MEDICARE: TODD W USSERY MD

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	207L00000X	Anesthesiology Physician	MD11236	HI
2	207LP2900X	Pain Medicine (Anesthesiology) Physician	37543	TN

General Provider Information

NPI Number	:	1982601290
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TODD W USSERY MD

Provider Business Mailing Address
First Line	:	1326 PAPERMILL POINTE WAY
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37909-1903
Country	:	US
Telephone Number	:	865-219-3506
Fax Number	:	865-243-2138

Provider Business Practice Location Address
First Line	:	1342 PAPERMILL POINTE WAY
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37909-1903
Country	:	US
Telephone Number	:	865-219-3506
Fax Number	:	865-243-2138

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

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	09/09/2020

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Directions to “ TODD W USSERY MD” Practice Location

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