Provider Demographics
NPI:1609822998
Name:AMERICAN ANESTHESIOLOGY OF TENNESSEE, P.C.
Entity Type:Organization
Organization Name:AMERICAN ANESTHESIOLOGY OF TENNESSEE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDOU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-541-1901
Mailing Address - Street 1:1305 WALT WHITMAN RD STE 300
Mailing Address - Street 2:
Mailing Address - City:MELVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11747-4300
Mailing Address - Country:US
Mailing Address - Phone:516-208-4250
Mailing Address - Fax:844-206-2955
Practice Address - Street 1:501 20TH ST
Practice Address - Street 2:SUITE 606
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37916-1809
Practice Address - Country:US
Practice Address - Phone:865-546-8040
Practice Address - Fax:865-541-2787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN029883100OtherFEDERAL BLACK LUNG
TN2006724OtherBLUE CROSS
TN164606500OtherUS DEPARTMENT OF LABOR
TNTN0100OtherJOHN DEERE TENNCARE
TN3371170Medicaid
TNCB1124OtherTRAVELERS MEDICARE
TNTN0100OtherJOHN DEERE
TN3371170Medicaid