MR. DALE WORTHAM M.D. NPI 1235130014

NPI Information

  • NPI: 1235130014
  • Provider Name: MR. DALE WORTHAM, M.D.
  • Classification: Internal Medicine - 207RI0011X
  • Specialization: Interventional Cardiology
  • Entity Type: Individual
  • Address: 1940 ALCOA HWY
    SUITE E-310
    KNOXVILLE, TN
    ZIP 37920
  • Phone: (865) 544-2800

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NPI Details

MR. Dale Wortham, M.D. is an interventional cardiology internal medicine in Knoxville, TN. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. MR. Dale Wortham, M.D. NPI is 1235130014. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1940 ALCOA HWY
SUITE E-310
KNOXVILLE, TN
ZIP 37920-244
Phone: (865) 544-2800
Fax: (865) 544-6812

The enumeration date for this NPI number is 8/3/2005 and was last updated on 11/14/2016.

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
1207RC0000XInternal MedicineCardiovascular Disease25519TENNESSEENo
2207RI0011XInternal MedicineInterventional Cardiology25519TENNESSEEYes

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
13083393MEDICARE ID-TYPE UNSPECIFIEDTENNESSEE
2F39260MEDICARE UPINTENNESSEE
33083393MEDICAIDTENNESSEE

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: 11/21/2025

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