DR. JOSHUA WEBER TODD M.D.
NPI 1003017963
Internal Medicine - Interventional Cardiology in Knoxville, TN


Quality Rating: 96.25 out of 100 score

NPI Status: Active since May 29, 2007

Contact Information

1819 W CLINCH AVE
SUITE 108
KNOXVILLE, TN
ZIP 37916
Phone: (865) 546-5111
Fax: (865) 541-4018

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  • Individual
  • Male
  • Years of Experience 21
  • Internal Medicine
  • Interventional Cardiology
  • PECOS Enrolled
  • May Accept Medicare Approved Payment
  • Medicare Quality Reporting

About JOSHUA TODD

Joshua Todd is an internist established in Knoxville, Tennessee and his medical specialization is Internal Medicine with a focus in interventional cardiology with more than 21 years of experience. He graduated from Medical College Of Georgia School Of Medicine in 2004. The healthcare provider is registered in the NPI registry with number 1003017963 assigned on May 2007. The practitioner's primary taxonomy code is 207RI0011X with license number 47160 (TN). The provider is registered as an individual and his NPI record was last updated 8 years ago.

NPI
1003017963
Provider Name
DR. JOSHUA WEBER TODD M.D.
Gender
Male
Entity Type
Individual
Location Address
1819 W CLINCH AVE SUITE 108 KNOXVILLE, TN 37916
Location Phone
(865) 546-5111
Location Fax
(865) 541-4018
Mailing Address
1819 W CLINCH AVE SUITE 108 KNOXVILLE, TN 37916
Mailing Phone
(865) 546-5111
Mailing Fax
(865) 541-4018
Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduation Year
2004
Is Sole Proprietor?
No
Enumeration Date
05-29-2007
Last Update Date
04-13-2016
Code Navigator

An internist like Joshua Todd is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Joshua Todd is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 96.25, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The following quality measures were reported for this provider: collection and follow-up on patient experience and satisfaction data on beneficiary engagement, e-prescribing, health information exchange, medication reconciliation, patient-specific education, provide patient access, secure messaging and security risk analysis.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Interventional Cardiology

Taxonomy Code
207RI0011X
Type
Allopathic & Osteopathic Physicians
License No.
47160
License State
TN
Taxonomy Description
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Ambetter from Arkansas Health & Wellness

    • Choice Bronze HSA (QualChoice) - POS
    • Complete Gold - PPO
    • Complete Gold + Vision + Adult Dental - PPO
    • Complete Silver - PPO
    • Complete Silver + Vision + Adult Dental - PPO
  • Ambetter from Home State Health

    • Choice Bronze HSA - EPO
    • Choice Bronze HSA + Vision + Adult Dental - EPO
    • Clear Gold - EPO
    • Clear Gold + Vision + Adult Dental - EPO
    • Clear Silver - EPO
  • Ambetter from Magnolia Health

    • Ambetter Virtual Access Bronze (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Gold (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Silver (Virtual PCP selection required) - HMO
    • Choice Bronze HSA with Walgreens - HMO
    • Choice Bronze HSA with Walgreens + Vision + Adult Dental - HMO
  • Ambetter from Peach State Health Plan

    • Choice Bronze HSA - HMO
    • Choice Bronze HSA + Vision + Adult Dental - HMO
    • Clear Bronze - HMO
    • Clear Bronze + Vision + Adult Dental - HMO
    • Clear Gold - HMO
  • Ambetter of Alabama

    • Choice Bronze HSA - EPO
    • Choice Bronze HSA + Vision + Adult Dental - EPO
    • Clear Silver - EPO
    • Clear Silver + Vision + Adult Dental - EPO
    • Elite Bronze - EPO
  • Ambetter of North Carolina

    • Ambetter Virtual Access Bronze (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Gold (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Silver (Virtual PCP selection required) - HMO
    • Choice Bronze HSA - HMO
    • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Ambetter of Tennessee

    • Choice Bronze HSA - EPO
    • Choice Bronze HSA + Vision + Adult Dental - EPO
    • Clear Silver - EPO
    • Clear Silver + Vision + Adult Dental - EPO
    • Complete Gold - EPO
  • BlueCross BlueShield of Tennessee

    • BlueCross B07S HSA + $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross B08S $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross B10S $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross B15S $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross B16S $50 PCP Copay + $0 Virtual Care for Medical & Mental Health - EPO
  • Cigna Healthcare

    • Connect Bronze 3500 Indiv Med Deductible Enhanced Diabetes Care - EPO
    • Connect Bronze 5500 Indiv Med Deductible - EPO
    • Connect Bronze 6500 Indiv Med Deductible - EPO
    • Connect Bronze 8500 Indiv Med Deductible - EPO
    • Connect Bronze CMS Standard - EPO
  • Medicare

  • Medicaid


*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1525406MEDICAID (05)TN 
103I063118MEDICARE PIN (08)TN 

PECOS Enrollment and Medicare Participation Status

Joshua Todd is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 4183716749

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20110809000570

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 37916 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $126.52
  • Minimum New Patient Price $54.58
  • Maximum New Patient Price $167.19
  • Average New Patient Copayment $31.63
  • Minimum New Patient Copayment $13.64
  • Maximum New Patient Copayment $41.79

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $97.84
  • Minimum Established Patient Price $16.86
  • Maximum Established Patient Price $136.82
  • Average Established Patient Copayment $24.46
  • Minimum Established Patient Copayment $4.21
  • Maximum Established Patient Copayment $34.2

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 96.25 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: N/A

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 100

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 30

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Quality Reporting

The following quality measures meet Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Collection and follow-up on patient experience and satisfaction data on beneficiary engagementYesN/A
Collection and follow-up on patient experience and satisfaction data on beneficiary engagement, including development of improvement plan.
e-Prescribing 90% 1828
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Health Information Exchange 88% 636
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for at least one transition of care or referral.
Medication Reconciliation 97% 1219
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
Patient-Specific Education 69% 1090
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
Provide Patient Access 60% 1090
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information.
Secure Messaging 6% 1090
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period.
Security Risk AnalysisYesN/A
Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process.

Clinician Services

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 965

    Routine electrocardiogram (ekg) using at least 12 leads with interpretation and report (HCPCS:93010)

  • 327

    Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function (HCPCS:93306)

  • 147

    Routine ekg using at least 12 leads including interpretation and report (HCPCS:93000)

  • 70

    Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes (HCPCS:99152)

  • 60

    Exercise or drug-induced heart and blood vessel stress test with ekg monitoring, physician interpretation and report (HCPCS:93018)

  • 56

    Nuclear medicine study of vessels of heart using drugs or exercise multiple studies (HCPCS:78452)

  • 52

    Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart (HCPCS:93458)

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Joshua Todd is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION908 W 4TH NORTH ST
MORRISTOWN, TN 37814
(423) 586-4231Acute Care Hospitals
CLAIBORNE MEDICAL CENTER1850 OLD KNOXVILLE HIGHWAY
TAZEWELL, TN 37879
(423) 626-4211Acute Care Hospitals
LECONTE MEDICAL CENTER742 MIDDLECREEK ROAD
SEVIERVILLE, TN 37862
(865) 446-7500Acute Care Hospitals
FORT SANDERS REGIONAL MEDICAL CENTER1901 W CLINCH AVE
KNOXVILLE, TN 37916
(865) 541-1101Acute Care Hospitals
PARKWEST MEDICAL CENTER9352 PARK WEST BLVD
KNOXVILLE, TN 37923
(865) 970-9800Acute Care Hospitals

Reviews for DR. JOSHUA WEBER TODD M.D.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003017963
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20030114912
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 1 + 4 + 9 + 1 + 2 + 24 = 47
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 47 = 33

The NPI number 1003017963 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1821087628KNOXVILLE HEART GROUP PC
Organization
Internal Medicine (Cardiovascular Disease)1819 W CLINCH AVE SUITE 108
KNOXVILLE, TN 37916
(865) 546-5111
1699745273 MARK W JACKSON MD
Individual
Internal Medicine (Gastroenterology)1819 W CLINCH AVE SUITE 212
KNOXVILLE, TN 37916
(865) 523-6418
1144290727 MUHAMMED IQBAL MD
Individual
Internal Medicine (Gastroenterology)1819 W CLINCH AVE SUITE 212
KNOXVILLE, TN 37916
(865) 523-6418
1497725089 ROBERT A POLLACK MD
Individual
Internal Medicine (Gastroenterology)1819 W CLINCH AVE SUITE 212
KNOXVILLE, TN 37916
(865) 523-6418
1730159310 JEFFREY I BROWN MD
Individual
Internal Medicine (Gastroenterology)1819 W CLINCH AVE SUITE 212
KNOXVILLE, TN 37916
(865) 523-6418
1033150461 JAMES B RIVERS JR. MD
Individual
Internal Medicine1819 W CLINCH AVE SUITE 114
KNOXVILLE, TN 37916
(865) 524-1631
1922049824 RICHARD C ROSE III MD
Individual
Internal Medicine1819 W CLINCH AVE SUITE 114
KNOXVILLE, TN 37916
(865) 524-1631
1578504478 ANTHONY W MORTON MD
Individual
Internal Medicine1819 W CLINCH AVE SUITE 114
KNOXVILLE, TN 37916
(865) 524-1631
1174567598 KELLY L BAKER MD
Individual
Family Medicine1819 W CLINCH AVE SUITE 114
KNOXVILLE, TN 37916
(865) 524-1631
1336183763 JOHN F COOPER MD
Individual
Internal Medicine1819 W CLINCH AVE SUITE 114
KNOXVILLE, TN 37916
(865) 524-1631
1194910919KNOXVILLE GASTROINTESTINAL SPECIALISTS, PC
Organization
Internal Medicine (Gastroenterology)1819 W CLINCH AVE SUITE 212
KNOXVILLE, TN 37916
(865) 523-6418
1710218508KNOXVILLE HEART GROUP, INC.
Organization
Internal Medicine (Cardiovascular Disease)1819 W CLINCH AVE SUITE 108
KNOXVILLE, TN 37916
(865) 546-5111
1295705879 RICHARD A COHN MD
Individual
Internal Medicine (Gastroenterology)1819 W CLINCH AVE SUITE 212
KNOXVILLE, TN 37916
(865) 523-6418
1629010749DR. DAVID KENT TUTOR MD
Individual
General Practice1819 W CLINCH AVE SUITE 100
KNOXVILLE, TN 37916
(865) 524-5365
1538101209MRS. CAROL D CRYE NP
Individual
Nurse Practitioner1819 W CLINCH AVE
KNOXVILLE, TN 37916
(865) 541-2835
1255446175MR. WILLIAM STUART REID JR. MD
Individual
Neurological Surgery1819 W CLINCH AVE SUITE 214
KNOXVILLE, TN 37916
(865) 541-2835
1588088629 CHARLES PETERS
Individual
Physical Therapist1819 W CLINCH AVE SUITE 106
KNOXVILLE, TN 37916
(865) 524-5365
1356326011DR. JOHN E B HARRISON MD
Individual
Orthopaedic Surgery (Hand Surgery)1819 W CLINCH AVE SUITE 100
KNOXVILLE, TN 37916
(865) 524-5365
1194121723 LORI A. WILKERSON FNP
Individual
Nurse Practitioner (Family)1819 W CLINCH AVE SUITE 114
KNOXVILLE, TN 37916
(865) 524-1631
1275907685 ERIK TAYLOR FNP
Individual
Nurse Practitioner (Family)1819 W CLINCH AVE SUITE 200
KNOXVILLE, TN 37916
(865) 524-3695

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003017963, enumerated in the NPI registry as an "individual" on May 29, 2007

The provider is located at 1819 W Clinch Ave Suite 108 Knoxville, Tn 37916 and the phone number is (865) 546-5111

The provider's speciality is Internal Medicine with taxonomy code 207RI0011X with a focus in Interventional Cardiology

The provider has more than 21 years of experience. He graduated from Medical College Of Georgia School Of Medicine in 2004.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of July 02, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The provider has an overall high rating in the following quality measures: uses technology to exchange and make use of healthcare information.

Medicare beneficiaries should expect a typical cost of $126.52 with an average copayment of $31.63 for new patient appointments. Established patients should expect a typical charge of $97.84 and an average copayment of 24.46. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Routine electrocardiogram (ekg) using at least 12 leads with interpretation and report, Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function, Routine ekg using at least 12 leads including interpretation and report, Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes, Exercise or drug-induced heart and blood vessel stress test with ekg monitoring, physician interpretation and report, Nuclear medicine study of vessels of heart using drugs or exercise multiple studies and Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart.

The practitioner is affiliated to the following hospital(s): MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION, CLAIBORNE MEDICAL CENTER, LECONTE MEDICAL CENTER, FORT SANDERS REGIONAL MEDICAL CENTER and PARKWEST MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on May 29, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.