Organization
TEAM PHYSICIANS OF OHIO, INC.
Active
Organization
TEAM PHYSICIANS OF OHIO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ALAN TAYLOR (SENIOR VICE PRESIDENT)
(865) 985-7180
Entity
Organization
Contact information
Practice address
1431 CENTERPOINT BLVD, SUITE 100, KNOXVILLE, TN 37932-1984
(865) 985-7185
(865) 560-7379
Mailing address
P O BOX 634769, CINCINNATI, OH 45263-4769
(865) 985-7185
(865) 692-3390
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000168593
ANTHEM BCBS OF OH
OH
01
—
1600822
UNITED HEALTHCARE
OH
05
—
2049027
—
OH
01
—
CE8796
RAILROAD MEDICARE
OH
Enumeration date
07/06/2006
Last updated
07/12/2007
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