Provider Demographics
NPI:1508969627
Name:SALYER, NATHAN D (PA-C)
Entity Type:Individual
Prefix:MR
First Name:NATHAN
Middle Name:D
Last Name:SALYER
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 1:2001 LAUREL AVE STE 402 NPB
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37916
Mailing Address - Country:US
Mailing Address - Phone:865-632-5577
Mailing Address - Fax:865-632-5589
Practice Address - Street 1:BLOUNT ORTHOPAEDIC ASSOCIATES P.A.
Practice Address - Street 2:2001 LAUREL AVE STE 402
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37916
Practice Address - Country:US
Practice Address - Phone:865-632-5577
Practice Address - Fax:865-632-5589
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPA0000000517363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3373632OtherMEDICARE GROUP PTAN #
TN3376900Medicaid
TN3669300Medicare PIN
TN3373632OtherMEDICARE GROUP PTAN #
TN3376900Medicaid