Provider Demographics
NPI:1598765547
Name:HITCH, JAMES P JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:P
Last Name:HITCH
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:J
Other - Middle Name:PARKS
Other - Last Name:HITCH
Other - Suffix:JR
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:9724 KINGSTON PIKE
Mailing Address - Street 2:SUITE 800
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-3347
Mailing Address - Country:US
Mailing Address - Phone:865-690-0602
Mailing Address - Fax:865-690-0515
Practice Address - Street 1:2001 LAUREL AVE
Practice Address - Street 2:SUITE 502
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37916-1810
Practice Address - Country:US
Practice Address - Phone:865-522-6005
Practice Address - Fax:865-546-5678
Is Sole Proprietor?:No
Enumeration Date:2005-07-29
Last Update Date:2008-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000006793208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1669416442OtherGROUP NPI
TNCI2260OtherRAILROAD MEDICARE
TN020252399OtherEEOICP
TN1831308006OtherMEDICARE NSC GROUP NPI
TN3106057OtherBLUE CROSS
TN3106065OtherBLUE CROSS
TN3189230Medicaid
TN1669416442OtherGROUP NPI
TN1260440003Medicare NSC
TN3189230Medicaid
TNCI2260OtherRAILROAD MEDICARE
TN3106065OtherBLUE CROSS