Healthcare Provider Details

I. General information

NPI: 1558700526
Provider Name (Legal Business Name): JASON ESKEW D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2013
Last Update Date: 07/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 OAK RIDGE TPKE
OAK RIDGE TN
37830-6916
US

IV. Provider business mailing address

1225 E WEISGARBER RD SUITE 200
KNOXVILLE TN
37909-2604
US

V. Phone/Fax

Practice location:
  • Phone: 865-483-3172
  • Fax:
Mailing address:
  • Phone: 865-584-4747
  • Fax: 865-584-1363

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2997
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: