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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