Organization
RESOURCE ANESTHESIA, P.C.
Active
Other names
Loudon Anesthesia Associates, PC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP KENT HAYNIE MSN-CRNA, MBA (PRESIDENT)
(865) 777-0909
Entity
Organization
Contact information
Practice address
550 FORT LOUDOUN MEDICAL CENTER DRIVE, LENOIR CITY, TN 37772-5673
(865) 271-6000
(865) 777-0910
Mailing address
12752 KINGSTON PIKE, STE E202, KNOXVILLE, TN 37934-0948
(865) 777-0909
(865) 777-0910
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000267221
ANTHEM BCBS KY
KY
05
—
200200040A
—
OK
01
—
323889
BLUE CROSS/BLUE SHIELD
KY
05
—
3630129
—
TN
01
—
4022215
BLUE CROSS/BLUE SHIELD
TN
05
—
536581
—
AZ
05
—
74900648
—
KY
01
—
CJ4420
RAILROAD MEDICARE
TN
01
—
DD8474
RAILROAD MEDICARE
KY
01
—
DN3970
RAILROAD MEDICARE
OK
Enumeration date
05/19/2006
Last updated
04/09/2014
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