PEDIATRIC GASTROENTEROLOGY AND NUTRITIONAL SUPPORT, P.C. (NPI# 1740314202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740314202 |
Entity Type | Organization |
Organization Name | PEDIATRIC GASTROENTEROLOGY AND NUTRITIONAL SUPPORT, P.C. |
Practice Address |
2100 W Clinch Ave Suite 230 Knoxville TN 37916-2219 |
Practice Telephone | 8655224116 |
Mailing Telephone | 8655224116 |
Enumeration Date | 2007-03-15 |
Last Update Date | 2020-08-22 |
Authorized Official Name | CORY T STRPBEL (PRESIDENT) |
Authorized Official Telephone | 8655224116 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
Allopathic & Osteopathic Physicians |
Street Address |
2100 W CLINCH AVE SUITE 230 |
City | KNOXVILLE |
State | TN |
Zip Code | 37916-2219 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215922547 | Clarisa E Cuevas | Specialist | 2100 W Clinch Ave, Suite 510, Knoxville, TN 37916-2219 | 2005-09-13 |
1346718020 | Lauri Michelle Gingerich | Nurse Practitioner | 2100 W Clinch Ave, Knoxville, TN 37916-2219 | 2018-11-11 |
1841738275 | Christy Michelle Howard | Nurse Practitioner | 2100 W Clinch Ave, Suite 330, Knoxville, TN 37916-2219 | 2017-02-06 |
1215392030 | Gi for Kids, Pllc | Pediatrics | 2100 W Clinch Ave, Ste 510, Knoxville, TN 37916-2219 | 2015-12-21 |
1396114583 | Misty E Murphy | Nurse Practitioner | 2100 W Clinch Ave, # 510, Knoxville, TN 37916-2219 | 2015-09-18 |
1811300379 | Amanda Harper | Nurse Practitioner | 2100 W Clinch Ave, Knoxville, TN 37916-2219 | 2014-06-03 |
1154731917 | Pediatric Ear, Nose & Throat Associates, P.C. | Nurse Practitioner | 2100 W Clinch Ave, Ste 330, Knoxville, TN 37916-2219 | 2014-05-02 |
1730521667 | Danielle L Gosser | Physician Assistant | 2100 W Clinch Ave, 120, Knoxville, TN 37916-2288 | 2013-07-19 |
1831449800 | Callie M Jubran | Dietitian, Registered | 2100 W Clinch Ave, #510, Knoxville, TN 37916-2219 | 2012-09-17 |
1497005466 | Ashley N Treadway | Dietitian, Registered | 2100 W Clinch Ave, #510, Knoxville, TN 37916-2219 | 2012-09-17 |
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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 |
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Taxonomy Code | 2080P0206X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Gastroenterology |
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093959181 | Chad Alan Thornhill | Pediatrics | 2100 W Clinch Ave Ste 510, Knoxville, TN 37916-2225 | 2009-04-21 |
1326012758 | David E Devoid | Pediatrics | 2100 West Clinch Ave Suite 510, Knoxville, TN 37916 | 2006-02-14 |
1215392030 | Gi for Kids, Pllc | Pediatrics | 2100 W Clinch Ave, Ste 510, Knoxville, TN 37916-2219 | 2015-12-21 |
1063595775 | Ross S Kendall | Pediatrics | 4709 Papermill Dr, Ste 202, Knoxville, TN 37909 | 2006-10-24 |
1134194681 | Cory Thomas Strobel | Pediatrics | 2100 W Clinch Ave, Suite 230, Knoxville, TN 37916-2219 | 2006-02-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477811834 | Christiana Jahnae Bernal | Pediatrics | 2200 Childrens Way # 10233, Nashville, TN 37232-1231 | 2012-04-23 |
1699080994 | Einar Thor Hafberg | Pediatrics | 2200 Childrens Way # 10109, Nashville, TN 37232-0005 | 2010-08-11 |
1174758296 | Alexandra Concetta Natale Russell | Pediatrics | 2200 Childrens Way # Way10, Nashville, TN 37232-5100 | 2009-05-19 |
1811044761 | Kelly Thomsen | Pediatrics | 9214 Doctors Office Tower, 2200 Children's Way, Nashville, TN 37232-0001 | 2007-01-04 |
1699707638 | John R Whitworth | Pediatrics | 806 Estate Pl, Memphis, TN 38120-0600 | 2006-07-07 |
1801201801 | Lybil Briscia Mendoza Alvarez | Pediatrics | 51 N Dunlap St, Memphis, TN 38105-4625 | 2014-06-27 |
1174964803 | Ligia Maria Alfaro Cruz | Pediatrics | 325 N State of Franklin Rd, Johnson City, TN 37604 | 2013-07-10 |
1366727893 | Anushree M Algotar | Pediatrics | 51 N Dunlap St Ste 400, Memphis, TN 38105-4625 | 2011-10-16 |
1174750517 | Fernando Jose Windemuller | Pediatrics | 910 Blackford St, Chattanooga, TN 37403-1405 | 2009-06-12 |
1144497363 | Maribeth Ruth Nicholson | Pediatrics | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2008-05-15 |
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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.