DR. JAN BISHOP M.D. NPI 1083650717

NPI Information

NPI: 1083650717
Provider Name: DR. JAN BISHOP, M.D.
Classification: Pediatrics - 2080P0204X
Entity Type: Individual

Specialization: Pediatric Emergency Medicine

Address:
2018 W CLINCH AVE
EAST TENNESSEE CHILDRENS HOSPITAL
KNOXVILLE, TN
ZIP 37916
Phone: (865) 541-8000
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DR. Jan Bishop, M.D. is a pediatric emergency medicine pediatrics in Knoxville, TN. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. DR. Jan Bishop, M.D. NPI is 1083650717. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2018 W CLINCH AVE
EAST TENNESSEE CHILDRENS HOSPITAL
KNOXVILLE, TN
ZIP 37916-301
Phone: (865) 541-8000

The enumeration date for this NPI number is 6/21/2006 and was last updated on 7/20/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		MD021840	TENNESSEE	No
2	2080P0204X	Pediatrics	Pediatric Emergency Medicine	MD021840	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3028314	OTHER	TENNESSEE	BLUE CROSS
2	3063923	MEDICAID	TENNESSEE
3	64910458	MEDICAID	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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