Organization
KNOXVILLE HMA CARDIOLOGY PPM, LLC
Active
Parent organization
COMMUNITY HEALTH SYSTEMS
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY HEALTH SYSTEMS
Authorized official
MR. MICHAEL A SWAW (DIRECTOR; AUTHORIZED OFFICIAL)
(615) 778-8076
Entity
Organization
Contact information
Practice address
1225 E WEISGARBER RD, KNOXVILLE, TN 37909-2604
(865) 602-6700
(865) 602-6801
Mailing address
1225 E WEISGARBER RD, KNOXVILLE, TN 37909-2604
(615) 778-8524
(615) 628-6877
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
363A00000X
Physician Assistant
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1524771
—
TN
05
—
7100186590
—
KY
Enumeration date
08/02/2011
Last updated
05/25/2016
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