BLAINE L. ENDERSON M.D.
NPI 1346283553
Surgery - Trauma Surgery in Knoxville, TN
NPI Status: Active since June 14, 2006
Contact Information
1924 ALCOA HWY
U114
KNOXVILLE, TN
ZIP 37920
Phone: (865) 305-9340
Fax: (865) 305-9231
- Individual
- Male
- Surgery
- Trauma Surgery
- Accepts Insurance
- PECOS Enrolled
About BLAINE ENDERSON
This page provides the complete NPI Profile along with additional information for Blaine Enderson, a provider established in Knoxville, Tennessee with a medical specialization in Surgery, focusing in trauma surgery . The healthcare provider is registered in the NPI registry with number 1346283553 assigned on June 2006. The practitioner's primary taxonomy code is 2086S0127X with license number MD0000018190 (TN). The provider is registered as an individual and his NPI record was last updated 14 years ago.
- NPI
- 1346283553
- Provider Name
- BLAINE L. ENDERSON M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1924 ALCOA HWY U114 KNOXVILLE, TN 37920
- Location Phone
- (865) 305-9340
- Location Fax
- (865) 305-9231
- Mailing Address
- PO BOX 440473 NASHVILLE, TN 37244
- Mailing Phone
- (865) 670-6199
- Mailing Fax
- (865) 305-9231
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-14-2006
- Last Update Date
- 09-27-2011
- Code Navigator
Location Map
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
Surgery Trauma Surgery
- Taxonomy Code
- 2086S0127X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD0000018190
- License State
- TN
- Taxonomy Description
- Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Connect Bronze 3500 Indiv Med Deductible Enhanced Diabetes Care - EPO
- Connect Bronze 7500 Indiv Med Deductible - EPO
- Connect Bronze 8500 Indiv Med Deductible - EPO
- Connect Bronze CMS Standard - EPO
- Connect Gold CMS Standard - EPO
- Connect Silver 2500 Indiv Med Deductible Enhanced Diabetes Care - EPO
- Connect Silver 2875 Indiv Med Deductible - EPO
- Connect Silver 3825 Indiv Med Deductible - EPO
- Connect Silver CMS Standard - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*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 |
|---|---|---|---|
| 3028291 | MEDICARE ID-TYPE UNSPECIFIED (04) | TN | |
| 3028291 | MEDICAID (05) | TN | |
| 103I021997 | MEDICARE PIN (08) | TN | |
| 3028290 | MEDICAID (05) | TN |
Medicare Participation & PECOS Enrollment Status
Blaine Enderson 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
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
Reviews for BLAINE L. ENDERSON 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. | |||||||||
| 1 | 3 | 4 | 6 | 2 | 8 | 3 | 5 | 5 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 8 | 6 | 4 | 8 | 6 | 5 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 8 + 6 + 4 + 8 + 6 + 5 + 1 + 0 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1346283553 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.
DR. KATHLEEN B HUDSON MD
Radiology
(Diagnostic Radiology)
1924 ALCOA HWY
KNOXVILLE, TN
ZIP 37920
DR. WILLIAM T PFLANZE MD
Radiology
(Diagnostic Radiology)
1924 ALCOA HWY
KNOXVILLE, TN
ZIP 37920
DR. HOWARD KENNETH HICKS MD
Radiology
(Diagnostic Radiology)
1924 ALCOA HWY
KNOXVILLE, TN
ZIP 37920
DR. GEORGE CHACKO MD
Radiology
(Nuclear Radiology)
1924 ALCOA HWY
KNOXVILLE, TN
ZIP 37920
PROF. JOHN COURTENAY PRESTON CRNA
Nurse Anesthetist, Certified Registered
1924 ALCOA HWY
KNOXVILLE, TN
ZIP 37920
UNIVERSITY HEALTH SYSTEM, INC.
General Acute Care Hospital
1924 ALCOA HWY
KNOXVILLE, TN
ZIP 37920
DR. DAVID G ADAMS M.D
Anesthesiology
1924 ALCOA HWY
BOX U 109
KNOXVILLE, TN
ZIP 37920
DR. MICHAEL P HOSKING M.D.
Anesthesiology
1924 ALCOA HWY
BOX U109
KNOXVILLE, TN
ZIP 37920
DR. JERRY L EPPS M.D.
Anesthesiology
1924 ALCOA HWY
BOX U109
KNOXVILLE, TN
ZIP 37920
DR. STEPHEN M STREVELS M.D.
Anesthesiology
1924 ALCOA HWY
BOX U109
KNOXVILLE, TN
ZIP 37920
DR. DANIEL R BUSTAMANTE M.D.
Anesthesiology
1924 ALCOA HWY
BOX U109
KNOXVILLE, TN
ZIP 37920
DR. STEPHEN K PATTESON M.D.
Anesthesiology
1924 ALCOA HWY
BOX U109
KNOXVILLE, TN
ZIP 37920
DR. STEVE A MORRIS M.D.
Anesthesiology
1924 ALCOA HWY
BOX U109
KNOXVILLE, TN
ZIP 37920
DR. JACK J CHAVEZ M.D.
Anesthesiology
1924 ALCOA HWY
BOX U109
KNOXVILLE, TN
ZIP 37920
DR. EDWARD C MOBLEY M.D.
Anesthesiology
1924 ALCOA HWY
BOX U109
KNOXVILLE, TN
ZIP 37920
DR. WILLIAM E COX M.D.
Anesthesiology
1924 ALCOA HWY
BOX U109
KNOXVILLE, TN
ZIP 37920
DR. MATTHEW B VANCE M.D.
Anesthesiology
1924 ALCOA HWY
BOX U109
KNOXVILLE, TN
ZIP 37920
DR. MICHAEL R FLYNN M.D.
Anesthesiology
1924 ALCOA HWY
BOX U109
KNOXVILLE, TN
ZIP 37920
DR. PAMELA P MOBLEY M.D.
Anesthesiology
1924 ALCOA HWY
BOX U109
KNOXVILLE, TN
ZIP 37920
DR. KATHERINE R GARDNER M.D.
Anesthesiology
1924 ALCOA HWY
BOX U109
KNOXVILLE, TN
ZIP 37920
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1346283553, enumerated as an "individual" on June 14, 2006.
The provider is located at 1924 ALCOA HWY U114 KNOXVILLE, TN 37920 and the phone number is (865) 305-9340.
Surgery with taxonomy code 2086S0127X and a focus in Trauma Surgery.
The provider might be accepting Accepts: Cigna Healthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
