Provider Demographics
NPI:1962461848
Name:VAN METER, STUART E (MD)
Entity Type:Individual
Prefix:
First Name:STUART
Middle Name:E
Last Name:VAN METER
Suffix:
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:PO BOX 52450
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37950-2450
Mailing Address - Country:US
Mailing Address - Phone:865-305-9080
Mailing Address - Fax:865-305-6866
Practice Address - Street 1:1924 ALCOA HWY
Practice Address - Street 2:THE UNIVERSITY OF TENNESSEE MEDICAL CENTER PATHOLOGY
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-1511
Practice Address - Country:US
Practice Address - Phone:865-305-9080
Practice Address - Fax:865-305-6866
Is Sole Proprietor?:No
Enumeration Date:2006-03-21
Last Update Date:2009-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN19843207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3063116Medicaid
0182396OtherBCBS
0182396OtherBCBS
TN3063116Medicaid
220015567Medicare PIN
3063117Medicare PIN