PASSPORT HEALTH
NPI 1639595754
Preventive Medicine - Public Health & General Preventive Medicine in Knoxville, TN

Active since March 13, 2014
118 HUXLEY RD STE 1, KNOXVILLE, TN 37922(877) 358-8648(877) 877-8675 Get Directions Write a Review

NPPES record last updated: August 29, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 29, 2018, Mar 18, 2016 (2 updates tracked since 2016).

About Passport Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PASSPORT HEALTH (NPI 1639595754) is a healthcare organization registered as a public health & general preventive medicine in Knoxville, Tennessee and active in the NPI registry since March 2014. The organization lists Doug Shackell, Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1639595754
Entity TypeOrganization
Primary Taxonomy2083P0901X
Legal Business NamePASSPORT HEALTH HOLDINGS, LLC
Location Address118 HUXLEY RD STE 1Knoxville, TN 37922-3183
Mailing Address8324 E Hartford Dr, #200Scottsdale, AZ 85255 · (888) 909-6551 · Fax (480) 383-6567
Fax(877) 877-8675
Organization SubpartNo
Authorized OfficialDoug ShackellDirector Of Finance · (480) 646-9024
Enumeration DateMarch 13, 2014
Last NPPES UpdateAugust 29, 20182 updates tracked since enumeration
NPI 1639595754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPreventive Medicine · Public Health & General Preventive MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0901X
Definition
Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.
118 HUXLEY RD STE 1, Knoxville, TN 37922

Other Names 1

Doing Business AsPassport Health

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Passport Health Holdings, LLC's NPI number?

The NPI number for Passport Health Holdings, LLC is 1639595754. It was assigned to this organization in the NPPES registry on March 13, 2014. The provider is doing business as Passport Health.

Where is Passport Health Holdings, LLC located?

Passport Health Holdings, LLC is located at 118 Huxley Rd Ste 1, Knoxville, TN 37922. The listed phone number is (877) 358-8648.

What is Passport Health Holdings, LLC's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Public Health & General Preventive Medicine, with taxonomy code 2083P0901X.

When was this NPI record last updated?

The NPPES record for Passport Health Holdings, LLC was last updated on August 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.