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EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. NPI 1770722688


NPI Information

NPI: 1770722688
Provider Name: EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC.

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

Classification: Pediatrics - 2080P0210X
Entity Type: Organization

Specialization: Pediatric Nephrology

Address:
2100 CLINCH AVE STE 310
KNOXVILLE, TN
ZIP 37916
Phone: (865) 546-3111
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EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. is a pediatric nephrology pediatrics in Knoxville, TN. The provider is a pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. NPI is 1770722688. 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 Nephrology.

The provider's business location address is:

2100 CLINCH AVE STE 310
KNOXVILLE, TN
ZIP 37916-220
Phone: (865) 546-3111
Fax: (877) 761-6691

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 2/17/2009 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsNo
2261QM2500XClinic/CenterMedical SpecialtyNo
32080P0210XPediatricsPediatric NephrologyYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1Q004289MEDICAIDTENNESSEE

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: 5/5/2024

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