EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC. (NPI# 1306041587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306041587 |
| Entity Type | Organization |
| Organization Name | EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC. |
| Other Organization Name | CHILDREN'S FAITH PEDIATRICS |
| Practice Address |
1341 Branton Boulevard #102 Knoxville TN 37922 |
| Mailing Address |
Po Box 15004 Knoxville TN 37901 |
| Practice Telephone | 8656908778 |
| Practice Fax Number | 8656947507 |
| Mailing Telephone | 8655418895 |
| Mailing Fax Number | 8656334808 |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2014-09-28 |
| Authorized Official Name | TRACY LANG (PRACTICE ASST ADMIN) |
| Authorized Official Telephone | 8655418582 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 5441765 | 05 |
| Other Name | Type Code |
|---|---|
| Children's Faith Pediatrics | 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 |
| 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 |
| 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 |
| Street Address |
1341 BRANTON BOULEVARD #102 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37922 |
| 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 | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447645130 | Leconte Medical Group, LLC | Clinic/Center | 129 S Gay St, Suite B, Knoxville, TN 37902-1004 | 2015-03-31 |
| 1003218207 | Urgent Care Centers Across America | Clinic/Center | 9221 Middlebrook Pike # 203, Knoxville, TN 37931-4764 | 2014-09-18 |
| 1376943878 | Drs Black&benton Pediatrics | Clinic/Center | 4741 N Broadway St Ste B, Knoxville, TN 37918-1793 | 2014-09-03 |
| 1821323924 | The Sunflower Clinic | Clinic/Center | 730 Colony Village Way, Knoxville, TN 37923-7125 | 2009-10-07 |
| 1306086277 | Travel Center Clinics | Clinic/Center | 13060 Palestine Ln, Knoxville, TN 37934-0823 | 2009-03-04 |
| 1356547988 | Children's Primary Care Center | Clinic/Center | 224 Peters Rd # 105, Knoxville, TN 37923-5203 | 2007-06-21 |
| 1922203108 | East Tennessee Children's Hospital Primary Care Center, Inc. | Clinic/Center | 611 22nd Street, Knoxville, TN 37916 | 2007-06-18 |
| 1417152695 | East Tennessee Children's Hospital Primary Care Center, Inc. | Clinic/Center | 4529 Asheville Highway, Knoxville, TN 37914 | 2007-06-18 |
| 1659403590 | Advantage Family Healthcare, Pllc | Clinic/Center | 11541 Kingston Pike 101, Knoxville, TN 37934-3918 | 2007-03-09 |
| 1265409957 | West Hills Family Practice | Clinic/Center | 7007 Kingston Pike, Knoxville, TN 37919-5706 | 2006-03-02 |
| Find all providers in KNOXVILLE | ||||
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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.