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EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. NPI 1194921874


NPI Information

NPI: 1194921874
Provider Name: EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC.

Doing Business As: EAST TENNESSEE CHILDREN'S HOSPITAL PEDIATRIC PULMONOLOGY

Classification: Pediatrics - 2080P0214X
Entity Type: Organization

Specialization: Pediatric Pulmonology

Address:
2018 CLINCH AVENUE, SOUTH TOWER 1ST FLOOR
KNOXVILLE, TN
ZIP 37916
Phone: (865) 637-8481
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EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. is a pediatric pulmonology pediatrics in Knoxville, TN. The provider is a pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques. EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. NPI is 1194921874. 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 Pulmonology.

The provider's business location address is:

2018 CLINCH AVENUE, SOUTH TOWER 1ST FLOOR
KNOXVILLE, TN
ZIP 37916-791
Phone: (865) 637-8481
Fax: (865) 246-7560

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 6/21/2007 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
2363LF0000XNurse PractitionerFamilyNo
3363LP0200XNurse PractitionerPediatricsNo
42080P0214XPediatricsPediatric PulmonologyYes

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
1Q004200MEDICAIDTENNESSEE

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

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