Individual
DR. WILLIAM THOMAS MCPEAKE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
260 FORT SANDERS WEST BLVD, KNOXVILLE, TN 37922-3355
(865) 558-4400
(865) 769-4536
Mailing address
260 FORT SANDERS WEST BLVD, KNOXVILLE, TN 37922-3355
(865) 769-4500
(865) 769-4557
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD9647
TN
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
9647
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100011078
TENNCARE
TN
01
—
1195396
UNITED HEALTH CARE
TN
01
—
200030087
RAILROAD MEDICARE
TN
01
—
3071376
BLUE CROSS BLUE SHIELD
TN
05
—
3180899
—
TN
01
—
3711620
MEDICARE PTAN
TN
01
—
3711675
MEDICARE PTAN
TN
01
—
4458093
AETNA
TN
01
—
TN0125
JOHN DEERE HEALTHCARE
TN
01
—
TN0155
JOHN DEERE HEALTHCARE
TN
Enumeration date
03/06/2006
Last updated
06/22/2017
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