EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC. (NPI# 1194109926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194109926 |
| Entity Type | Organization |
| Organization Name | EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC. |
| Other Organization Name | OAK RIDGE PEDIATRICS SPORTS MEDICINE |
| Practice Address |
1025 Childrens Way Knoxville TN 37922-7713 |
| Mailing Address |
Po Box 15004 Knoxville TN 37901-5004 |
| Practice Telephone | 8655418895 |
| Mailing Telephone | 8655418895 |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2015-07-10 |
| Authorized Official Name | MARK MASON (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 8655418053 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080S0010X |
Pediatrics Specialization: Sports Medicine |
MD0000051426 | TN | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Oak Ridge Pediatrics Sports Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457557134 | East Tennessee Children's Hospital Primary Care Center, Inc. | Pediatrics | 2130 N Charles G Seivers Blvd Ste 4, Clinton, TN 37716-6705 | 2007-06-21 |
| 1922203108 | East Tennessee Children's Hospital Primary Care Center, Inc. | Clinic/Center | 611 22nd Street, Knoxville, TN 37916 | 2007-06-18 |
| 1538364716 | East Tennessee Children's Hospital Primary Care Center, Inc. | Clinic/Center | 1921 Topside Road, Louisville, TN 37777 | 2007-06-18 |
| 1417152695 | East Tennessee Children's Hospital Primary Care Center, Inc. | Clinic/Center | 4529 Asheville Highway, Knoxville, TN 37914 | 2007-06-18 |
| 1306041587 | East Tennessee Children's Hospital Primary Care Center, Inc. | Clinic/Center | 1341 Branton Boulevard #102, Knoxville, TN 37922 | 2007-06-18 |
| 1265637441 | East Tennessee Children's Hospital Primary Care Center, Inc. | Nurse Practitioner | 125 Mountain View Dr Ste 200, Vonore, TN 37885-2666 | 2007-06-18 |
| 1194348383 | East Tennessee Children's Hospital Primary Care Center, Inc. | Pediatrics | 424 N Broad St Ste B, New Tazewell, TN 37825-6606 | 2020-05-21 |
| 1235640467 | East Tennessee Children's Hospital Primary Care Center, Inc. | Clinic/Center | 10857 Hardin Valley Rd, Knoxville, TN 37932-1410 | 2017-10-16 |
| 1548466220 | East Tennessee Children's Hospital Primary Care Center, Inc. | Clinic/Center | 4600 Asheville Hwy, Knoxville, TN 37914-3665 | 2007-06-21 |
| 1366648040 | East Tennessee Children's Hospital Primary Care Center, Inc. | Pediatrics | 2221 Jacksboro Pike Ste C4, La Follette, TN 37766-3007 | 2007-06-21 |
| Street Address |
1025 CHILDRENS WAY |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37922-7713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740291855 | Nadine M Trainer | Physical Medicine & Rehabilitation | 1025 Childrens Way, Knoxville, TN 37922 | 2006-08-11 |
| 1396380648 | East Tennessee Children's Hospital Association, Inc. | Pediatrics | 1025 Childrens Way, Knoxville, TN 37922-7713 | 2019-11-11 |
| 1780189449 | Kayla Danielle Doane | Speech-Language Pathologist | 1025 Childrens Way, Knoxville, TN 37922-7713 | 2018-03-26 |
| 1447769807 | C A H Managment Company, LLC | Registered Nurse | 1025 Childrens Way, Knoxville, TN 37922-7713 | 2017-09-28 |
| 1629592050 | After Hours Pediatrics of Tennessee PC | Registered Nurse | 1025 Childrens Way, Knoxville, TN 37922-7713 | 2017-07-27 |
| 1992237267 | Rebecca Dawn Greenbaum | Pediatrics | 1025 Childrens Way, Knoxville, TN 37922-7713 | 2017-03-28 |
| 1194156992 | East Tennessee Children's Hospital Association, Inc. | Clinic/Center | 1025 Childrens Way, Knoxville, TN 37922-7713 | 2013-12-03 |
| 1023302882 | Ehab Mansoor | Pediatrics | 1025 Childrens Way, East Tn Children's Hospital Sleep Medicine Center, Knoxville, TN 37922-7713 | 2011-06-08 |
| 1629161880 | East Tennessee Children's Hospital Association, Inc. | Pediatrics | 1025 Childrens Way, Knoxville, TN 37922-7713 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184132185 | Kimberly Zitko | Pharmacist | 400 Goody's Lane, Knoxville, TN 37922 | 2018-01-12 |
| 1366959314 | Matthew Smith | Physician Assistant | 1424 Randall Park Dr, Knoxville, TN 37922 | 2017-12-29 |
| 1174052823 | 24/7 Healthcare, Inc. | Nursing Care | 110 Center Park Drive, Suite 101, Knoxville, TN 37922 | 2017-06-07 |
| 1023543477 | Open Arms Care Corp | Intermediate Care Facility, Mentally Retarded | 12625 S Northshore Dr, Knoxville, TN 37922 | 2017-04-24 |
| 1275905440 | Milligan Surgical Associates, Pllc | Surgery | 1919 Pinnacle Pointe Way, Knoxville, TN 37922 | 2015-10-27 |
| 1275904096 | Medical Necessities & Services LLC | Durable Medical Equipment & Medical Supplies | 9327 S Northshore Dr, Knoxville, TN 37922 | 2015-10-20 |
| 1841668126 | Chad Szala | Behavioral Analyst | 10721 Chapman Hwy #22, Knoxville, TN 37922 | 2015-09-03 |
| 1275916470 | Nikki Nicole Peoples | Acupuncturist | 10406 Jackson Oaks Way Ste A, Knoxville, TN 37922 | 2015-07-07 |
| 1538577747 | Susan Carter | Optometrist | 2053 Thunderhead Rd, Knoxville, TN 37922 | 2014-07-31 |
| 1366868135 | Heartland Infusion | Clinic/Center | 9943 Kingston Pike, Knoxville, TN 37922 | 2014-03-17 |
| Find all providers in zip 37922 | ||||
| Taxonomy Code | 2080S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Sports Medicine |
| A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700998291 | Amber G. Luhn | Pediatrics | 1422 Old Weisgarber Rd, Knoxville, TN 37909-1293 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457557134 | East Tennessee Children's Hospital Primary Care Center, Inc. | Pediatrics | 2130 N Charles G Seivers Blvd Ste 4, Clinton, TN 37716-6705 | 2007-06-21 |
| 1992147532 | Sporti Pediatrics, Sports and Dance Medicine | Pediatrics | 125 Cool Springs Blvd, Suite 110, Franklin, TN 37067-6474 | 2013-07-24 |
| 1760682280 | Alex Benjamin Diamond | Pediatrics | 3601 Tvc, Nashville, TN 37232-5100 | 2007-07-23 |
| 1366648040 | East Tennessee Children's Hospital Primary Care Center, Inc. | Pediatrics | 2221 Jacksboro Pike Ste C4, La Follette, TN 37766-3007 | 2007-06-21 |
| 1366647455 | East Tennessee Children's Hospital Primary Care Center, Inc. | Pediatrics | 145 E Vance Rd, Oak Ridge, TN 37830-6528 | 2007-06-19 |
| 1932151750 | Andrew John Gregory | Pediatrics | 3601 Tvc, Nashville, TN 37232-5100 | 2006-05-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.