AMANDA JACQUELYN DIDOLKAR


Address: 1400 Dutch Valley Dr, Knoxville, TN 37918-1424
Phone: 8656891122

AMANDA JACQUELYN DIDOLKAR (NPI# 1699937862) 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) 1699937862
Entity Type Individual
Full Name AMANDA JACQUELYN DIDOLKAR
Other Name AMANDA JACQUELYN DOHERTY
Credential MD
Practice Address 1400 Dutch Valley Dr
Knoxville
TN 37918-1424
Mailing Address Po Box 15004
Knoxville
TN 37901-5004
Practice Telephone 8656891122
Practice Fax Number 8656892923
Mailing Telephone 8655418895
Mailing Fax Number 8656334808
Enumeration Date 2008-06-30
Last Update Date 2019-03-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics 54389 TN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TN Q027544 05

Office Location

Street Address 1400 DUTCH VALLEY DR
City KNOXVILLE
State TN
Zip Code 37918-1424

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174506968 Angel D Acevedo Pediatrics 1400 Dutch Valley Dr, Knoxville, TN 37918-1424 2005-11-25
1215442926 Virginia Ewing Childs Social Worker 1400 Dutch Valley Dr, Knoxville, TN 37918-1424 2017-12-05
1205378213 Amanda Brooke Cabage Nurse Practitioner 1400 Dutch Valley Dr, Knoxville, TN 37918-1424 2016-11-08
1356736086 Carolyn Scarbrough Registered Nurse 1400 Dutch Valley Dr, Knoxville, TN 37918-1424 2015-03-31
1124329420 Sandra D'nice Carden Nurse Practitioner 1400 Dutch Valley Dr, Knoxville, TN 37918-1424 2010-11-03
1508186818 Heather Nicole Lopez Pediatrics 1400 Dutch Valley Dr, Knoxville, TN 37918-1424 2010-06-09
1306160312 Grace Mcwhirter Lawley Nurse Practitioner 1400 Dutch Valley Dr, Knoxville, TN 37918-1424 2010-03-19
1659576825 East Tennessee Children's Hospital Primary Care Center, Inc. Social Worker 1400 Dutch Valley Dr, Knoxville, TN 37918-1424 2007-06-18
1043420680 Ashley Bateman Counselor 1400 Dutch Valley Dr, Knoxville, TN 37918-1424 2007-05-23
1295868990 Angela Leigh Bell Nurse Practitioner 1400 Dutch Valley Dr, Knoxville, TN 37918-1424 2007-03-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639636145 Samantha Fuhrmann Physical Therapy Assistant Beverly Park Place Health and Rehab, 5321 Beverly Park Circle, Knoxville, TN 37918 2019-02-21
1043701741 Lauren Lea Wilson Student in an Organized Health Care Education/Training Program 4230 Homewood Rd, Knoxville, TN 37918 2018-05-29
1164790317 Jennifer Young Brooks Pharmacist 5006 North Broadway, Knoxville, TN 37918 2011-12-02
1215213194 Lu Miller Pharmacist 5006 N Broadway, Knoxville, TN 37918 2011-10-24
1326353475 Lauren Joy Stone Optometrist 4829 N Broadway St Ste 103, Knoxville, TN 37918 2010-08-13
1699004531 Larry Kyle Sowder Dentist 2944 Tazewell Pk, Ste #2, Knoxville, TN 37918 2009-12-23
1922233881 Andrea' Lamar Farrior Dentist 2937 Essary Rd., Dr. Michael Edenfield, Knoxville, TN 37918 2009-05-21
1053558510 Love-hope Academy Counselor 3826 Tiberius Rd Ste 315, Knoxville, TN 37918 2009-01-20
1497910293 Diana Lynn Mccoy Psychologist 5019 Jacksboro Pike, Knoxville, TN 37918 2008-07-22
1740498088 Kathleen M Riley Pharmacist K-mart Pharmacy #7460, 6906 Manardville Pike Ne, Knoxville, TN 37918 2007-05-18
Find all providers in zip 37918

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
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Competitor

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City KNOXVILLE
Zip Code 37918

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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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