EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION, INC. (NPI# 1194921874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194921874 |
| Entity Type | Organization |
| Organization Name | EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION, INC. |
| Other Organization Name | ETCH PULMONOLOGY |
| Practice Address |
2100 Clinch Ave Ste 310 Knoxville TN 37916-2220 |
| Mailing Address |
Po Box 15004 Knoxville TN 37901-5004 |
| Practice Telephone | 8656378481 |
| Practice Fax Number | 8775479241 |
| Mailing Telephone | 8655418895 |
| Mailing Fax Number | 8656334808 |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2019-12-10 |
| Authorized Official Name | MARK B MASON (REGIONAL PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 8655418053 |
| Is Organization Subpart | Y |
| Parent Organization Name | EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 2080P0214X |
Pediatrics Specialization: Pediatric Pulmonology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q004200 | 05 |
| Other Name | Type Code |
|---|---|
| East Tennessee Children's Hospital Pulmonol | Doing Business As Name - Organization |
| East Tennessee Children's Hospital Pulmonology | Doing Business As Name - Organization |
| ETCH Pulmonology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043855604 | East Tennessee Children's Hospital Association, Inc. | Surgery | 207 E Emory Rd, Powell, TN 37849-4047 | 2019-11-07 |
| 1609388438 | East Tennessee Children's Hospital Association, Inc. | Clinic/Center | 1060 Peerless Xing Nw Ste 100, Cleveland, TN 37312-3785 | 2017-11-02 |
| 1184247181 | East Tennessee Children's Hospital Association, Inc. | Pediatrics | 2100 Clinch Ave Ste 130, Knoxville, TN 37916-2224 | 2020-05-26 |
| 1396380648 | East Tennessee Children's Hospital Association, Inc. | Pediatrics | 1025 Childrens Way, Knoxville, TN 37922-7713 | 2019-11-11 |
| 1477941375 | East Tennessee Children's Hospital Association, Inc. | Dietitian, Registered | 2018 Clinch Ave, South Tower 2nd Floor, Knoxville, TN 37916-2301 | 2014-12-30 |
| 1194156992 | East Tennessee Children's Hospital Association, Inc. | Clinic/Center | 1025 Childrens Way, Knoxville, TN 37922-7713 | 2013-12-03 |
| 1588094494 | East Tennessee Children's Hospital Association, Inc. | Pediatrics | 120 Suburban Rd Ste 203, Knoxville, TN 37923-5592 | 2013-11-14 |
| 1093016289 | East Tennessee Children's Hospital Association, Inc. | Home Infusion | 11227 W Point Dr, Farragut, TN 37934-2838 | 2010-11-04 |
| 1770722688 | East Tennessee Children's Hospital Association, Inc. | Clinic/Center | 2100 Clinch Ave Ste 130, Knoxville, TN 37916-2224 | 2009-02-17 |
| 1538339874 | East Tennessee Children's Hospital Association, Inc. | Psychologist | 2100 Clinch Ave Ste 220, Knoxville, TN 37916-2298 | 2008-03-03 |
| Street Address |
2100 CLINCH AVE STE 310 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37916-2220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649258484 | Daniel Joseph Heintz | Pediatrics | 2100 Clinch Ave Ste 310, Knoxville, TN 37916-2220 | 2006-01-03 |
| 1699214817 | Laura Kristene Trentham | Nurse Practitioner | 2100 Clinch Ave Ste 310, Knoxville, TN 37916-2220 | 2017-02-21 |
| 1689854838 | Safina Kureshi | Pediatrics | 2100 Clinch Ave Ste 310, Knoxville, TN 37916-2220 | 2007-11-05 |
| 1881757615 | Mary Whitsitt Miller | Nurse Practitioner | 2100 Clinch Ave Ste 310, Knoxville, TN 37916-2220 | 2006-12-19 |
| 1114088994 | Erin Walker Hermann | Nurse Practitioner | 2100 Clinch Ave Ste 310, Knoxville, TN 37916-2220 | 2006-12-13 |
| 1588737399 | Phillip A Noe | Nurse Practitioner | 2100 Clinch Ave Ste 310, Knoxville, TN 37916-2220 | 2006-11-17 |
| 1992759906 | Diana Rebeca Quintero | Pediatrics | 2100 Clinch Ave Ste 310, Knoxville, TN 37916-2220 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151322 | Chelsea Raye Tanner | Registered Nurse | American Anesthesiology of Tennessee, 501 20th Street, Suite 606, Knoxville, TN 37916 | 2020-10-13 |
| 1003473372 | Mary Katrina Quist Rouse | Nurse Practitioner | 2100 Clinch Ave Ste 330, Knoxville, TN 37916 | 2019-05-22 |
| 1457881724 | Leslie Lynette Taylor | Physical Medicine & Rehabilitation | 2120 Highland Avenue, Knoxville, TN 37916 | 2017-06-19 |
| 1235547423 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 2429 University Commons Way, Knoxville, TN 37916 | 2014-07-31 |
| 1801182340 | Jessica Lee Sheah | Psychiatry & Neurology | 2100 W Clinch Avenue, Suite 210, Knoxville, TN 37916 | 2011-06-23 |
| 1326203548 | Bradley Jason Davis | Internal Medicine | 1819 Clinch Ave Ste 114, Knoxville, TN 37916 | 2008-07-28 |
| 1003012782 | East Tennessee Children's Hospital Association, Inc | Clinic/Center | 2100 West Clinch Avenue, Suite 510, Knoxville, TN 37916 | 2007-06-21 |
| 1922203108 | East Tennessee Children's Hospital Primary Care Center, Inc. | Clinic/Center | 611 22nd Street, Knoxville, TN 37916 | 2007-06-18 |
| 1699825984 | Orthodontic Design By Michael Sawaf | Dentist | 2220 White Ave, Knoxville, TN 37916 | 2007-01-11 |
| 1427115096 | Deborah Lynne Maples | Physical Therapy Assistant | Nhc Ft Sanders 2120 Highland Ave, Knoxville, TN 37916 | 2007-01-03 |
| Find all providers in zip 37916 | ||||
| Taxonomy Code | 2080P0214X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Pulmonology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649258484 | Daniel Joseph Heintz | Pediatrics | 2100 Clinch Ave Ste 310, Knoxville, TN 37916-2220 | 2006-01-03 |
| 1689854838 | Safina Kureshi | Pediatrics | 2100 Clinch Ave Ste 310, Knoxville, TN 37916-2220 | 2007-11-05 |
| 1992759906 | Diana Rebeca Quintero | Pediatrics | 2100 Clinch Ave Ste 310, Knoxville, TN 37916-2220 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841770864 | Blue Ridge Medical Management Corporation | Pediatrics | 408 N State of Franklin Rd Ste 31g, Johnson City, TN 37604-6088 | 2018-08-20 |
| 1801801378 | Elizabeth Perkett | Pediatrics | 11215 Dot Vanderbilt Childrens, 2200 Childrens Way, Nashville, TN 37232-0001 | 2006-07-30 |
| 1487089983 | Mariana Bedoya Pulgar Vidal | Pediatrics | 3601 The Vanderbilt Clinic, Nashville, TN 37232-1005 | 2013-09-04 |
| 1780933531 | Divya Salhan | Pediatrics | 51 N Dunlap St Ste 400, Memphis, TN 38105 | 2012-09-06 |
| 1972859890 | Ahsan Bashir | Pediatrics | 51 N Dunlap St Ste 400, Memphis, TN 38105-4625 | 2012-07-29 |
| 1457672313 | Catherine Donnellan Sanders | Pediatrics | 51 N Dunlap St, 4th Floor, Memphis, TN 38105-4625 | 2010-06-15 |
| 1750609939 | Matthew Adam Kreth | Pediatrics | 910 Blackford St, Chattanooga, TN 37403-1405 | 2010-05-12 |
| 1063745834 | Walter M Robinson | Pediatrics | 2200 Childrens Way, 11215 Doctor's Office Tower, Nashville, TN 37232-0005 | 2009-09-11 |
| 1417144916 | Saumini Srinivasan | Pediatrics | 51 N Dunlap St Ste 400, Memphis, TN 38105-4625 | 2007-09-28 |
| 1063614659 | Tonia Elizabeth Gardner | Pediatrics | 51 N Dunlap St, Ste. 400, Memphis, TN 38105-4625 | 2007-06-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.