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

Kenneth E. Cutshall, MD

Individual provider Surgery Physician · NPI 1700872959

Kenneth E. Cutshall, MD is a General Surgery in Johnson City, Tennessee. Graduated from University of Tennessee, Hsc, College of Medicine in 1987, 39 years ago. Practices with Premier Surgical Associates PLLC, a 61-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
39
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
TN
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2 Professional Park Dr Ste 11
Johnson City, TN 37604-6584
Phone: (423) 975-5650
Fax: (423) 975-5652
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MD19352 (TN)

Record details

NPI number1700872959
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 23, 2005
Last updated in NPPESJuly 27, 2022
Certification dateJuly 27, 2022
Mailing addressPo Box 52948, Knoxville, TN 37950-2948

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 1987 (39 years in practice)
Group practice Premier Surgical Associates Pllc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Johnson City