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EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. NPI 1639254972


NPI Information

NPI: 1639254972
Provider Name: EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC.

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

Classification: Surgery - 2086S0120X
Entity Type: Organization

Specialization: Pediatric Surgery

Address:
2100 CLINCH AVENUE SUITE 510
KNOXVILLE, TN
ZIP 37916
Phone: (865) 546-2131
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EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. is a pediatric surgery surgery in Knoxville, TN. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. NPI is 1639254972. 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 Surgery.

The provider's business location address is:

2100 CLINCH AVENUE SUITE 510
KNOXVILLE, TN
ZIP 37916-225
Phone: (865) 546-2131
Fax: (877) 821-0891

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 10/26/2006 and was last updated on 6/21/2023.


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
1208600000XSurgeryNo
2363AS0400XPhysician AssistantSurgicalNo
32086S0120XSurgeryPediatric SurgeryYes

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
13722556MEDICAIDTENNESSEE

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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