EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION, INC. (NPI# 1447343611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447343611 |
| Entity Type | Organization |
| Organization Name | EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION, INC. |
| Other Organization Name | PEDIATRIC HEMATOLOGY/ONCOLOGY |
| Practice Address |
2018 Clinch Ave Knoxville TN 37916-2301 |
| Mailing Address |
Po Box 15010 Knoxville TN 37901-5010 |
| Practice Telephone | 8655418266 |
| Practice Fax Number | 8655418553 |
| Mailing Telephone | 8655418181 |
| Mailing Fax Number | 8655418286 |
| Enumeration Date | 2006-10-02 |
| 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 ASSOCIATION, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 261QX0200X |
Clinic/Center Specialization: Oncology |
Ambulatory Health Care Facilities | ||
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3282263 | 05 |
| Other Name | Type Code |
|---|---|
| Childrens Hematology Oncology | Doing Business As Name - Organization |
| Pediatric Hematology/Oncology | Doing Business As Name - Organization |
| 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 |
| 1396380648 | East Tennessee Children's Hospital Association, Inc. | Pediatrics | 1025 Childrens Way, Knoxville, TN 37922-7713 | 2019-11-11 |
| 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 |
| Street Address |
2018 CLINCH AVE |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37916-2301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407844111 | Amit Patel | Emergency Medicine | 2018 Clinch Ave, Knoxville, TN 37916 | 2005-10-07 |
| 1497318760 | Jenna Alissa Verdell | Nurse Practitioner | 2018 Clinch Ave, Knoxville, TN 37916-2301 | 2019-04-22 |
| 1659843050 | Liane E Potter | Nurse Practitioner | 2018 Clinch Ave, Knoxville, TN 37916-2301 | 2018-12-23 |
| 1922450758 | Kelsey Horner Fredericks | Nurse Practitioner | 2018 Clinch Ave, Knoxville, TN 37916 | 2016-07-05 |
| 1013303031 | Abbey Marie Putnam | Genetic Counselor, MS | 2018 Clinch Ave, 2nd Floor South Tower, Knoxville, TN 37916-2301 | 2015-04-07 |
| 1477941375 | East Tennessee Children's Hospital Association, Inc. | Dietitian, Registered | 2018 Clinch Ave, South Tower 2nd Floor, Knoxville, TN 37916-2301 | 2014-12-30 |
| 1194144352 | Amanda Hemphill Martin | Nurse Practitioner | 2018 Clinch Ave, Knoxville, TN 37916-2301 | 2014-04-15 |
| 1760776769 | Bryan James Eriksen | Pediatrics | 2018 Clinch Ave, Knoxville, TN 37916 | 2011-06-07 |
| 1477846806 | Hannah Hunt Nicaud | Nurse Practitioner | 2018 Clinch Ave, South Tower 2nd Floor, Knoxville, TN 37916-2301 | 2011-05-18 |
| 1972892578 | Vanessa Adele Thomas | Emergency Medicine | 2018 Clinch Ave, Knoxville, TN 37916 | 2011-04-04 |
| 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 | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| 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 |
|---|---|---|---|---|
| 1750453783 | Thomas David Miale | Pediatrics | 2001 Laurel Ave Ste N401, Newland Professional Building Fort Sanders Regional Mc, Knoxville, TN 37916-1810 | 2006-11-14 |
| 1659481679 | Susan Elizabeth Spiller | Pediatrics | 2018 Clinch Ave, Knoxville, TN 37916-2301 | 2006-08-30 |
| 1023030657 | Shahid Ahmed Malik | Pediatrics | 2018 Clinch Avenue, Knoxville, TN 37916-2301 | 2006-07-24 |
| 1437171295 | Ray Carl Pais | Pediatrics | 2018 Clinch Avenue, Knoxville, TN 37916-2301 | 2006-07-24 |
| 1568488401 | Leo H Hamilton | Pediatrics | 2018 Clinch Ave, Knoxville, TN 37916-2301 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306251269 | Myesa H Emberesh | Pediatrics | 400 N. State of Franklin Road, St. Jude's Tri-cities Affiliate, Johnson City, TN 37604 | 2014-06-29 |
| 1235438698 | Mireya Paulina Velasquez | Pediatrics | 262 Danny Thomas Pl # Ms 310, Memphis, TN 38105-3678 | 2011-03-23 |
| 1134448624 | Emmanuel John Volanakis | Pediatrics | 113 Hardingwoods Pl, Nashville, TN 37205-3611 | 2010-05-24 |
| 1215100011 | Clinton Michael Carroll | Pediatrics | 330 23rd Ave N Ste 450, Nashville, TN 37203-1661 | 2008-04-12 |
| 1003089590 | Michael William Bishop | Pediatrics | 262 Danny Thomas Pl # Ms 260, Memphis, TN 38105-3678 | 2008-04-07 |
| 1649463183 | Adam Esbenshade | Pediatrics | 397 Prb 2220 Pierce Ave, Nashville, TN 37232-0001 | 2007-08-18 |
| 1346372117 | Donald K Strickland Jr. | Pediatrics | 9190 Beaver Valley Ln, Cordova, TN 38018-7722 | 2007-03-09 |
| 1861495889 | Melissa M Hudson | Pediatrics | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2005-05-23 |
| 1467455592 | Rupert Handgretinger | Pediatrics | St. Jude Children's Research Hospital, 332 N Lauderdale St., Ms 0515, Memphis, TN 38105-2794 | 2005-05-23 |
| 1114493095 | Gina Marie Norman | Pediatrics | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2018-10-18 |
| Find all providers with the same taxonomy | ||||
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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.