Healthcare Provider Details

I. General information

NPI: 1356630008
Provider Name (Legal Business Name): JOHN NOAH MERIWETHER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/04/2011
Last Update Date: 09/15/2020
Certification Date: 09/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9320 PARKWEST BLVD
KNOXVILLE TN
37923
US

IV. Provider business mailing address

9320 PARKWEST BLVD
KNOXVILLE TN
37923
US

V. Phone/Fax

Practice location:
  • Phone: 865-373-7100
  • Fax: 865-374-2029
Mailing address:
  • Phone: 865-373-7100
  • Fax: 865-374-2029

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number61419
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number61419
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: