Provider Demographics
NPI:1770550907
Name:ARWOOD, DONALD CALVIN (MD)
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:CALVIN
Last Name:ARWOOD
Suffix:
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 1:9014 LANNTAIR FARM LN
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-6483
Mailing Address - Country:US
Mailing Address - Phone:865-539-1516
Mailing Address - Fax:865-632-5983
Practice Address - Street 1:137 BLOUNT AVE., S.E.
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-1601
Practice Address - Country:US
Practice Address - Phone:865-632-5981
Practice Address - Fax:865-632-5983
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD187032085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3039257Medicaid
TN3039257Medicare ID - Type UnspecifiedIND
C36431Medicare UPIN