Provider Demographics
NPI:1750358057
Name:MCPEAKE, WILLIAM THOMAS III (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:THOMAS
Last Name:MCPEAKE
Suffix:III
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:865-769-4500
Mailing Address - Fax:865-769-4557
Practice Address - Street 1:260 FORT SANDERS WEST BLVD
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37922-3355
Practice Address - Country:US
Practice Address - Phone:865-558-4400
Practice Address - Fax:865-769-4536
Is Sole Proprietor?:No
Enumeration Date:2006-03-06
Last Update Date:2017-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN9647207XX0004X
TNMD9647207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XX0004XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryFoot and Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3071376OtherBLUE CROSS BLUE SHIELD
TN1195396OtherUNITED HEALTH CARE
TN3711620OtherMEDICARE PTAN
TN4458093OtherAETNA
TN100011078OtherTENNCARE
TN200030087OtherRAILROAD MEDICARE
TN3180899Medicaid
TNTN0125OtherJOHN DEERE HEALTHCARE
TNTN0155OtherJOHN DEERE HEALTHCARE
TN3711675OtherMEDICARE PTAN
TN3180892Medicare PIN
TN3711675OtherMEDICARE PTAN
TN1195396OtherUNITED HEALTH CARE
TN3711620OtherMEDICARE PTAN