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Contact Information

TRACY A PESUT X, MD
9430 PARK WEST BLVD STE 130
KNOXVILLE, TN37923-4205
 Phone: 865-690-4861
 Fax: 865-560-8525
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Foot and Ankle Surgery

207XX0004X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for TRACY A PESUT X · (Female)

NPI # 1295751634
Status Active
Credentials MD
Entity Individual
Enumeration date 07/15/2006
Last updated 07/11/2025 - About 11 months ago
Sole proprietor 1 No
Identifiers
  • TN License # 39766
  • TN Medicaid 3332469
Hospital affiliation(s)
  • BLOUNT MEMORIAL HOSPITAL - (Acute Care)
    907 E LAMAR ALEXANDER PARKWAY
    MARYVILLE, TN 37804
  • PARKWEST MEDICAL CENTER - (Acute Care)
    9352 PARK WEST BLVD
    KNOXVILLE, TN 37923
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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