Provider Demographics
NPI:1386675007
Name:VOSS, COREY ROBERT I (MD)
Entity type:Individual
Prefix:DR
First Name:COREY
Middle Name:ROBERT
Last Name:VOSS
Suffix:I
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10229 MEADOW RIDGES LN
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-7227
Mailing Address - Country:US
Mailing Address - Phone:313-399-5355
Mailing Address - Fax:
Practice Address - Street 1:1924 ALCOA HWY
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-1511
Practice Address - Country:US
Practice Address - Phone:865-305-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2021-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN37233207P00000X
MI4301076497207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNP00254171OtherRAILROAD MEDICARE
TN3886778Medicaid
TN4063800OtherBLUE CROSS
KY64071343Medicaid
TNP00254171OtherRAILROAD MEDICARE
MIC37626092Medicare PIN
TN4063800OtherBLUE CROSS