| Onrise | |
|
110 Perimeter Park Rd Ste A Knoxville TN 37922-2200 | |
| (865) 288-8970 | |
| (865) 935-8179 |
| Full Name | Onrise |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 110 Perimeter Park Rd Ste A, Knoxville, Tennessee |
| Authorized Official Name and Position | Patricia Rutherford (ADMINISTRATOR) |
| Authorized Official Contact | 8652888970 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Onrise 110 Perimeter Park Rd Ste A Knoxville TN 37922-2200 Ph: (865) 288-8970 | Onrise 110 Perimeter Park Rd Ste A Knoxville TN 37922-2200 Ph: (865) 288-8970 |
| NPI Number | 1215427372 |
|---|---|
| Provider Enumeration Date | 05/15/2018 |
| Last Update Date | 01/21/2021 |
| Certification Date | 01/21/2021 |
| Medicare PECOS PAC ID | 6901262286 |
|---|---|
| Medicare Enrollment ID | O20230510003621 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215427372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Kimberly Quigley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619041803 PECOS PAC ID: 9638189442 Enrollment ID: I20070124000499 |
| Provider Name | Kevin R Orpurt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578561783 PECOS PAC ID: 8325233919 Enrollment ID: I20101109000544 |
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