Provider Demographics
NPI:1083877336
Name:NORMAN, JOEL EDWARD (MD)
Entity Type:Individual
Prefix:MR
First Name:JOEL
Middle Name:EDWARD
Last Name:NORMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1819 W CLINCH AVE
Mailing Address - Street 2:SUITE 214
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37916-2434
Mailing Address - Country:US
Mailing Address - Phone:865-541-2835
Mailing Address - Fax:865-541-1003
Practice Address - Street 1:1819 W CLINCH AVE
Practice Address - Street 2:SUITE 214
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37916-2434
Practice Address - Country:US
Practice Address - Phone:865-541-2835
Practice Address - Fax:865-541-1003
Is Sole Proprietor?:No
Enumeration Date:2008-07-08
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN078142022207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1531065Medicaid
TN103I142337Medicare PIN