Provider Demographics
NPI:1831156348
Name:BARGER STEVENS, AMY RACHELLE (MD)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:RACHELLE
Last Name:BARGER STEVENS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:RACHELLE
Other - Last Name:BARGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1924 ALCOA HWY
Mailing Address - Street 2:U-67
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37920-1511
Mailing Address - Country:US
Mailing Address - Phone:865-544-9352
Mailing Address - Fax:865-544-9314
Practice Address - Street 1:1924 ALCOA HWY
Practice Address - Street 2:U-115
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-1511
Practice Address - Country:US
Practice Address - Phone:865-544-9351
Practice Address - Fax:865-544-9314
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2012-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD28785207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1689631137OtherGROUP NPI
TN9396138OtherCIGNA
P00001619OtherRAILROAD MEDICARE
TNTN01H2OtherPHP TENNCARE
TN4029309OtherBLUE CROSS/BLUE SHIELD
TN01-42246OtherUNITED HEALTH CARE
TN1000036532OtherPHP TENNCARE
TN3373352OtherUFP MEDICARE GRP
TN3373352OtherUPF MEDICAID GRP
TN3892701OtherAETNA
TN3892709Medicaid
3892701Medicare ID - Type Unspecified
TN01-42246OtherUNITED HEALTH CARE