NORMAN E LIDDELL MD PHD NPI 1578547758

NPI Information

NPI: 1578547758
Provider Name: NORMAN E LIDDELL, MD, PHD
Classification: Specialist - 174400000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1240 FOX MEADOWS BOULEVARD
SUITE 6
SEVIERVILLE, TN
ZIP 37862
Phone: (865) 428-4042
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Norman E Liddell, MD, PHD is a specialist in Sevierville, TN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Norman E Liddell, MD, PHD NPI is 1578547758. 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:

1240 FOX MEADOWS BOULEVARD
SUITE 6
SEVIERVILLE, TN
ZIP 37862-928
Phone: (865) 428-4042
Fax: (865) 428-8191

The NPI 1578547758 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/1/2005 and was last updated on 7/6/2010.

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	174400000X	Specialist		MD28522	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	10012098	OTHER	TENNESSEE	PHP TENNCARE
2	4472010	OTHER	TENNESSEE	AETNA
3	4024131	OTHER	TENNESSEE	BCBS
4	702002822	OTHER	TENNESSEE	CARITEN
5	1578547758	OTHER	TENNESSEE	HUMANA
6	8710353	OTHER	TENNESSEE	CIGNA
7	38043801	MEDICARE PIN	TENNESSEE
8	38043801	MEDICAID	TENNESSEE
9	3940202	OTHER	TENNESSEE	UNITED HEALTHCARE
10	D95731	MEDICARE UPIN

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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