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NPI Code Detail

MEDICARE: DR. WILLIAM THOMAS MCPEAKE III M.D.

MEDICARE: DR. WILLIAM THOMAS MCPEAKE III 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
1207XX0004XOrthopaedic Foot and Ankle Surgery Physician9647TN
2207X00000XOrthopaedic Surgery PhysicianMD9647TN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
33711620OTHERTNMEDICARE PTAN
6200030087OTHERTNRAILROAD MEDICARE
103711675OTHERTNMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13071376OTHERTNBLUE CROSS BLUE SHIELD
21195396OTHERTNUNITED HEALTH CARE
44458093OTHERTNAETNA
5100011078OTHERTNTENNCARE
7MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8TN0125OTHERTNJOHN DEERE HEALTHCARE
9TN0155OTHERTNJOHN DEERE HEALTHCARE

General Provider Information

NPI Number : 1750358057
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM THOMAS MCPEAKE III 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 : 865-769-4500
Fax Number : 865-769-4557
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 : 03/06/2006
Last Update Date : 06/22/2017

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