KNOXVILLE FOOT AND ANKLE LLC NPI 1609207117

NPI Information

NPI: 1609207117
Provider Name: KNOXVILLE FOOT AND ANKLE, LLC

Doing Business As: SWCA OF TN

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
1919 PINNACLE POINTE WAY
KNOXVILLE, TN
ZIP 37922
Phone: (877) 380-2072
Get Directions

KNOXVILLE FOOT AND ANKLE, LLC is a foot and ankle surgery podiatrist in Knoxville, TN. KNOXVILLE FOOT AND ANKLE, LLC NPI is 1609207117. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Swca Of Tn.

The provider's business location address is:

1919 PINNACLE POINTE WAY
KNOXVILLE, TN
ZIP 37922-701
Phone: (877) 380-2072
Fax: (208) 383-5306

The provider's authorized official is Christina Lynn Pike .
The authorized official title is Delegated Offical and has the following contact phone number (208) 985-2260.

The CLIA number assigned to this NPI record is 44D0982828 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/9/2013 and was last updated on 8/3/2021.

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	213ES0103X	Podiatrist	Foot & Ankle Surgery		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	Q002214	MEDICAID	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: 4/28/2024

NPI Synchronization or Removal

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