Active NPIIndividual providerSole proprietor

Dr. Vinson M Disanto, DO

Family Medicine in Knoxville, Tennessee

NPI Number1932300134
Practice location
10725 Bald Cypress Ln, Knoxville, TN 37922-6760
Fax
—
Last updated
December 9, 2020

Vinson Michael Disanto is a Family Medicine based in Knoxville, TN. Vinson Michael Disanto practices in Knoxville, TN and has the professional credentials of DO. The NPI Number for Vinson Michael Disanto is 1932300134 and holds a License No. 20A5627 (CA). The current practice location address for Vinson Michael Disanto is 10725 Bald Cypress Ln, Knoxville, TN 37922-6760 and can be reached out via phone at 609-760-8766.

Provider Profile Details

NPI Number
1932300134
Provider Name
Vinson Michael Disanto
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
10725 Bald Cypress Ln, Knoxville, TN 37922-6760
Phone Number
609-760-8766
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
Yes
Provider Enumeration Date
May 29, 2007
Last Update Date
December 9, 2020
Certification Date
December 9, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
10725 Bald Cypress Ln
Knoxville, TN 37922-6760
Zip
37922-6760
Phone Number
609-760-8766
Knoxville, TN 37922Get directions →

Provider Business Mailing Address Details

Address
3 Majestic Way
Marlton, NJ 08053-3774
City
Marlton
State
NJ
Zip
08053-3774
Phone Number
732-542-2638
Fax Number
732-542-2620

License Information

License Number (1)
20A5627
License State (1)
CA
Taxonomy (1)
Family Medicine · 207Q00000X
License Number (2)
25MB07769000
License State (2)
NJ
Taxonomy (2)
Family Medicine, Adult Medicine · 207QA0505X
License Number (3)
DO0000001488
License State (3)
TN
Taxonomy (3)
General Practice · 208D00000X
License Number (4)
DO0000001488
License State (4)
TN
Taxonomy (4)
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Vinson M Disanto, DO?

The NPI number of Dr. Vinson M Disanto, DO is 1932300134. It was assigned on May 29, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Vinson M Disanto, DO?

Dr. Vinson M Disanto, DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in CA under license number 20A5627.

Where does Dr. Vinson M Disanto, DO practice?

The practice location is 10725 Bald Cypress Ln, Knoxville, TN 37922-6760. The office can be reached at 609-760-8766 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1932300134 directly on the NPPES registry website.

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