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NPI Code Detail

MEDICARE: DR. THOMAS CRAIG BEELER M.D.

MEDICARE: DR. THOMAS CRAIG BEELER 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
1207X00000XOrthopaedic Surgery PhysicianMD9389TN
2207XX0005XSports Medicine (Orthopaedic Surgery) Physician9389TN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1200029913OTHERTNRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
23071380OTHERTNBLUE CROSS BLUE SHIELD
3TN0145OTHERTNJOHN DEERE HEALTHCARE
41195343OTHERTNUNITED HEALTH CARE
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6100011151OTHERTNTENNCARE
7TN0130OTHERTNJOHN DEERE HEALTHCARE
84457979OTHERTNAETNA

General Provider Information

NPI Number : 1972570661
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS CRAIG BEELER 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 : 865-558-4400
Fax Number : 865-558-4471
Provider Business Practice Location Address
First Line : 1422 OLD WEISGARBER RD
Second Line :
City : KNOXVILLE
State : TN
Zip : 37909-1293
Country : US
Telephone Number : 865-558-4400
Fax Number : 865-558-4471
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2006
Last Update Date : 05/15/2014

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