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

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: July 19, 2026.

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.

DR. VIKTOR P SULKOWSKI M.D.
Specialist
10461 WALLACE ALLEY ST
KINGSPORT, TN 37663
Sullivan County (423) 279-1400
AHP OF EAST TENNESSEE PLLC
Anesthesiology
10461 WALLACE ALLEY ST
KINGSPORT, TN 37663
Sullivan County (423) 279-1400
JEFFREY P FENYVES M.D.
Internal Medicine (Gastroenterology)
10461 WALLACE ALLEY ST
KINGSPORT, TN 37663
Sullivan County (423) 279-1400
SUSANNE S MCKINNEY N.P.
Registered Nurse (Gastroenterology)
10461 WALLACE ALLEY ST
KINGSPORT, TN 37663
Sullivan County (423) 279-1400
STEPHEN W FRY M.D.
Internal Medicine (Gastroenterology)
10461 WALLACE ALLEY ST
KINGSPORT, TN 37663
Sullivan County (423) 279-1400
GENESIA DICKSON IRICK FNP
Nurse Practitioner (Family)
10461 WALLACE ALLEY ST
KINGSPORT, TN 37663
Sullivan County (423) 279-1400
TRI-CITIES ENDOSCOPY CENTER PC
Clinic/Center (Ambulatory Surgical)
10461 WALLACE ALLEY ST
KINGSPORT, TN 37663
Sullivan County (423) 279-1400
TRI-CITIES GASTROENTEROLOGY LLC
Internal Medicine (Gastroenterology)
10461 WALLACE ALLEY ST
KINGSPORT, TN 37663
Sullivan County (423) 279-1400

Frequently Asked Questions

What is EAST TENNESSEE ANESTHESIA PROVIDERS, PC's NPI number?

The NPI number assigned to this healthcare provider is 1669584991, enumerated as an "organization" on August 31, 2006.

Where is the provider located?

The provider is located at 10461 WALLACE ALLEY ST KINGSPORT, TN 37663 and the phone number is (423) 279-1400.

What is the provider's specialty?

Specialist with taxonomy code 174400000X.

What insurance does EAST TENNESSEE ANESTHESIA PROVIDERS, PC accept?

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.