Provider Demographics
NPI:1427025220
Name:DEFIORE, JOSEPH CHARLES JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:CHARLES
Last Name:DEFIORE
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:260 FORT SANDERS WEST BLVD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-3355
Mailing Address - Country:US
Mailing Address - Phone:865-769-4545
Mailing Address - Fax:865-769-4501
Practice Address - Street 1:260 FORT SANDERS WEST BLVD
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37922-3355
Practice Address - Country:US
Practice Address - Phone:865-558-4400
Practice Address - Fax:865-769-4536
Is Sole Proprietor?:No
Enumeration Date:2006-03-01
Last Update Date:2012-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD7686207X00000X
TN7686207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1201455OtherUNITED HEALTH CARE
TNTN0129OtherJOHN DEERE HEALTHCARE
TN100010027OtherTENNCARE
TN200029934OtherRAILROAD MEDICARE
TNTN0141OtherJOHN DEERE HEALTHCARE
TN3071364OtherBLUE CROSS BLUE SHIELD
TN4458104OtherAETNA
TN3171659Medicaid
3171652Medicare ID - Type Unspecified
TN3171659Medicaid
TN4458104OtherAETNA