Provider Demographics
NPI:1972570661
Name:BEELER, THOMAS CRAIG (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:CRAIG
Last Name:BEELER
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 1:260 FORT SANDERS WEST BLVD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-3355
Mailing Address - Country:US
Mailing Address - Phone:865-558-4400
Mailing Address - Fax:865-558-4471
Practice Address - Street 1:1422 OLD WEISGARBER RD
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37909-1293
Practice Address - Country:US
Practice Address - Phone:865-558-4400
Practice Address - Fax:865-558-4471
Is Sole Proprietor?:No
Enumeration Date:2006-03-02
Last Update Date:2014-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD9389207X00000X
TN9389207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN200029913OtherRAILROAD MEDICARE
TN3071380OtherBLUE CROSS BLUE SHIELD
TNTN0145OtherJOHN DEERE HEALTHCARE
TN1195343OtherUNITED HEALTH CARE
TN3184271Medicaid
TN100011151OtherTENNCARE
TNTN0130OtherJOHN DEERE HEALTHCARE
TN4457979OtherAETNA
TNTN0145OtherJOHN DEERE HEALTHCARE
TN200029913OtherRAILROAD MEDICARE
TNTN0130OtherJOHN DEERE HEALTHCARE
TN4457979OtherAETNA
3184274Medicare ID - Type Unspecified
B04121Medicare UPIN