Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Maryville Surgical Center

Organization Ambulatory Surgical Clinic/Center · NPI 1134120280

Maryville Surgical Center is an Ambulatory Surgical Clinic/Center in Maryville, Tennessee. Licensed in Tennessee. Registered with an NPI since 2005.

Licensed in
TN
In the registry since
2005
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Practice location Address checks out

763 E Lamar Alexander Pkwy
Maryville, TN 37804-5000
Phone: (865) 380-9070
Fax: (865) 380-9093
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence 0000000107 (TN)

Record details

NPI number1134120280
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Ellen Rider — Administrator · (865) 380-9070
NPI enumeratedAugust 10, 2005
Last updated in NPPESAugust 22, 2020
Mailing address763 E Lamar Alexander Pkwy, Maryville, TN 37804-5000

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