KNOXVILLE PEDIATRIC ASSOCIATES, P.C. (NPI# 1407946312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407946312 |
| Entity Type | Organization |
| Organization Name | KNOXVILLE PEDIATRIC ASSOCIATES, P.C. |
| Practice Address |
2201 W Clinch Ave Knoxville TN 37916-2203 |
| Practice Telephone | 8655250040 |
| Mailing Telephone | 8655250040 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2016-03-16 |
| Authorized Official Name | REBECCA SANTOS (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 8655250040 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 5440334 | 05 |
| Street Address |
2201 W CLINCH AVE |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37916-2203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497845499 | Barbara Summers | Pediatrics | 2201 W Clinch Ave, Knoxville, TN 37916-2203 | 2006-10-13 |
| 1497872733 | Amanda Perry | Nurse Practitioner | 2201 W Clinch Ave, Knoxville, TN 37916-2203 | 2007-03-23 |
| 1013043819 | Benjamin Batchelor | Nurse Practitioner | 2201 W Clinch Ave, Knoxville, TN 37916-2203 | 2007-02-26 |
| 1356431316 | Kurt Brandt | Pediatrics | 2201 W Clinch Ave, Knoxville, TN 37916-2203 | 2006-10-13 |
| 1972693943 | Scott Brice | Pediatrics | 2201 W Clinch Ave, Knoxville, TN 37916-2203 | 2006-10-13 |
| 1053401042 | Dennis Solomon | Pediatrics | 2201 W Clinch Ave, Knoxville, TN 37916-2203 | 2006-10-13 |
| 1356431324 | Karen Freeman | Pediatrics | 2201 W Clinch Ave, Knoxville, TN 37916-2203 | 2006-10-13 |
| 1851481832 | Kathleen Holloway | Pediatrics | 2201 W Clinch Ave, Knoxville, TN 37916-2203 | 2006-10-13 |
| 1184714172 | Ronald Rimer | Pediatrics | 2201 W Clinch Ave, Knoxville, TN 37916-2203 | 2006-10-13 |
| 1710077714 | Philip Stanley | Pediatrics | 2201 W Clinch Ave, Knoxville, TN 37916-2203 | 2006-10-13 |
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| 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 |
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| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205333481 | Summit Medical Group,pllc | Pediatrics | 1341 Branton Blvd Ste 102, Knoxville, TN 37922-8521 | 2018-04-12 |
| 1942643853 | Jennifer Lynne Jaynes | Pediatrics | 10857 Hardin Valley Rd, Knoxville, TN 37932-1410 | 2013-04-10 |
| 1346510856 | Donald Eugene Lighter II | Pediatrics | 2120 River Sound Dr, Knoxville, TN 37922-5663 | 2012-01-01 |
| 1851536015 | Jennifer Leigh Damewood | Pediatrics | 1718 Saint Mary St Ste A, Knoxville, TN 37917-4518 | 2008-12-02 |
| 1316118714 | Pediatric Consultants At Cedar Bluff | Pediatrics | 9333 Park West Blvd Ste 104, Knoxville, TN 37923-4305 | 2008-03-13 |
| 1235294943 | Stanley S. Park | Pediatrics | 5300 Clinton Plaza Drive, Knoxville, TN 37912-3830 | 2006-12-22 |
| 1497845499 | Barbara Summers | Pediatrics | 2201 W Clinch Ave, Knoxville, TN 37916-2203 | 2006-10-13 |
| 1689764656 | Deborah Jones Christiansen | Pediatrics | 120 Suburban Rd Ste 203, Knoxville, TN 37923-5592 | 2006-10-13 |
| 1699860692 | David Sean Teaster | Pediatrics | 4741 Broadway, Knoxville, TN 37918 | 2006-10-04 |
| 1215037106 | Deborah Zimo | Pediatrics | 611 22nd St, Knoxville, TN 37916-2211 | 2006-09-22 |
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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.