KNOXVILLE PEDIATRIC CARDIOLOGY MORRISTOWN (NPI# 1679126056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679126056 |
| Entity Type | Organization |
| Organization Name | KNOXVILLE PEDIATRIC CARDIOLOGY MORRISTOWN |
| Practice Address |
1817 W Morris Blvd Morristown TN 37813-2837 |
| Mailing Address |
2100 Clinch Ave Ste 420 Knoxville TN 37916-2231 |
| Practice Telephone | 8655220420 |
| Practice Fax Number | 8778016771 |
| Mailing Telephone | 8655220420 |
| Mailing Fax Number | 8778016771 |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2019-12-10 |
| Authorized Official Name | MARK B MASON (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 8655418053 |
| Is Organization Subpart | Y |
| Parent Organization Name | EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q050605 | 05 |
| Street Address |
1817 W MORRIS BLVD |
| City | MORRISTOWN |
| State | TN |
| Zip Code | 37813-2837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144259920 | Larry Michael Toffoletto | Pediatrics | 1817 W Morris Blvd, Morristown, TN 37813-2837 | 2006-07-02 |
| 1477037786 | Morgin N Grant | Nurse Practitioner | 1817 W Morris Blvd, Morristown, TN 37813-2837 | 2018-09-21 |
| 1336623693 | Vanessa L Odom | Nurse Practitioner | 1817 W Morris Blvd, Morristown, TN 37813-2837 | 2018-09-21 |
| 1285132845 | Summit Medical Group, Pllc | Pediatrics | 1817 W Morris Blvd, Morristown, TN 37813-2837 | 2018-01-30 |
| 1134668379 | Ryan Davis | Nurse Practitioner | 1817 W Morris Blvd, Morristown, TN 37813-2837 | 2017-02-21 |
| 1609203298 | Jennifer G Tourville | Nurse Practitioner | 1817 W Morris Blvd, Morristown, TN 37813-2837 | 2013-09-27 |
| 1518393834 | Brittany Megan Seal | Nurse Practitioner | 1817 W Morris Blvd, Morristown, TN 37813-2837 | 2013-09-18 |
| 1356618987 | Ashley Kirkpatrick Williams | Clinical Nurse Specialist | 1817 W Morris Blvd, Morristown, TN 37813-2837 | 2011-11-28 |
| 1568624823 | Lauren Ruth Cordle | Audiologist-Hearing Aid Fitter | 1817 W Morris Blvd, Morristown, TN 37813-2837 | 2008-06-27 |
| 1811057888 | Casey Nelson Moss | Pediatrics | 1817 W Morris Blvd, Morristown, TN 37813-2837 | 2006-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902393291 | Champion Physical Therapy LLC Halls | Clinic/Center | 1125 East Morris Blvd., Morristown, TN 37813 | 2018-04-23 |
| 1013404409 | Champion Physical Therapy LLC Halls | Clinic/Center | 1125 East Morris Blvd, Morristown, TN 37813 | 2018-04-20 |
| 1427550847 | Sherri Elizabeth Carlisle | Nurse Practitioner | 420 W Morris Blvd Ste 410, Morristown, TN 37813 | 2018-03-01 |
| 1992100770 | Dan-huy Nguyen | Pharmacist | 251 S. Cumberland St, Morristown, TN 37813 | 2014-10-23 |
| 1427311299 | Covenant Homecare | Durable Medical Equipment & Medical Supplies | 1611 West Morris Blvd, Morristown, TN 37813 | 2012-06-18 |
| 1194032730 | Morristown Pharmacist Group, LLC Dba M.d. Pharmacy | Pharmacy | 1467 W Morris Blvd, Morristown, TN 37813 | 2010-09-02 |
| 1750512653 | Tiffany Colleen Hopkins | Speech-Language Pathologist | 958 Trade St Ste 102, Morristown, TN 37813 | 2009-07-27 |
| 1699934711 | Kidney Center Pllc | Internal Medicine | 1751 West Morris Blvd. Suite 4, Morristown, TN 37813 | 2008-06-04 |
| 1154591055 | Kristal Lay Hurst | Nurse Practitioner | 1079 E Morris Blvd, Morristown, TN 37813 | 2008-03-06 |
| 1013002468 | Daniel James Martin | Physician Assistant | 1907 W. Morris Blvd, Suite B, Morristown, TN 37813 | 2006-10-03 |
| Find all providers in zip 37813 | ||||
| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| 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 |
|---|---|---|---|---|
| 1841532249 | Saira Siddiqui | Pediatrics | 55 Madison Ave Fl 2, Morristown, NJ 07960-7337 | 2013-03-23 |
| 1457585077 | Aparna Prasad | Pediatrics | 100 Madison Ave, Dept of Pediatric Cardiology, 2nd Floor, Morristown, NJ 07960-6136 | 2009-05-11 |
| 1235394826 | Lauren B Rosenthal | Pediatrics | 100 Madison Ave, Morristown, NJ 07960-6136 | 2008-07-23 |
| 1366600579 | Anjali Chelliah | Pediatrics | 55 Madison Ave Fl 2, Morristown, NJ 07960 | 2008-05-26 |
| 1376683300 | Suzanne Margaret Mone | Pediatrics | 100 Madison Ave, Morristown, NJ 07960-6136 | 2007-02-07 |
| 1689641623 | Donna M Timchak | Pediatrics | 100 Madison Ave, Morristown, NJ 07960-6136 | 2006-03-08 |
| 1104898394 | Christine Donnelly | Pediatrics | 100 Madison Ave, Morristown, NJ 07962 | 2006-02-02 |
| 1871572487 | Stuart Kaufman | Pediatrics | 100 Madison Ave, Morristown, NJ 07960 | 2006-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851766760 | Jami Shakibi | Pediatrics | 812 Cobble Cv, Nashville, TN 37211-7934 | 2015-12-03 |
| 1275970048 | Benjamin Acheampong | Pediatrics | 3601, Nashville, TN 37232-0001 | 2013-06-03 |
| 1053758516 | Nicole Kristen Perry | Pediatrics | 330 23rd Ave N Ste 550, Nashville, TN 37203-1706 | 2013-05-23 |
| 1578856985 | Jerry Don Walkup Jr. | Pediatrics | 2312 Knob Creek Rd Ste 208, Johnson City, TN 37604-2367 | 2011-05-17 |
| 1003992686 | Nisha K Surenderanath | Pediatrics | 2100 Clinch Ave Ste 420, Knoxville, TN 37916-2231 | 2006-10-27 |
| 1740216514 | Nancy Ann Chase | Pediatrics | 805 Estate Pl Ste 1, Memphis, TN 38120-0647 | 2006-06-24 |
| 1194772178 | Gerald Johnson | Pediatrics | 6148 Lee Hwy Ste 206, Chattanooga, TN 37421 | 2006-05-27 |
| 1376533489 | Ashish B Madhok | Pediatrics | 2312 Knob Creek Rd, Suite208, Johnson City, TN 37604-2367 | 2005-10-28 |
| 1679560288 | James K Stamps | Pediatrics | 80 Humphreys Center, Suite 230, Memphis, TN 38120 | 2005-09-29 |
| 1548255276 | Fred S Lamb | Pediatrics | 5111 Dot, 2200 Childrens Way, Nashville, TN 37232-0001 | 2005-09-19 |
| Find all providers with the same taxonomy | ||||
| City | MORRISTOWN |
| Zip Code | 37813 |
Please comment or provide details below to improve the information on KNOXVILLE PEDIATRIC CARDIOLOGY MORRISTOWN.
| 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.