EAST TENNESSEE PEDIATRIC CARDIOLOGY, P.C. (NPI# 1265666747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265666747 |
| Entity Type | Organization |
| Organization Name | EAST TENNESSEE PEDIATRIC CARDIOLOGY, P.C. |
| Practice Address |
2001 Laurel Ave Suite Ng4 Knoxville TN 37916-1810 |
| Practice Telephone | 8659716897 |
| Practice Fax Number | 8659711597 |
| Mailing Telephone | 8659716897 |
| Mailing Fax Number | 8659711597 |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2015-01-30 |
| Authorized Official Name | YVONNE A. BREMER (OWNER) |
| Authorized Official Telephone | 8659716897 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100320610 | 05 |
| Street Address |
2001 LAUREL AVE SUITE NG4 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37916-1810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871599084 | Gerald Scott Borrelli | Internal Medicine | 2001 Laurel Ave, Ste 206, Knoxville, TN 37916-1865 | 2005-06-22 |
| 1891184131 | Medical Rehab Clinic Pllc | Physical Medicine & Rehabilitation | 2001 Laurel Ave, Suite 404, Knoxville, TN 37916-1810 | 2015-01-09 |
| 1720483308 | Jennifer Templeton | Physical Therapist | 2001 Laurel Ave, Suite 504, Knoxville, TN 37916-1810 | 2014-10-25 |
| 1407198302 | Mckesson Patient Care Solutions Inc. | Durable Medical Equipment & Medical Supplies | 2001 Laurel Ave, Suite Ng-6, Knoxville, TN 37916-1810 | 2013-03-19 |
| 1043443997 | Sung Yong Bae | Internal Medicine | 2001 Laurel Ave, Suite 206, Knoxville, TN 37916 | 2009-08-26 |
| 1619103918 | Healthtronix Lymphedema Management, Inc. | Durable Medical Equipment & Medical Supplies | 2001 Laurel Ave, Suite Ng6, Knoxville, TN 37916-1810 | 2009-06-02 |
| 1356513998 | James Macdonald Burkhart Md | Durable Medical Equipment & Medical Supplies | 2001 Laurel Ave, Suite 601, Knoxville, TN 37916-1826 | 2008-03-24 |
| 1821278474 | Asif Sultan | Internal Medicine | 2001 Laurel Ave, Suite 202, Knoxville, TN 37916-1810 | 2007-11-13 |
| 1922207059 | Timothy Leslie Alder | Radiology | 2001 Laurel Ave, Suite N304, Knoxville, TN 37916-1810 | 2007-07-18 |
| 1659581080 | Albert C.s. Ebenezer, M.d. | Internal Medicine | 2001 Laurel Ave, Newland Professional Building Suite 601, Knoxville, TN 37916-1810 | 2007-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151322 | Chelsea Raye Tanner | Registered Nurse | American Anesthesiology of Tennessee, 501 20th Street, Suite 606, Knoxville, TN 37916 | 2020-10-13 |
| 1003473372 | Mary Katrina Quist Rouse | Nurse Practitioner | 2100 Clinch Ave Ste 330, Knoxville, TN 37916 | 2019-05-22 |
| 1457881724 | Leslie Lynette Taylor | Physical Medicine & Rehabilitation | 2120 Highland Avenue, Knoxville, TN 37916 | 2017-06-19 |
| 1235547423 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 2429 University Commons Way, Knoxville, TN 37916 | 2014-07-31 |
| 1801182340 | Jessica Lee Sheah | Psychiatry & Neurology | 2100 W Clinch Avenue, Suite 210, Knoxville, TN 37916 | 2011-06-23 |
| 1326203548 | Bradley Jason Davis | Internal Medicine | 1819 Clinch Ave Ste 114, Knoxville, TN 37916 | 2008-07-28 |
| 1003012782 | East Tennessee Children's Hospital Association, Inc | Clinic/Center | 2100 West Clinch Avenue, Suite 510, Knoxville, TN 37916 | 2007-06-21 |
| 1922203108 | East Tennessee Children's Hospital Primary Care Center, Inc. | Clinic/Center | 611 22nd Street, Knoxville, TN 37916 | 2007-06-18 |
| 1699825984 | Orthodontic Design By Michael Sawaf | Dentist | 2220 White Ave, Knoxville, TN 37916 | 2007-01-11 |
| 1427115096 | Deborah Lynne Maples | Physical Therapy Assistant | Nhc Ft Sanders 2120 Highland Ave, Knoxville, TN 37916 | 2007-01-03 |
| Find all providers in zip 37916 | ||||
| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| 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) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003992686 | Nisha K Surenderanath | Pediatrics | 2100 Clinch Ave Ste 420, Knoxville, TN 37916-2231 | 2006-10-27 |
| 1013091123 | Michael R Liske | Pediatrics | 2001 Laurel Ave, Suite Ng4, Knoxville, TN 37916-1810 | 2006-10-25 |
| 1124072095 | Sumeet K. Sharma | Pediatrics | 2100 W Clinch Ave, Koppel Plaza, Ste 420, Knoxville, TN 37916-2219 | 2006-05-22 |
| 1598744336 | Jeffory Glenn Jennings | Pediatrics | 2100 W Clinch Ave, Koppel Plaza, Ste 420, Knoxville, TN 37916-2219 | 2006-01-11 |
| 1356320311 | Yvonne A Bremer | Pediatrics | 2001 Laurel Ave, Suite Ng4, Knoxville, TN 37916-1810 | 2006-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851766760 | Jami Shakibi | Pediatrics | 812 Cobble Cv, Nashville, TN 37211-7934 | 2015-12-03 |
| 1275970048 | Benjamin Acheampong | Pediatrics | 3601, Nashville, TN 37232-0001 | 2013-06-03 |
| 1053758516 | Nicole Kristen Perry | Pediatrics | 330 23rd Ave N Ste 550, Nashville, TN 37203-1706 | 2013-05-23 |
| 1578856985 | Jerry Don Walkup Jr. | Pediatrics | 2312 Knob Creek Rd Ste 208, Johnson City, TN 37604-2367 | 2011-05-17 |
| 1740216514 | Nancy Ann Chase | Pediatrics | 805 Estate Pl Ste 1, Memphis, TN 38120-0647 | 2006-06-24 |
| 1194772178 | Gerald Johnson | Pediatrics | 6148 Lee Hwy Ste 206, Chattanooga, TN 37421 | 2006-05-27 |
| 1376533489 | Ashish B Madhok | Pediatrics | 2312 Knob Creek Rd, Suite208, Johnson City, TN 37604-2367 | 2005-10-28 |
| 1679560288 | James K Stamps | Pediatrics | 80 Humphreys Center, Suite 230, Memphis, TN 38120 | 2005-09-29 |
| 1548255276 | Fred S Lamb | Pediatrics | 5111 Dot, 2200 Childrens Way, Nashville, TN 37232-0001 | 2005-09-19 |
| 1679126056 | Knoxville Pediatric Cardiology Morristown | Pediatrics | 1817 W Morris Blvd, Morristown, TN 37813-2837 | 2019-07-24 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on EAST TENNESSEE PEDIATRIC CARDIOLOGY, P.C..
| 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.