Provider Demographics
NPI:1386082998
Name:HOSE, JAMES F JR (PA-C)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:F
Last Name:HOSE
Suffix:JR
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2911 ESSARY DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37918-2468
Mailing Address - Country:US
Mailing Address - Phone:865-394-6706
Mailing Address - Fax:865-394-6719
Practice Address - Street 1:2911 ESSARY DR
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37918-2468
Practice Address - Country:US
Practice Address - Phone:865-394-6706
Practice Address - Fax:865-394-6719
Is Sole Proprietor?:No
Enumeration Date:2013-06-06
Last Update Date:2013-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2299363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN0677340004Medicare NSC
TN0677340002Medicare NSC
TN0677340003Medicare NSC
TN0677340001Medicare NSC
TN0677340008Medicare NSC
TN103I974259Medicare PIN