Provider Type Icon

EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. NPI 1184247181


NPI Information

NPI: 1184247181
Provider Name: EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC.

Doing Business As: EAST TENNESSEE CHILDREN'S HOSPITAL PEDIATRIC AND ADOLESCENT GYNECOLOGY

Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Organization

Specialization: Gynecology

Address:
2100 CLINCH AVE STE 310
KNOXVILLE, TN
ZIP 37916
Phone: (865) 546-0221
Get Directions

EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. is a gynecology obstetrics gynecology in Knoxville, TN. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. NPI is 1184247181. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As East Tennessee Children's Hospital Pediatric And Adolescent Gynecology.

The provider's business location address is:

2100 CLINCH AVE STE 310
KNOXVILLE, TN
ZIP 37916-220
Phone: (865) 546-0221
Fax: (866) 323-3153

The provider's authorized official is Caryn Hawthorne .
The authorized official title is Cfo / Vice President Finance and has the following contact phone number (865) 541-8181.

The enumeration date for this NPI number is 5/26/2020 and was last updated on 6/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsNo
2363LP0200XNurse PractitionerPediatricsNo
3207VG0400XObstetrics & GynecologyGynecologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Q057240MEDICAIDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.