KNOXVILLE KIDNEY CENTER PLLC NPI 1306864186

NPI Information

NPI: 1306864186
Provider Name: KNOXVILLE KIDNEY CENTER, PLLC

Former Legal Business Name: G. EDWARD NEWMAN, MD, PLLC

Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
320 PARK 40 NORTH BLVD
SUITE A
KNOXVILLE, TN
ZIP 37923
Phone: (865) 692-3462
Get Directions

KNOXVILLE KIDNEY CENTER, PLLC is a nephrology internal medicine in Knoxville, TN. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. KNOXVILLE KIDNEY CENTER, PLLC NPI is 1306864186. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is G. Edward Newman, Md, Pllc.

The provider's business location address is:

320 PARK 40 NORTH BLVD
SUITE A
KNOXVILLE, TN
ZIP 37923-624
Phone: (865) 692-3462
Fax: (865) 692-3463

The provider's authorized official is Tammy A. Conger .
The authorized official title is Practice Administrator and has the following contact phone number (865) 692-3462.

The CLIA number assigned to this NPI record is 44D2116828 - physician office with a certificate type of Certificate of Registration.

The enumeration date for this NPI number is 7/18/2006 and was last updated on 11/23/2011.

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	174400000X	Specialist				No
2	261QH0100X	Clinic/Center	Health Service	32138	TENNESSEE	No
3	207RN0300X	Internal Medicine	Nephrology			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	004125050	OTHER	TENNESSEE	BLUECROSS BLUESHIELD OF TN
2	DE8488	OTHER	TENNESSEE	PGBA RAILROAD MEDICARE
3	3047394	MEDICARE PIN	TENNESSEE
4	G90737	MEDICARE UPIN	TENNESSEE

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: 11/14/2023

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