Unknown Individual – Clinical Cardiac Electrophysiology Physician, NPI 1861489403
Clinical Cardiac Electrophysiology 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
9330, Park West Boulevard, Park West, Cedar Bluff, Knoxville, Knox County, East Tennessee, Tennessee, 37923, United States
SUITE 202
KNOXVILLE, TN 379234308
Phone: (865) 691-4850
Fax: (865) 694-8018
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 37923)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | TN | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 198 | 198 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | TN | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 1167 | 1017 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | TN | 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 228 | 172 |
Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| Internal Medicine | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Internal Medicine | TN | |
| Nurse Practitioner | TN | |
| Family Practice | TN | |
| - | TN | |
| Physician Assistant | TN | |
| Nurse Practitioner | TN |
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