EAST TENNESSEE NEONATAL ASSOCIATES, P.C. (NPI# 1346274420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346274420 |
| Entity Type | Organization |
| Organization Name | EAST TENNESSEE NEONATAL ASSOCIATES, P.C. |
| Practice Address |
1718 Saint Mary St Knoxville TN 37917-4517 |
| Practice Telephone | 8656375908 |
| Mailing Telephone | 8656375908 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TAMMY HATFIELD (OFFICE MANAGER) |
| Authorized Official Telephone | 8656375908 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
1718 SAINT MARY ST |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37917-4517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538588439 | Holli Marie Womack | Nurse Practitioner | 1718 Saint Mary St, Knoxville, TN 37917-4517 | 2014-04-08 |
| 1649523689 | Southeast Spine & Pain Associates LLC | Clinic/Center | 1718 Saint Mary St, Knoxville, TN 37917-4517 | 2012-10-15 |
| 1104118835 | Joseph Dichiara | Anesthesiology | 1718 Saint Mary St, Knoxville, TN 37917-4517 | 2011-05-13 |
| 1972771988 | Siridatar K Khalsa-zemel | Dietitian, Registered | 1718 Saint Mary St, Knoxville, TN 37917-4517 | 2008-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033601786 | Angela Marie Barnett | Licensed Practical Nurse | 201 W Springdale Ave # 203, Knoxville, TN 37917 | 2018-05-30 |
| 1790283588 | Kevin Johnson | Case Manager/Care Coordinator | 201 W. Springfield Ave, Knoxville, TN 37917 | 2018-01-26 |
| 1871011437 | Sara Portwood | Registered Nurse | 140 Dameron Ave., Knoxville, TN 37917 | 2017-09-05 |
| 1962926295 | Dara Steele | Counselor | 201 West Springdale, Knoxville, TN 37917 | 2017-07-28 |
| 1043740657 | Stacy Banks | Counselor | 201 West Springdale Ave., Knoxville, TN 37917 | 2017-06-15 |
| 1861921215 | Amy J Mccowan | Registered Nurse | 201 W. Springdale Ave., Knoxville, TN 37917 | 2017-06-08 |
| 1942756523 | Skyler Daegan Winkler | Counselor | 201 West Springvale Avenue, Knoxville, TN 37917 | 2016-09-01 |
| 1821454216 | Beth Cannon | Case Manager/Care Coordinator | 201 West Sprindale Ave, Knoxville, TN 37917 | 2016-01-14 |
| 1760874986 | Sierra Brooke Finley | Case Manager/Care Coordinator | 201 W. Springdale Ave, Knoxville, TENNESSEE 37917 | 2015-02-25 |
| 1568860377 | Megumi Takayama Maynard | Family Medicine | 900 E. Oak Hill Avenue, Knoxville, TN 37917 | 2014-12-10 |
| Find all providers in zip 37917 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| 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 |
|---|---|---|---|---|
| 1194801092 | John Robert Howick Jr. | Pediatrics | 2016 Clinch Avenue, East Tennessee Children's Hospital, Knoxville, TN 37916 | 2006-10-31 |
| 1932305448 | Stephanie Lynema | Pediatrics | 1930 Alcoa Hwy, Suite 145, Knoxville, TN 37920-1500 | 2007-06-22 |
| 1538362520 | Courtney Elizabeth Gutman | Pediatrics | 1930 Alcoa Hwy, Suite 145, Knoxville, TN 37920-1500 | 2007-06-07 |
| 1770652372 | Regional Neonatal Associates | Pediatrics | 1930 Alcoa Hwy, Suite 145, Knoxville, TN 37920-1500 | 2006-11-07 |
| 1922177005 | Ellen Andrews | Pediatrics | 2018 W Clinch Ave, Knoxville, TN 37916-2301 | 2006-11-06 |
| 1083793731 | Stephen Charles Prinz | Pediatrics | 2018 W Clinch Ave, Knoxville, TN 37916-2301 | 2006-11-03 |
| 1588754824 | Hanumaiah Suvarna | Pediatrics | 2018 W Clinch Ave, Knoxville, TN 37916-2301 | 2006-10-16 |
| 1700973195 | William Henry Wooldridge | Pediatrics | 2018 W Clinch Ave, Knoxville, TN 37916-2301 | 2006-10-06 |
| 1336236751 | Louden Nalle | Pediatrics | 2018 W Clinch Ave, Knoxville, TN 37916-2301 | 2006-10-06 |
| 1740395821 | Keri Anne Lattimore | Pediatrics | 1930 Alcoa Hwy, Suite 145, Knoxville, TN 37920-1500 | 2006-08-20 |
| 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.