Provider Demographics
NPI:1134194681
Name:STROBEL, CORY THOMAS (MD)
Entity type:Individual
Prefix:DR
First Name:CORY
Middle Name:THOMAS
Last Name:STROBEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4041 HIAWATHA DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-6691
Mailing Address - Country:US
Mailing Address - Phone:865-637-9633
Mailing Address - Fax:
Practice Address - Street 1:2100 W CLINCH AVE
Practice Address - Street 2:SUITE 230
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37916-2219
Practice Address - Country:US
Practice Address - Phone:865-522-4116
Practice Address - Fax:865-522-9898
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD000156282080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64773849Medicaid
TNTN0101OtherJOHN DEERE TN CARE
TN2002603OtherBLUE CROSS BLUE SHIELD
TN2002603OtherBLUE CROSS BLUE SHIELD
TNA97893Medicare UPIN