| NPI | 1053301606 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2005-10-25 |
| Last Updated | 2020-08-17 |
| Mailing Address | 9330 Park West Blvd, Suite 202 Knoxville, TN 37923-4308 United States Phone: (865) 691-4850 | Fax: (865) 694-8018 📍 View Map |
| Primary Practice Address | 9330 Park West Blvd, Suite 202 Knoxville, TN 37923-4308 United States Phone: (865) 691-4850 | Fax: (865) 694-8018 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207RI0011X – Internal Medicine, Interventional Cardiology | TN | 16657 |
| No | 207RC0000X – Internal Medicine, Cardiovascular Disease | TN | 16657 |
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About NPI 1053301606
Stephen Marietta M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1053301606. The primary specialty listed is Internal Medicine, Interventional Cardiology. The provider is located in Knoxville, TN. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-10-25. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1053301606?
NPI 1053301606 belongs to Stephen Marietta M.D., a Internal Medicine, Interventional Cardiology in Knoxville, TN. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1053301606 active?
The current status of NPI 1053301606 in the NPPES registry is Active. The record was last updated on 2020-08-17.
What specialty is NPI 1053301606?
NPI 1053301606 is classified under the taxonomy Internal Medicine, Interventional Cardiology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1053301606?
You can verify NPI 1053301606 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1053301606?
The primary practice address on file for NPI 1053301606 is 9330 Park West Blvd, Knoxville, TN 37923-4308. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1053301606 issued?
NPI 1053301606 was first issued (enumerated) on 2005-10-25. The NPPES record was last updated on 2020-08-17.
Practice Location Map
Stephen Marietta is located at 9330 Park West Blvd, Knoxville, TN. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Stephen Marietta. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1053301606. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Internal Medicine, Interventional Cardiology | 16657 | TN |
| Internal Medicine, Cardiovascular Disease | 16657 | TN |