Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | MD9647 | TN |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 9647 | TN |
NPI | 1750358057 |
---|---|
Provider Name | Dr. William Thomas Mcpeake III |
First Address | Knoxville, TN 37922-3355 |
Second Address | Knoxville, TN 37922-3355 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/03/2006 |
Last Update Date | 22/06/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100011078 | TENNCARE (01) | TN |
1195396 | UNITED HEALTH CARE (01) | TN |
200030087 | RAILROAD MEDICARE (01) | TN |
3071376 | BLUE CROSS BLUE SHIELD (01) | TN |
3180899 | (05) | TN |
3711620 | MEDICARE PTAN (01) | TN |
3711675 | MEDICARE PTAN (01) | TN |
4458093 | AETNA (01) | TN |
A37022 | (02) | |
TN0125 | JOHN DEERE HEALTHCARE (01) | TN |
TN0155 | JOHN DEERE HEALTHCARE (01) | TN |