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EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION NPI 1568581387


NPI Information

NPI: 1568581387
Provider Name: EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION

Doing Business As: TENNESSEE PEDIATRIC UROLOGY

Classification: Urology - 2088P0231X
Entity Type: Organization

Specialization: Pediatric Urology

Address:
2100 CLINCH AVE STE 310
KNOXVILLE, TN
ZIP 37916
Phone: (865) 673-9315
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EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION is a pediatric urology urology in Knoxville, TN. The provider is surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele). EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION NPI is 1568581387. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Tennessee Pediatric Urology.

The provider's business location address is:

2100 CLINCH AVE STE 310
KNOXVILLE, TN
ZIP 37916-220
Phone: (865) 673-9315
Fax: (877) 850-9131

The provider's authorized official is Mark B Mason .
The authorized official title is Regional Practice Administrator and has the following contact phone number (865) 541-8053.

The enumeration date for this NPI number is 3/29/2007 and was last updated on 9/21/2021.


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
22088P0231XUrologyPediatric UrologyYes

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
13735949MEDICAIDTENNESSEE

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: 11/14/2023

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