EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC. (NPI# 1538364716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538364716 |
| Entity Type | Organization |
| Organization Name | EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC. |
| Other Organization Name | MARYVILLE PEDIATRIC GROUP AT PELLISSIPPI |
| Practice Address |
1921 Topside Road Louisville TN 37777 |
| Mailing Address |
Po Box 15004 Knoxville TN 37901 |
| Practice Telephone | 8656818662 |
| Practice Fax Number | 8656817993 |
| 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 |
|---|---|
| Maryville Pediatric Group at Pellissippi | 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 |
| 1417152695 | East Tennessee Children's Hospital Primary Care Center, Inc. | Clinic/Center | 4529 Asheville Highway, Knoxville, TN 37914 | 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 |
1921 TOPSIDE ROAD |
| City | LOUISVILLE |
| State | TN |
| Zip Code | 37777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225405475 | Blount County Snf Operations, LLC | Skilled Nursing Facility | 1965 Stewart Lane, Louisville, TN 37777 | 2015-08-24 |
| 1932533643 | Mary Martin Cadieux | Obstetrics & Gynecology | 3824 Compass Pointe Dr, Louisville, TN 37777 | 2013-08-29 |
| 1386960102 | Toni Danielle Pickle | Social Worker | 2431 Jones Bend Rd., Louisville, TN 37777 | 2010-04-19 |
| 1255666590 | Dale William Willetts | Specialist/Technologist, Other | 3733 Riverbrook Dr, Louisville, TN 37777 | 2009-10-05 |
| 1598998619 | Village Behavioral Health, LLC | Psychiatric Residential Treatment Facility | 2431 Jones Bend Road, Louisville, TN 37777 | 2009-08-25 |
| 1245392760 | Barbara L Taylor | Psychologist | 2341 Jones Bend Road, Louisville, TN 37777 | 2006-12-14 |
| 1427132786 | Parkwest Medical Center | Residential Treatment Facility, Emotionally Disturbed Children | 2341 Jones Bend Rd, Louisville, TN 37777 | 2006-10-24 |
| 1811960834 | Barrington N Nash | Family Medicine | 1921 Topside Rd, Ste 200, Louisville, TN 37777 | 2006-02-09 |
| 1871580027 | Kci Usa, Inc. | Durable Medical Equipment & Medical Supplies | 1705 Base Pointe Way, Louisville, TN 37777 | 2005-10-03 |
| 1679080378 | Hayley Schneider Bush | Case Manager/Care Coordinator | 3845 Holston College Rd, Louisville, TN 37777 | 2018-01-03 |
| Find all providers in zip 37777 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679192611 | Temple Triage Pllc | Clinic/Center | 8209 Pennsylvania Run Rd, Louisville, KY 40228-2143 | 2020-04-09 |
| 1700323987 | Mills Medical Practices, LLC | Clinic/Center | 805 N Whittington Pkwy, Louisville, KY 40222-5186 | 2017-01-25 |
| 1801029822 | Southeast Alabama Regional Healthcare Authority | Clinic/Center | 31 Railroad Street, Louisville, AL 36048 | 2009-08-25 |
| 1962562884 | Ar Medical LLC | Clinic/Center | 809 Peachtree Street, Louisville, GA 30434-1449 | 2006-12-11 |
| 1831120401 | County of Clay | Clinic/Center | 935 Bryant St, Louisville, IL 62858-1053 | 2006-07-05 |
| 1427677160 | Louisville Family Care, Pllc | Clinic/Center | 6610 Bardstown Rd, Louisville, KY 40291-3045 | 2020-04-13 |
| 1336512680 | Sondra Kathleen Adkins | Clinic/Center | 4950 Norton Healthcare Blvd, Ste 305, Louisville, KY 40241-2845 | 2015-11-09 |
| 1265844781 | Convenient Care Family Medical | Clinic/Center | 11302 Preston Hwy, Suite 2, Louisville, KY 40229-2862 | 2014-06-02 |
| 1992122972 | Kaplan, Barron, Roth, Lehocky & Katz Psc | Clinic/Center | 3333 Bardstown Rd, Louisville, KY 40218-4613 | 2014-03-27 |
| 1609158658 | Concentra Primary Care Pa | Clinic/Center | 123 E Main St, Louisville, KY 40202-2371 | 2011-09-15 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 37777 |
Please comment or provide details below to improve the information on EAST TENNESSEE CHILDREN'S HOSPITAL PRIMARY CARE CENTER, INC..
| 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.