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Contact Information

WESTSIDE GASTROINTESTINAL SPECIALISTS PLLC
9330 PARK WEST BLVD
STE 506
KNOXVILLE, TN37923
 Phone: 865-539-5372
 Fax: 865-539-5369
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for WESTSIDE GASTROINTESTINAL SPECIALISTS PLLC

NPI # 1306823976
LBN Legal business name WESTSIDE GASTROINTESTINAL SPECIALISTS PLLC
Authorized official LIZ BLOSSER - (SUPV)
Entity Organization
Organization subpart 1 No
Enumeration date 12/27/2005
Last updated 06/05/2018 - About 8 years ago
Identifiers
TN License # MD000021220
TN Medicaid 3726442
TN Other 4087556 BCBS PROV #
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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