EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC.


Address: 10857 Hardin Valley Rd, Knoxville, TN 37932-1410
Phone: 8656902682

EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC. (NPI# 1235640467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235640467
Entity Type Organization
Organization Name EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC.
Other Organization Name HARDIN VALLEY PEDIATRICS
Practice Address 10857 Hardin Valley Rd
Knoxville
TN 37932-1410
Mailing Address Po Box 15004
Knoxville
TN 37901-5004
Practice Telephone 8656902682
Practice Fax Number 8665295509
Mailing Telephone 8655418895
Mailing Fax Number 8656334808
Enumeration Date 2017-10-16
Last Update Date 2019-12-10
Authorized Official Name MARK B MASON (REGIONAL PRACTICE ADMINISTRATOR)
Authorized Official Telephone 8655418053
Is Organization Subpart Y
Parent Organization Name EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities
N 2080S0010X Pediatrics
Specialization: Sports Medicine
Allopathic & Osteopathic Physicians
N 363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers
N 363LP0200X Nurse Practitioner
Specialization: Pediatrics
Physician Assistants & Advanced Practice Nursing Providers
N 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
Physician Assistants & Advanced Practice Nursing Providers
N 363LP2300X Nurse Practitioner
Specialization: Primary Care
Physician Assistants & Advanced Practice Nursing Providers
Y 208000000X Pediatrics Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TN Q035765 05

Other Provider/Organization Names

Other Name Type Code
East Tennessee Children's Hospital Pediatric Care at Hardin Valley Doing Business As Name - Organization
ETCH Hardin Valley Pediatrics Doing Business As Name - Organization
Hardin Valley Pediatrics Doing Business As Name - Organization

Other Provider IDs and Locations

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
1194109926 East Tennessee Children's Hospital Primary Care Center, Inc. Pediatrics 1025 Childrens Way, Knoxville, TN 37922-7713 2015-07-10
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

Office Location

Street Address 10857 HARDIN VALLEY RD
City KNOXVILLE
State TN
Zip Code 37932-1410

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942643853 Jennifer Lynne Jaynes Pediatrics 10857 Hardin Valley Rd, Knoxville, TN 37932-1410 2013-04-10
1720581390 Melissa Ann Guzman Nurse Practitioner 10857 Hardin Valley Rd, Knoxville, TN 37932-1410 2018-03-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265935589 Jazmin Lowe Nurse Practitioner 9711 Sherrill Blvd Ste 201, Knoxville, TN 37932 2018-03-13
1619498649 Brittney Danyelle Trent Occupational Therapist 120 Cavette Hill Lane, Farragut, TN 37932 2017-06-29
1891222634 William M. Hogan, Md, Pllc Psychiatry & Neurology 1432 Hickey Road, Knoxville, TN 37932 2017-05-11
1487006193 Cheryl Ann Williams Occupational Therapist 13029 George Lovelace Lane, Knoxville, TN 37932 2016-07-06
1760876627 Institute for Female Pelvic Medicine,pllc Urology 10133 Sherrill Blvd Suite 100, Century Park, Knoxville, TN 37932 2015-03-27
1669877965 Melissa Raymond Nurse Practitioner 550 Frank Gardner Lane, Knoxville, TN 37932 2014-10-29
1811186059 Mia J Guillory Optometrist 10841 Hardin Valley Rd, Knoxville, TN 37932 2007-10-23
1427264555 Amy Hill Shugart Physical Therapist 10710 Murdock Dr Ste 102, Knoxville, TN 37932 2007-05-15
1871626895 East Tennessee Emg, Inc. Physical Therapist 614 Mabry Hood Road, Suite #301, Knoxville, TN 37932 2007-03-13
1083773584 Summit View Health Management, Inc. Durable Medical Equipment & Medical Supplies 10805 Harding Dr., Knoxville, TN 37932 2006-12-08
Find all providers in zip 37932

Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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/certificatio
- 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205333481 Summit Medical Group,pllc Pediatrics 1341 Branton Blvd Ste 102, Knoxville, TN 37922-8521 2018-04-12
1942643853 Jennifer Lynne Jaynes Pediatrics 10857 Hardin Valley Rd, Knoxville, TN 37932-1410 2013-04-10
1346510856 Donald Eugene Lighter II Pediatrics 2120 River Sound Dr, Knoxville, TN 37922-5663 2012-01-01
1851536015 Jennifer Leigh Damewood Pediatrics 1718 Saint Mary St Ste A, Knoxville, TN 37917-4518 2008-12-02
1316118714 Pediatric Consultants At Cedar Bluff Pediatrics 9333 Park West Blvd Ste 104, Knoxville, TN 37923-4305 2008-03-13
1235294943 Stanley S. Park Pediatrics 5300 Clinton Plaza Drive, Knoxville, TN 37912-3830 2006-12-22
1497845499 Barbara Summers Pediatrics 2201 W Clinch Ave, Knoxville, TN 37916-2203 2006-10-13
1689764656 Deborah Jones Christiansen Pediatrics 120 Suburban Rd Ste 203, Knoxville, TN 37923-5592 2006-10-13
1699860692 David Sean Teaster Pediatrics 4741 Broadway, Knoxville, TN 37918 2006-10-04
1215037106 Deborah Zimo Pediatrics 611 22nd St, Knoxville, TN 37916-2211 2006-09-22
Find all providers in KNOXVILLE

Competitor

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City KNOXVILLE
Zip Code 37932

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Dataset Information

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.

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