MEDICARE: WILLIAM NICHOLAS YETTER 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
1	207XS0106X	Orthopaedic Hand Surgery Physician	67775	TN
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1619323904
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM NICHOLAS YETTER M.D.

Provider Business Mailing Address
First Line	:	8320 E WALKER SPRINGS LN STE 200
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37923-3120
Country	:	US
Telephone Number	:	865-769-4500
Fax Number	:	865-769-4501

Provider Business Practice Location Address
First Line	:	90 VERMONT AVE STE 300
Second Line	:
City	:	OAK RIDGE
State	:	TN
Zip	:	37830-6478
Country	:	US
Telephone Number	:	865-481-2541
Fax Number	:	658-483-8151

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

Provider Enumeration Date	:	05/05/2016
Last Update Date	:	01/15/2026

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