EAST TENNESSEE ANESTHESIA PROVIDERS, PC
NPI 1669584991
Specialist in Kingsport, TN

Q: What is East Tennessee Anesthesia Providers, PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since August 31, 2006

10461 WALLACE ALLEY ST, KINGSPORT, TN 37663(423) 279-1400 Get Directions Write a Review

NPPES record last updated: October 21, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About East Tennessee Anesthesia Providers, Pc NPPES

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

EAST TENNESSEE ANESTHESIA PROVIDERS, PC (NPI 1669584991) is a healthcare organization registered as a specialist in Kingsport, Tennessee and active in the NPI registry since August 2006. The organization lists Viktor P Sulkowski, Owner, as its authorized official.

NPPES Registry Identity

NPI1669584991

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameEAST TENNESSEE ANESTHESIA PROVIDERS, PC

Location Address10461 WALLACE ALLEY STKingsport, TN 37663-3936

Mailing Address3101 Browns Mill Rd Ste 6 Pmb 386Johnson City, TN 37604-4100 · (423) 854-0001 · Fax (423) 854-0002

Phone(423) 279-1400

Organization SubpartNo

Authorized OfficialViktor P SulkowskiOwner · (423) 854-0001

Enumeration DateAugust 31, 2006

Last NPPES UpdateOctober 21, 2011

✔ NPI 1669584991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in TN · MD0000010318

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

10461 WALLACE ALLEY ST, Kingsport, TN 37663

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Other Identifiers 6

Medicare UPINB03565TN

Other4051167TN · Bcbs Tn Grp Provider Numb

Medicare ID-Type Unspecified3878839TN · Medicare Provider Number

Medicare ID-Type Unspecified3379190TN · Medicare Grp Provider Num

Other4051152TN · Bcbs Tn Provider Number

Medicaid3379190TN

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

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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