Conrad Blake Ivie
Orthopaedic Surgeon Adult Reconstructive Orthopaedic Surgeon
9430 Park West Blvd Ste 130
Knoxville
, Tennessee 37923-4205
Conrad Blake Ivie
Orthopaedic Surgeon Adult Reconstructive Orthopaedic Surgeon
9430 Park West Blvd Ste 130
Knoxville
, Tennessee 37923-4205
(865) 560-8525
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About
Features
Specialties
- Orthopaedic Surgeon
- Adult Reconstructive Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Conrad Blake Ivie
- 9129 Cross Park Dr Ste 101
- Knoxville, TN
- Zip : 37923-4505
- Fax : (865) 560-8525
- Phone : (865) 694-7725
Second Address
- Conrad Blake Ivie
- 9430 Park West Blvd Ste 130
- Knoxville, TN
- Zip : 37923-4205
- Fax : (865) 560-8525
- Phone : (865) 690-4861
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgeon | 52697 | TN |
| N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 52697 | TN |
National Provider Identifier
| NPI | 1497983233 |
|---|---|
| Provider Name | Conrad Blake Ivie |
| First Address | Knoxville, TN 37923-4505 |
| Second Address | Knoxville, TN 37923-4205 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/07/2009 |
| Last Update Date | 30/12/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3376148 | (05) | TN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.