Tennessee Urology Associates, PLLC
Non-Pharmacy Dispensing Site in Knoxville, TN. Organization (NPI-2).
Details
- NPI
- 1720172489
- Entity type
- Organization (NPI-2)
- Legal business name
- Tennessee Urology Associates, PLLC
- Organization subpart
- No
- Enumeration date
- Oct 3, 2006
- Certification date
- Dec 17, 2020
- Last updated
- Dec 17, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332900000X | Non-Pharmacy Dispensing Site | – | – | Yes |
Other names
- Tennessee Urology Associates (Doing Business As)
Practice location
9245 Park West BlvdKnoxville, TN 37923-4425
Phone 865-276-2764 · Fax 865-694-7621
Mailing address
25 Crossroads Dr Ste 306Owings Mills, MD 21117-5437
Phone 866-953-3111 · Fax 443-471-8540
Authorized official
Mary Lauterbach
Credentialing
4437382889
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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