Healthcare Provider Details

I. General information

NPI: 1609822998
Provider Name (Legal Business Name): AMERICAN ANESTHESIOLOGY OF TENNESSEE, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 05/23/2025
Certification Date: 05/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 20TH ST SUITE 606
KNOXVILLE TN
37916-1809
US

IV. Provider business mailing address

1305 WALT WHITMAN RD STE 300
MELVILLE NY
11747-4300
US

V. Phone/Fax

Practice location:
  • Phone: 865-546-8040
  • Fax: 865-541-2787
Mailing address:
  • Phone: 516-208-4250
  • Fax: 844-206-2955

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MATTHEW WALSH
Title or Position: VICE PRESIDENT
Credential:
Phone: 516-945-3000