Provider Demographics
NPI:1962604140
Name:TSAPENKO, ARSENIY V (MD, DO)
Entity type:Individual
Prefix:
First Name:ARSENIY
Middle Name:V
Last Name:TSAPENKO
Suffix:
Gender:M
Credentials:MD, DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1940 ALCOA HWY
Mailing Address - Street 2:SUITE E210
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37920-2244
Mailing Address - Country:US
Mailing Address - Phone:865-524-7471
Mailing Address - Fax:865-305-6563
Practice Address - Street 1:1940 ALCOA HWY
Practice Address - Street 2:SUITE E210
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-2244
Practice Address - Country:US
Practice Address - Phone:865-524-7471
Practice Address - Fax:865-305-6563
Is Sole Proprietor?:No
Enumeration Date:2007-06-01
Last Update Date:2015-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2304207RP1001X, 207RS0012X, 207RP1001X
MA242468207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine