Provider Demographics
NPI:1407881238
Name:APPEL, JOHN SCOTT (PA-C)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:SCOTT
Last Name:APPEL
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8011 SAVANNAH LN
Mailing Address - Street 2:
Mailing Address - City:OOLTEWAH
Mailing Address - State:TN
Mailing Address - Zip Code:37363-9288
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:737 W CHILDS AVE
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95341-6805
Practice Address - Country:US
Practice Address - Phone:423-503-7051
Practice Address - Fax:865-539-8008
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA63804363A00000X
TNPA737363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4104202OtherBCBS OF TENNESSEE
TN4104202OtherBCBS OF TENNESSEE
TN3669096Medicare ID - Type Unspecified