Unknown Individual – Gastroenterology Physician, NPI 1295705879
Gastroenterology Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Clinch Avenue, Fort Sanders, Knoxville, Knox County, Tennessee, 37916, United States
SUITE 212
KNOXVILLE, TN 379162434
Phone: (865) 523-6418
Fax: (865) 523-6587
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 37916)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | TN | 45378 | Diagnostic examination of large bowel using an endoscope | 26 | 26 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TN |
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