Individual provider
COREY CUDZILO, M.D.
CMS NPPES lists COREY CUDZILO as an individual provider record with NPI 1003012022. The current record reports a primary practice location in KNOXVILLE, TN and primary taxonomy code 207RP1001X.
Type 1 NPIs identify individual healthcare providers. How to read this profile
01
Practice locations
- Primary practice location6473 KINGSTON PIKEKNOXVILLE, TN 379194832
- Additional practice location744 Middle Creek Rd Ste 208Sevierville, TN 378625036
- Additional practice location550 Fort Loudoun Medical Center DrLenoir City, TN 377725673
Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.
02
Taxonomy information
207RC0200XAdditional reported taxonomy207RP1001XPrimary reported taxonomy
Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.
03
NPI record information
- NPI status
- Enumerated in NPPES
- Enumeration date
- June 26, 2007
An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.