EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC. (NPI# 1417152695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417152695 |
| Entity Type | Organization |
| Organization Name | EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC. |
| Other Organization Name | BOYS AND GIRLS PEDIATRICS |
| Practice Address |
4529 Asheville Highway Knoxville TN 37914 |
| Mailing Address |
Po Box 15004 Knoxville TN 37901 |
| Practice Telephone | 8655228114 |
| Practice Fax Number | 8655252631 |
| Mailing Telephone | 8655418895 |
| Mailing Fax Number | 8656334808 |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2014-09-28 |
| Authorized Official Name | TRACY LANG (PRACTICE ASST ADMIN) |
| Authorized Official Telephone | 8655418582 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 5441765 | 05 |
| Other Name | Type Code |
|---|---|
| Boys and Girls Pediatrics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457557134 | East Tennessee Children's Hospital Primary Care Center, Inc. | Pediatrics | 2130 N Charles G Seivers Blvd Ste 4, Clinton, TN 37716-6705 | 2007-06-21 |
| 1922203108 | East Tennessee Children's Hospital Primary Care Center, Inc. | Clinic/Center | 611 22nd Street, Knoxville, TN 37916 | 2007-06-18 |
| 1538364716 | East Tennessee Children's Hospital Primary Care Center, Inc. | Clinic/Center | 1921 Topside Road, Louisville, TN 37777 | 2007-06-18 |
| 1306041587 | East Tennessee Children's Hospital Primary Care Center, Inc. | Clinic/Center | 1341 Branton Boulevard #102, Knoxville, TN 37922 | 2007-06-18 |
| 1265637441 | East Tennessee Children's Hospital Primary Care Center, Inc. | Nurse Practitioner | 125 Mountain View Dr Ste 200, Vonore, TN 37885-2666 | 2007-06-18 |
| 1194348383 | East Tennessee Children's Hospital Primary Care Center, Inc. | Pediatrics | 424 N Broad St Ste B, New Tazewell, TN 37825-6606 | 2020-05-21 |
| 1235640467 | East Tennessee Children's Hospital Primary Care Center, Inc. | Clinic/Center | 10857 Hardin Valley Rd, Knoxville, TN 37932-1410 | 2017-10-16 |
| 1194109926 | East Tennessee Children's Hospital Primary Care Center, Inc. | Pediatrics | 1025 Childrens Way, Knoxville, TN 37922-7713 | 2015-07-10 |
| 1548466220 | East Tennessee Children's Hospital Primary Care Center, Inc. | Clinic/Center | 4600 Asheville Hwy, Knoxville, TN 37914-3665 | 2007-06-21 |
| 1366648040 | East Tennessee Children's Hospital Primary Care Center, Inc. | Pediatrics | 2221 Jacksboro Pike Ste C4, La Follette, TN 37766-3007 | 2007-06-21 |
| Street Address |
4529 ASHEVILLE HIGHWAY |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528594645 | Emory Boykins Young II | Counselor | 3535 Ne Kenilworth Ln, Knoxville, TN 37914 | 2017-05-10 |
| 1487079513 | E and K Taxi | Taxi | 1423 Fifth Ave, Knoxville, TN 37914 | 2014-02-26 |
| 1154768836 | G Way Transit | Non-emergency Medical Transport (VAN) | 513 Carta Rd., Knoxville, TN 37914 | 2013-06-04 |
| 1346511581 | Carroll W Mcginnis | Family Medicine | 9108 Brownlow Newman Ln., Knoxville, TN 37914 | 2012-01-19 |
| 1912212879 | Scarlett Marie Mynatt | Registered Nurse | 7051 Straw Plains Pike, Knoxville, TN 37914 | 2010-08-16 |
| 1356570964 | Steven Dwight Shults | Physical Therapy Assistant | 3916 Boyd's Bridge Pike, Knoxville, TN 37914 | 2009-07-06 |
| 1639600521 | Dana Leann Byrge | Physical Therapy Assistant | 3916 Boyd's Bridge Pike, Nhc, Knoxville, TN 37914 | 2017-03-23 |
| 1861703316 | Narendra R Patel | Pharmacist | 4423 Asheville Hwy, Knoxville, TN 37914 | 2010-06-30 |
| 1346705506 | Jennifer Bolden | Psychologist | 5217 Brig Ln, Knoxville, TN 37914-2824 | 2019-02-01 |
| 1255443560 | Gary P Unferth | Chiropractor | 5207 Brig Ln, Knoxville, TN 37914-2824 | 2006-08-31 |
| Find all providers in zip 37914 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447645130 | Leconte Medical Group, LLC | Clinic/Center | 129 S Gay St, Suite B, Knoxville, TN 37902-1004 | 2015-03-31 |
| 1003218207 | Urgent Care Centers Across America | Clinic/Center | 9221 Middlebrook Pike # 203, Knoxville, TN 37931-4764 | 2014-09-18 |
| 1376943878 | Drs Black&benton Pediatrics | Clinic/Center | 4741 N Broadway St Ste B, Knoxville, TN 37918-1793 | 2014-09-03 |
| 1821323924 | The Sunflower Clinic | Clinic/Center | 730 Colony Village Way, Knoxville, TN 37923-7125 | 2009-10-07 |
| 1306086277 | Travel Center Clinics | Clinic/Center | 13060 Palestine Ln, Knoxville, TN 37934-0823 | 2009-03-04 |
| 1356547988 | Children's Primary Care Center | Clinic/Center | 224 Peters Rd # 105, Knoxville, TN 37923-5203 | 2007-06-21 |
| 1922203108 | East Tennessee Children's Hospital Primary Care Center, Inc. | Clinic/Center | 611 22nd Street, Knoxville, TN 37916 | 2007-06-18 |
| 1306041587 | East Tennessee Children's Hospital Primary Care Center, Inc. | Clinic/Center | 1341 Branton Boulevard #102, Knoxville, TN 37922 | 2007-06-18 |
| 1659403590 | Advantage Family Healthcare, Pllc | Clinic/Center | 11541 Kingston Pike 101, Knoxville, TN 37934-3918 | 2007-03-09 |
| 1265409957 | West Hills Family Practice | Clinic/Center | 7007 Kingston Pike, Knoxville, TN 37919-5706 | 2006-03-02 |
| Find all providers in KNOXVILLE | ||||
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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.