| Continuum Health Aic Inc | |
|
2210 Sutherland Ave Ste 114 Knoxville TN 37919-2337 | |
| (865) 525-4886 | |
| Not Available |
| Full Name | Continuum Health Aic Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2210 Sutherland Ave Ste 114, Knoxville, Tennessee |
| Authorized Official Name and Position | Chris Van Raam (COO) |
| Authorized Official Contact | 2057036760 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Continuum Health Aic Inc Po Box 661308 Dallas TX 75266-1308 Ph: (800) 665-2850 | Continuum Health Aic Inc 2210 Sutherland Ave Ste 114 Knoxville TN 37919-2337 Ph: (865) 525-4886 |
| NPI Number | 1477129476 |
|---|---|
| Provider Enumeration Date | 06/01/2021 |
| Last Update Date | 09/22/2025 |
| Medicare PECOS PAC ID | 0143626382 |
|---|---|
| Medicare Enrollment ID | O20210914000061 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477129476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Jeffrey S Summers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528067816 PECOS PAC ID: 2961405972 Enrollment ID: I20090520000276 |
| Provider Name | Nathan Brantley Wyatt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396989786 PECOS PAC ID: 3274758222 Enrollment ID: I20140707000801 |
| Provider Name | Joshua Peter Alpers |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801926100 PECOS PAC ID: 6204063043 Enrollment ID: I20140804000763 |
| Provider Name | Howard Andrew Kraft |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326097262 PECOS PAC ID: 2062456361 Enrollment ID: I20181023003212 |
| Provider Name | Zade L. Shaw |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124556568 PECOS PAC ID: 2668741513 Enrollment ID: I20210727000727 |
| Provider Name | Charles Hunter Roark |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497216501 PECOS PAC ID: 2163863036 Enrollment ID: I20240509000183 |
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