Provider Demographics
NPI:1639217680
Name:MCDOWELL, PHILIP G JR (MD)
Entity Type:Individual
Prefix:
First Name:PHILIP
Middle Name:G
Last Name:MCDOWELL
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 1:1600 ACCELERATOR WAY STE 200
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37920-3078
Mailing Address - Country:US
Mailing Address - Phone:865-546-2663
Mailing Address - Fax:865-546-9047
Practice Address - Street 1:1600 ACCELERATOR WAY STE 200
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-3078
Practice Address - Country:US
Practice Address - Phone:865-546-2663
Practice Address - Fax:865-546-9047
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN41969207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3000046Medicaid
TN4155210OtherBLUECROSS BLUESHIELD
TNTN01M4OtherUNITED HEALTHCARE
TN7767887OtherAETNA
TN2142831OtherCIGNA
KY7100051390Medicaid
KY7100051390Medicaid
TN30000462Medicare PIN
TN2142831OtherCIGNA
TN103I206085Medicare PIN
TNTN01M4OtherUNITED HEALTHCARE
TN30000463Medicare PIN
TN3000046Medicare PIN