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EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. NPI 1912649518


NPI Information

NPI: 1912649518
Provider Name: EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC.

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

Classification: Psychiatry & Neurology - 2084N0402X
Entity Type: Organization

Specialization: Neurology with Special Qualifications in Child Neurology

Address:
2018 W CLINCH AVENUE
KNOXVILLE, TN
ZIP 37916
Phone: (865) 523-5437
Get Directions

EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. is a neurology with special qualifications in child neurology psychiatry neurology in Knoxville, TN. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. NPI is 1912649518. 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 Neurology.

The provider's business location address is:

2018 W CLINCH AVENUE
KNOXVILLE, TN
ZIP 37916-301
Phone: (865) 523-5437
Fax: (865) 523-3559

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 4/13/2022 and was last updated on 11/2/2023.


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
22084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyYes

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
1Q073411MEDICAIDTENNESSEE

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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