EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC.


Address: 4600 Asheville Hwy, Knoxville, TN 37914-3665
Phone: 8655228114

EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC. (NPI# 1548466220) 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) 1548466220
Entity Type Organization
Organization Name EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC.
Other Organization Name BOYS & GIRLS PEDIATRICS
Practice Address 4600 Asheville Hwy
Knoxville
TN 37914-3665
Mailing Address Po Box 15004
Knoxville
TN 37901-5004
Practice Telephone 8655228114
Practice Fax Number 8665506541
Mailing Telephone 8655418895
Mailing Fax Number 8656334808
Enumeration Date 2007-06-21
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 PRIMARY CARE CENTER, INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities
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
Y 208000000X Pediatrics Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TN Q004253 05

Other Provider/Organization Names

Other Name Type Code
Boys & Girls Pediatrics Doing Business As Name - Organization
Boys and Girls Pediatrics-Knoxville Doing Business As Name - Organization
Boys and Girls Pediatrics-Pavillion Doing Business As Name - Organization

Other Provider IDs and Locations

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
1306041587 East Tennessee Children's Hospital Primary Care Center, Inc. Clinic/Center 1341 Branton Boulevard #102, Knoxville, TN 37922 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
1366648040 East Tennessee Children's Hospital Primary Care Center, Inc. Pediatrics 2221 Jacksboro Pike Ste C4, La Follette, TN 37766-3007 2007-06-21

Office Location

Street Address 4600 ASHEVILLE HWY
City KNOXVILLE
State TN
Zip Code 37914-3665

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760585335 Quynh Vu Wisniewski Pediatrics 4600 Asheville Hwy, Knoxville, TN 37914-3665 2006-09-07
1487167656 Kendall Evone Memory Nurse Practitioner 4600 Asheville Hwy, Knoxville, TN 37914-3665 2017-11-10
1477981868 Kayla Elaine Crye Nurse Practitioner 4600 Asheville Hwy, Knoxville, TN 37914-3665 2013-10-22
1407289556 Tiffany Beason Chittum Nurse Practitioner 4600 Asheville Hwy, Knoxville, TN 37914-3665 2013-08-13
1316040926 Jimmy Clarke Kimball Pediatrics 4600 Asheville Hwy, Knoxville, TN 37914-3665 2006-09-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528594645 Emory Boykins Young II Counselor 3535 Ne Kenilworth Ln, Knoxville, TN 37914 2017-05-10
1487079513 E and K Taxi Taxi 1423 Fifth Ave, Knoxville, TN 37914 2014-02-26
1154768836 G Way Transit Non-emergency Medical Transport (VAN) 513 Carta Rd., Knoxville, TN 37914 2013-06-04
1346511581 Carroll W Mcginnis Family Medicine 9108 Brownlow Newman Ln., Knoxville, TN 37914 2012-01-19
1912212879 Scarlett Marie Mynatt Registered Nurse 7051 Straw Plains Pike, Knoxville, TN 37914 2010-08-16
1356570964 Steven Dwight Shults Physical Therapy Assistant 3916 Boyd's Bridge Pike, Knoxville, TN 37914 2009-07-06
1417152695 East Tennessee Children's Hospital Primary Care Center, Inc. Clinic/Center 4529 Asheville Highway, Knoxville, TN 37914 2007-06-18
1639600521 Dana Leann Byrge Physical Therapy Assistant 3916 Boyd's Bridge Pike, Nhc, Knoxville, TN 37914 2017-03-23
1861703316 Narendra R Patel Pharmacist 4423 Asheville Hwy, Knoxville, TN 37914 2010-06-30
1346705506 Jennifer Bolden Psychologist 5217 Brig Ln, Knoxville, TN 37914-2824 2019-02-01
Find all providers in zip 37914

Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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/certificatio
- 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205333481 Summit Medical Group,pllc Pediatrics 1341 Branton Blvd Ste 102, Knoxville, TN 37922-8521 2018-04-12
1942643853 Jennifer Lynne Jaynes Pediatrics 10857 Hardin Valley Rd, Knoxville, TN 37932-1410 2013-04-10
1346510856 Donald Eugene Lighter II Pediatrics 2120 River Sound Dr, Knoxville, TN 37922-5663 2012-01-01
1851536015 Jennifer Leigh Damewood Pediatrics 1718 Saint Mary St Ste A, Knoxville, TN 37917-4518 2008-12-02
1316118714 Pediatric Consultants At Cedar Bluff Pediatrics 9333 Park West Blvd Ste 104, Knoxville, TN 37923-4305 2008-03-13
1235294943 Stanley S. Park Pediatrics 5300 Clinton Plaza Drive, Knoxville, TN 37912-3830 2006-12-22
1497845499 Barbara Summers Pediatrics 2201 W Clinch Ave, Knoxville, TN 37916-2203 2006-10-13
1689764656 Deborah Jones Christiansen Pediatrics 120 Suburban Rd Ste 203, Knoxville, TN 37923-5592 2006-10-13
1699860692 David Sean Teaster Pediatrics 4741 Broadway, Knoxville, TN 37918 2006-10-04
1215037106 Deborah Zimo Pediatrics 611 22nd St, Knoxville, TN 37916-2211 2006-09-22
Find all providers in KNOXVILLE

Competitor

Search similar providers

City KNOXVILLE
Zip Code 37914

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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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