826 PECOS PAC ID: 3173847563 Enrollment ID: I20200804001195 |
| Provider Name | Rocco Cannistraro |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427435072 PECOS PAC ID: 9638481476 Enrollment ID: I20200805003317 |
| Provider Name | Charles J Allderdice |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1104262096 PECOS PAC ID: 3577707272 Enrollment ID: I20200812001042 |
| Provider Name | Sarah Smith Koberlein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962027102 PECOS PAC ID: 9133546559 Enrollment ID: I20200831003291 |
| Provider Name | John Noah Meriwether |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1356630008 PECOS PAC ID: 0840416293 Enrollment ID: I20200909003421 |
| Provider Name | Kaja Switalska |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073099529 PECOS PAC ID: 5991124083 Enrollment ID: I20200923000023 |
| Provider Name | Kristina Riser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083216071 PECOS PAC ID: 5395157168 Enrollment ID: I20201220000029 |
| Provider Name | John Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740324078 PECOS PAC ID: 3870906548 Enrollment ID: I20210119002947 |
| Provider Name | Thomas Gerald Kustra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861080343 PECOS PAC ID: 0042626483 Enrollment ID: I20210309001778 |
| Provider Name | Randy Bargo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558970517 PECOS PAC ID: 4587074216 Enrollment ID: I20210720001242 |
| Provider Name | Stephanie H Atkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235741646 PECOS PAC ID: 7012315260 Enrollment ID: I20211001002498 |
| Provider Name | Ellion Mangel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508381393 PECOS PAC ID: 2567860075 Enrollment ID: I20211014001225 |
| Provider Name | Meredith Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083387567 PECOS PAC ID: 5395143689 Enrollment ID: I20211019000038 |
| Provider Name | Jordan Bollinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063030369 PECOS PAC ID: 8921496134 Enrollment ID: I20211020002019 |
| Provider Name | Claudia Noemi Segovia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376119354 PECOS PAC ID: 5799173662 Enrollment ID: I20211026001136 |
| Provider Name | Alex Bacon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093388605 PECOS PAC ID: 8123417375 Enrollment ID: I20211110001001 |
| Provider Name | Whitney S Evans |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386179943 PECOS PAC ID: 2062782881 Enrollment ID: I20220314000467 |
| Provider Name | Christina Day Mahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669121109 PECOS PAC ID: 6800273483 Enrollment ID: I20220520000525 |
| Provider Name | Bashar Obeidou |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033297031 PECOS PAC ID: 4385558196 Enrollment ID: I20220608001360 |
| Provider Name | Jeremy Brooks |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861873879 PECOS PAC ID: 6103130919 Enrollment ID: I20220801000939 |
| Provider Name | Tamara L. Ellington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033723572 PECOS PAC ID: 2264816172 Enrollment ID: I20220826000076 |
| Provider Name | Tracey L Watson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811635840 PECOS PAC ID: 4789068578 Enrollment ID: I20220828000095 |
| Provider Name | Julie Elizabeth Thurmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609231604 PECOS PAC ID: 8729457189 Enrollment ID: I20221207002683 |
| Provider Name | Kassidy Nicole Hubbard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194435800 PECOS PAC ID: 8820453897 Enrollment ID: I20230426001000 |
| Provider Name | Christine Schlachter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114439627 PECOS PAC ID: 7719370212 Enrollment ID: I20230607000890 |
| Provider Name | Edin Sadic |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1386006526 PECOS PAC ID: 2365786191 Enrollment ID: I20230703000833 |
| Provider Name | Bich Ngoc Thi Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770209298 PECOS PAC ID: 1254788664 Enrollment ID: I20231107001486 |
| Provider Name | Hannah Kathryn Thompson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1710470620 PECOS PAC ID: 9638521313 Enrollment ID: I20240118000723 |
| Provider Name | Michael K Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770292666 PECOS PAC ID: 6507218070 Enrollment ID: I20240119003052 |
| Provider Name | Emily Delilah Beasley Wilson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164762951 PECOS PAC ID: 5597118844 Enrollment ID: I20240202000792 |
| Provider Name | Joseph K Murphy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346367125 PECOS PAC ID: 1254774656 Enrollment ID: I20240213000035 |
| Provider Name | Tina Spivey Gibson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1508324948 PECOS PAC ID: 2466897111 Enrollment ID: I20240304002525 |
| Provider Name | Angela Goins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003292236 PECOS PAC ID: 9234576257 Enrollment ID: I20240326000845 |
| Provider Name | Lisa Melynda Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477332948 PECOS PAC ID: 6608217625 Enrollment ID: I20240508002351 |
Lane M. Cook, M.d. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4428 Sutherland Ave, Knoxville, TN 37919 Phone: 865-588-6425 Fax: 865-584-8066 | |
David Friend, Lcsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9631 W Emory Rd., Knoxville, TN 37931 Phone: 865-219-9559 | |
Omega Pain Management, Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6348 Lonas Spring Dr, Knoxville, TN 37909 Phone: 865-337-5137 Fax: 888-839-6922 | |
The Next Door Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2636 Maryville Pike, Knoxville, TN 37920 Phone: 865-934-2890 Fax: 865-934-2894 | |
Mckinnon Mental Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6626 Central Avenue Pike, Knoxville, TN 37912 Phone: 865-235-9742 | |
Rha Health Services Tn Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9041 Executive Park Dr Ste 705, Knoxville, TN 37923 Phone: 895-769-7491 | |
Weatherstone Collaborative Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 323 Ebenezer Rd, Knoxville, TN 37923 Phone: 865-272-9709 |