EAST TENNESSEE CARDIOVASCULAR SURGERY GROUP P.C NPI 1679525448

NPI Information

  • NPI: 1679525448
  • Provider Name: EAST TENNESSEE CARDIOVASCULAR SURGERY GROUP, P.C
  • Classification: Contractor - 171W00000X
  • Entity Type: Organization
  • Address: 9125 CROSS PARK DRIVE
    SUITE 200
    KNOXVILLE, TN
    ZIP 37923
  • Phone: (865) 632-5900

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NPI Details

EAST TENNESSEE CARDIOVASCULAR SURGERY GROUP, P.C is a contractor in Knoxville, TN. The provider is for the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status. EAST TENNESSEE CARDIOVASCULAR SURGERY GROUP, P.C NPI is 1679525448. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

9125 CROSS PARK DRIVE
SUITE 200
KNOXVILLE, TN
ZIP 37923-505
Phone: (865) 632-5900
Fax: (865) 637-2114

The provider's authorized official is Robert Craig Brent .
The authorized official title is Cao and has the following contact phone number (865) 632-5900.

The enumeration date for this NPI number is 5/17/2006 and was last updated on 10/6/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)TENNESSEENo
2171W00000XContractorTENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13378302MEDICARE PINTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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