EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION, INC.


Address: 1025 Childrens Way, Knoxville, TN 37922-7713
Phone: 8656378481

EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION, INC. (NPI# 1396380648) 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) 1396380648
Entity Type Organization
Organization Name EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION, INC.
Other Organization Name ETCH PULMONOLOGY WEST
Practice Address 1025 Childrens Way
Knoxville
TN 37922-7713
Mailing Address Po Box 15004
Knoxville
TN 37901-5004
Practice Telephone 8656378481
Practice Fax Number 8775479241
Mailing Telephone 8656378481
Mailing Fax Number 8775479241
Enumeration Date 2019-11-11
Last Update Date 2019-12-10
Authorized Official Name MARK B MASON (REGIONAL PRACTICE MANAGER)
Authorized Official Telephone 8655418053
Is Organization Subpart Y
Parent Organization Name EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208000000X Pediatrics Allopathic & Osteopathic Physicians
N 261QM2500X Clinic/Center
Specialization: Medical Specialty
Ambulatory Health Care Facilities
N 363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers
N 363LA2100X Nurse Practitioner
Specialization: Acute Care
Physician Assistants & Advanced Practice Nursing Providers
N 363LP0200X Nurse Practitioner
Specialization: Pediatrics
Physician Assistants & Advanced Practice Nursing Providers
N 363LP2300X Nurse Practitioner
Specialization: Primary Care
Physician Assistants & Advanced Practice Nursing Providers
Y 2080P0214X Pediatrics
Specialization: Pediatric Pulmonology
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TN Q053814 05

Other Provider/Organization Names

Other Name Type Code
ETCH Pulmonology West Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1043855604 East Tennessee Children's Hospital Association, Inc. Surgery 207 E Emory Rd, Powell, TN 37849-4047 2019-11-07
1609388438 East Tennessee Children's Hospital Association, Inc. Clinic/Center 1060 Peerless Xing Nw Ste 100, Cleveland, TN 37312-3785 2017-11-02
1184247181 East Tennessee Children's Hospital Association, Inc. Pediatrics 2100 Clinch Ave Ste 130, Knoxville, TN 37916-2224 2020-05-26
1477941375 East Tennessee Children's Hospital Association, Inc. Dietitian, Registered 2018 Clinch Ave, South Tower 2nd Floor, Knoxville, TN 37916-2301 2014-12-30
1194156992 East Tennessee Children's Hospital Association, Inc. Clinic/Center 1025 Childrens Way, Knoxville, TN 37922-7713 2013-12-03
1588094494 East Tennessee Children's Hospital Association, Inc. Pediatrics 120 Suburban Rd Ste 203, Knoxville, TN 37923-5592 2013-11-14
1093016289 East Tennessee Children's Hospital Association, Inc. Home Infusion 11227 W Point Dr, Farragut, TN 37934-2838 2010-11-04
1770722688 East Tennessee Children's Hospital Association, Inc. Clinic/Center 2100 Clinch Ave Ste 130, Knoxville, TN 37916-2224 2009-02-17
1538339874 East Tennessee Children's Hospital Association, Inc. Psychologist 2100 Clinch Ave Ste 220, Knoxville, TN 37916-2298 2008-03-03
1669678348 East Tennessee Children's Hospital Association, Inc. Pediatrics 2018 Clinch Ave, South Tower 2nd Floor, Knoxville, TN 37916-2301 2007-06-21

Office Location

Street Address 1025 CHILDRENS WAY
City KNOXVILLE
State TN
Zip Code 37922-7713

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740291855 Nadine M Trainer Physical Medicine & Rehabilitation 1025 Childrens Way, Knoxville, TN 37922 2006-08-11
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
1194109926 East Tennessee Children's Hospital Primary Care Center, Inc. Pediatrics 1025 Childrens Way, Knoxville, TN 37922-7713 2015-07-10
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

Providers in the same zip code

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 Information

Taxonomy Code 2080P0214X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Pulmonology

Taxonomy Definition

A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649258484 Daniel Joseph Heintz Pediatrics 2100 Clinch Ave Ste 310, Knoxville, TN 37916-2220 2006-01-03
1689854838 Safina Kureshi Pediatrics 2100 Clinch Ave Ste 310, Knoxville, TN 37916-2220 2007-11-05
1992759906 Diana Rebeca Quintero Pediatrics 2100 Clinch Ave Ste 310, Knoxville, TN 37916-2220 2006-05-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1841770864 Blue Ridge Medical Management Corporation Pediatrics 408 N State of Franklin Rd Ste 31g, Johnson City, TN 37604-6088 2018-08-20
1801801378 Elizabeth Perkett Pediatrics 11215 Dot Vanderbilt Childrens, 2200 Childrens Way, Nashville, TN 37232-0001 2006-07-30
1487089983 Mariana Bedoya Pulgar Vidal Pediatrics 3601 The Vanderbilt Clinic, Nashville, TN 37232-1005 2013-09-04
1780933531 Divya Salhan Pediatrics 51 N Dunlap St Ste 400, Memphis, TN 38105 2012-09-06
1972859890 Ahsan Bashir Pediatrics 51 N Dunlap St Ste 400, Memphis, TN 38105-4625 2012-07-29
1457672313 Catherine Donnellan Sanders Pediatrics 51 N Dunlap St, 4th Floor, Memphis, TN 38105-4625 2010-06-15
1750609939 Matthew Adam Kreth Pediatrics 910 Blackford St, Chattanooga, TN 37403-1405 2010-05-12
1063745834 Walter M Robinson Pediatrics 2200 Childrens Way, 11215 Doctor's Office Tower, Nashville, TN 37232-0005 2009-09-11
1417144916 Saumini Srinivasan Pediatrics 51 N Dunlap St Ste 400, Memphis, TN 38105-4625 2007-09-28
1063614659 Tonia Elizabeth Gardner Pediatrics 51 N Dunlap St, Ste. 400, Memphis, TN 38105-4625 2007-06-05
Find all providers with the same taxonomy

Competitor

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City KNOXVILLE
Zip Code 37922

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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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