DR. PETER GAGNON STIMPSON M.D. NPI 1467463828

NPI Information

NPI: 1467463828
Provider Name: DR. PETER GAGNON STIMPSON, M.D.
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
901 GROVE ST
LOUDON, TN
ZIP 37774
Phone: (865) 458-8929
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DR. Peter Gagnon Stimpson, M.D. is a general practice in Loudon, TN. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Peter Gagnon Stimpson, M.D. NPI is 1467463828. 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:

901 GROVE ST
LOUDON, TN
ZIP 37774-509
Phone: (865) 458-8929
Fax: (865) 458-9412

The enumeration date for this NPI number is 8/11/2006 and was last updated on 6/30/2010.

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	207Q00000X	Family Medicine		8483	TENNESSEE	No
2	208D00000X	General Practice		8483	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
1	B02665	MEDICARE UPIN	TENNESSEE
2	3157385	MEDICAID	TENNESSEE
3	3157385	MEDICARE PIN	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: 5/5/2024

NPI Synchronization or Removal

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