Basic Information
| Provider Information | |||||||||
| NPI: | 1942296306 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KNIGHT | ||||||||
| FirstName: | WILLIAM | ||||||||
| MiddleName: | H | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5705 STAGE RD | ||||||||
| Address2: | SUITE 240 | ||||||||
| City: | BARTLETT | ||||||||
| State: | TN | ||||||||
| PostalCode: | 381344541 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9012594262 | ||||||||
| FaxNumber: | 9012592785 | ||||||||
| Practice Location | |||||||||
| Address1: | 3980 NEW COVINGTON PIKE | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | MEMPHIS | ||||||||
| State: | TN | ||||||||
| PostalCode: | 381282500 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9013814664 | ||||||||
| FaxNumber: | 9013730809 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/21/2005 | ||||||||
| LastUpdateDate: | 08/26/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | MD0000012914 | TN | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
ID Information
| ID | Type | State | Issuer | Description | 40MD012914 | 01 | UNITED HEALTH CARE | OTHER | 00760208 | 01 | TN | RR MEDICARE | OTHER | 2786896 | 01 | CIGNA | OTHER | 4228328 | 01 | TN | BCBS OF TN | OTHER | 1514667 | 05 | TN | MEDICAID | 663 | 01 | BCBSMS | OTHER |