Stephen Marietta in Knoxville - Cardiovascular Disease

Stephen Marietta - NPI 1053301606

Stephen Marietta is a Cardiovascular Disease in Knoxville, Tennessee. Stephen Marietta practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Stephen Marietta is 1053301606. The last update date is 2020-08-17.

Stephen Marietta's current location address is 9330 Park West Blvd, Knoxville, Tennessee. You can contact this provider via phone number 8656914850 and fax number 8656948018. The mailing address for Stephen Marietta is 9330 Park West Blvd, Knoxville, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephen Marietta
Address 9330 Park West Blvd, Knoxville, Tennessee
Phone Number 8656914850
Fax Number 8656948018
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1053301606
Provider Enumeration Date 2005-10-25
Last Updated Date 2020-08-17

Provider Mailing Address Detail

Address 9330 Park West Blvd
City Knoxville
State Tennessee (TN)
Post Code 379234308
Phone Number 8656914850
Fax Number 8656948018

Provider's Primary Taxonomy Detail

Speciality Cardiovascular Disease
Taxonomy 207Rc0000X
Licence No 16657
Definition:
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

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FAQs about Stephen Marietta

What is the unique 10-digit identifier code assigned to Stephen Marietta by the Centers for Medicare & Medicaid Services?

The Stephen Marietta has been issued the NPI (National Provider Identifier) 1053301606 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you share the physical location details of Stephen Marietta?

The Stephen Marietta is situated at 9330 Park West Blvd, in the city of Knoxville, state of TN, with the zip code 379234308.

What is Stephen Marietta's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Stephen Marietta's specialized field of practice is Cardiovascular Disease, and the corresponding taxonomy code that categorizes this area of specialization is 207Rc0000X.

On what date did the Stephen Marietta receive the assignment of its 1053301606 from the Centers for Medicare & Medicaid Services?

The Stephen Marietta was issued its 1053301606 by the Centers for Medicare & Medicaid Services on 2005-10-25.

As of what date were the Stephen Marietta's details last updated?

The information pertaining to the Stephen Marietta, including its address, specialty, and other details, was most recently updated on 2020-08-17.

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