MEDICARE: DR. JOSEPH CHARLES DEFIORE JR. M.D.

Medicare Provider Information

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	MD7686	TN
2	207XS0106X	Orthopaedic Hand Surgery Physician	7686	TN

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	200029934	OTHER	TN	RAILROAD MEDICARE

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1201455	OTHER	TN	UNITED HEALTH CARE
2	TN0129	OTHER	TN	JOHN DEERE HEALTHCARE
3	100010027	OTHER	TN	TENNCARE
5	TN0141	OTHER	TN	JOHN DEERE HEALTHCARE
6	3071364	OTHER	TN	BLUE CROSS BLUE SHIELD
7	4458104	OTHER	TN	AETNA
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1427025220
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH CHARLES DEFIORE JR. 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	:	260 FORT SANDERS WEST BLVD
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37922-3355
Country	:	US
Telephone Number	:	865-558-4400
Fax Number	:	865-769-4536

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

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

260 FORT SANDERS WEST BLVD STE 110
KNOXVILLE, TN
37922-3355

Practice Phone: 865-558-4491
Practice Fax: 865-558-4493