Provider Demographics
NPI:1700998291
Name:LUHN, AMBER G (MD)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:G
Last Name:LUHN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1422 OLD WEISGARBER RD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37909-1293
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:2006-08-31
Last Update Date:2017-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN410182080S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080S0010XAllopathic & Osteopathic PhysiciansPediatricsSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4137617OtherBLUECROSS BLUESHIELD
2039286OtherCIGNA
TN01L7OtherJOHN DEERE HEALTH
5740058OtherFIRST HEALTH
7631859OtherAETNA
7631859OtherAETNA
5740058OtherFIRST HEALTH
I69795Medicare UPIN
TN3711620Medicare PIN
TN3711675Medicare PIN
TN3827780Medicare ID - Type Unspecified