Provider Demographics
NPI:1952379612
Name:EILERMAN, MICHAEL STUART (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:STUART
Last Name:EILERMAN
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 1:1600 ACCELERATOR WAY STE 200
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37920-3078
Mailing Address - Country:US
Mailing Address - Phone:865-546-2663
Mailing Address - Fax:865-546-9047
Practice Address - Street 1:1600 ACCELERATOR WAY STE 200
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-3078
Practice Address - Country:US
Practice Address - Phone:865-546-2663
Practice Address - Fax:865-546-9047
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN24681207XX0801X
TNMD24681207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Trauma
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY6412382100Medicaid
TN0940096OtherUNITED HEALTH CARE
TNTN0177OtherJOHN DEERE HEALTHCARE
TN100020839OtherTENNCARE
TN200030081OtherRAILROAD MEDICARE
TN3071416OtherBLUE CROSS BLUE SHIELD
TN3076343Medicaid
TN4664603OtherAETNA
TNTN0101OtherJOHN DEERE HEALTHCARE
TNTN0102OtherJOHN DEERE HEALTHCARE
TNTN0102OtherJOHN DEERE HEALTHCARE
TN30763431Medicare PIN
TN3076343Medicaid
TN103I207286Medicare PIN
TN30763432Medicare PIN
TN3071416OtherBLUE CROSS BLUE SHIELD
TNTN0177OtherJOHN DEERE HEALTHCARE
TNTN0101OtherJOHN DEERE HEALTHCARE