MEDICARE: DR. WILLIAM T. YOUMANS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	MD4195	TN
2	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	4195	TN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
7	200029925	OTHER	TN	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4393309	OTHER	TN	AETNA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	3071357	OTHER	TN	BLUE CROSS BLUE SHIELD
4	TN0123	OTHER	TN	JOHN DEERE HEALTHCARE
5	100010331	OTHER	TN	TENNCARE
6	1195420	OTHER	TN	UNITED HEALTH CARE

General Provider Information

NPI Number	:	1922075779
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM T. YOUMANS M.D.

Provider Business Mailing Address
First Line	:	260 FORT SANDERS WEST BLVD
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37922-3355
Country	:	US
Telephone Number	:	865-769-4545
Fax Number	:	865-769-4501

Provider Business Practice Location Address
First Line	:	1422 OLD WEISGARBER RD
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37909-2674
Country	:	US
Telephone Number	:	865-558-4400
Fax Number	:	865-558-4471

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/01/2006
Last Update Date	:	07/26/2012

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Directions to “ DR. WILLIAM T. YOUMANS M.D.” Practice Location

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