Organization
UNIVERSITY ANESTHESIOLOGISTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT M CRAFT M.D (CHAIRMAN)
(865) 305-9220
Entity
Organization
Contact information
Practice address
1924 ALCOA HWY, BOX U109, KNOXVILLE, TN 37920-1511
(865) 305-9220
Mailing address
341 TRANE DR, KNOXVILLE, TN 37919-6053
(865) 588-0880
(865) 584-3111
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164935500
US DEPT OF LABOR
TN
01
—
17350
BLUE CROSS
TN
05
—
3383243
—
TN
01
—
65907859
KENTUCKY MEDICAID
KY
01
—
7902189
NORTH CAROLINA MEDICAID
NC
01
—
8532014
AETNA
TN
01
—
A001-37919PZ
CHAMPUS/TRICARE
TN
01
—
CB0485
RAILROAD MEDICARE
TN
Enumeration date
08/25/2006
Last updated
02/22/2016
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