Individual provider · Type 1 NPI

Patchouco Theodore, MD

Family Medicine Physician · Knoxville, TN

NPI number 1528628963 Active

Practice location

1924 Alcoa Hwy # U-67
Knoxville, TN 37920-1511

Call (865) 305-9350 Map

Fax (865) 305-8942

Mailing address

10300 SW 216th St
Cutler Bay, FL 33190-1003

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000X66626 (TN)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Family Medicine Physician Primary 207Q00000X350083 (LA)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1528628963

Patchouco Theodore, MD's National Provider Identifier is 1528628963, issued on Jun 18, 2019. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Knoxville, TN. The record was last updated on Dec 10, 2025.