PEDIATRIC EAR, NOSE & THROAT ASSOCIATES, P.C. (NPI# 1982987830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982987830 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC EAR, NOSE & THROAT ASSOCIATES, P.C. |
| Practice Address |
2100 W Clinch Ave Suite 330 Knoxville TN 37916-2219 |
| Practice Telephone | 8656738229 |
| Practice Fax Number | 8656738893 |
| Mailing Telephone | 8656738229 |
| Mailing Fax Number | 8656738893 |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2011-09-27 |
| Authorized Official Name | JOE A. GRAVES (PRESIDENT) |
| Authorized Official Telephone | 8656738229 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 23686 | TN | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3068753 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477912988 | Pediatric Ear, Nose & Throat Associates, P.C. | Clinic/Center | 65 Lasalle Rd, West Hartford, CT 06107-2374 | 2016-02-12 |
| 1154731917 | Pediatric Ear, Nose & Throat Associates, P.C. | Nurse Practitioner | 2100 W Clinch Ave, Ste 330, Knoxville, TN 37916-2219 | 2014-05-02 |
| Street Address |
2100 W CLINCH AVE SUITE 330 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37916-2219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215922547 | Clarisa E Cuevas | Specialist | 2100 W Clinch Ave, Suite 510, Knoxville, TN 37916-2219 | 2005-09-13 |
| 1346718020 | Lauri Michelle Gingerich | Nurse Practitioner | 2100 W Clinch Ave, Knoxville, TN 37916-2219 | 2018-11-11 |
| 1841738275 | Christy Michelle Howard | Nurse Practitioner | 2100 W Clinch Ave, Suite 330, Knoxville, TN 37916-2219 | 2017-02-06 |
| 1215392030 | Gi for Kids, Pllc | Pediatrics | 2100 W Clinch Ave, Ste 510, Knoxville, TN 37916-2219 | 2015-12-21 |
| 1396114583 | Misty E Murphy | Nurse Practitioner | 2100 W Clinch Ave, # 510, Knoxville, TN 37916-2219 | 2015-09-18 |
| 1811300379 | Amanda Harper | Nurse Practitioner | 2100 W Clinch Ave, Knoxville, TN 37916-2219 | 2014-06-03 |
| 1154731917 | Pediatric Ear, Nose & Throat Associates, P.C. | Nurse Practitioner | 2100 W Clinch Ave, Ste 330, Knoxville, TN 37916-2219 | 2014-05-02 |
| 1730521667 | Danielle L Gosser | Physician Assistant | 2100 W Clinch Ave, 120, Knoxville, TN 37916-2288 | 2013-07-19 |
| 1831449800 | Callie M Jubran | Dietitian, Registered | 2100 W Clinch Ave, #510, Knoxville, TN 37916-2219 | 2012-09-17 |
| 1497005466 | Ashley N Treadway | Dietitian, Registered | 2100 W Clinch Ave, #510, Knoxville, TN 37916-2219 | 2012-09-17 |
| Find all providers in the same location | ||||
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457703894 | Robert Landon Oneill | Specialist | 9015 Ten Mile Rd Apt 55, Knoxville, TN 37923-3813 | 2016-07-11 |
| 1154701225 | Leconte Recovery Center | Specialist | 10341 Kingston Pike, Knoxville, TN 37922-3576 | 2015-06-04 |
| 1649676263 | Holly Grady | Specialist | 301 Cheshire Dr, Apartment, Knoxville, TN 37919-5823 | 2014-11-10 |
| 1083027015 | Diana Rune Oflynne | Specialist | 4832 Chase Hill Dr, Knoxville, TN 37918-8120 | 2014-06-06 |
| 1215373832 | Herbert Shubert Dodge | Specialist | 523 Dixon Rd, Knoxville, TN 37934-1308 | 2013-05-22 |
| 1720340300 | Stephanie L Roberts | Specialist | 805 Lake Glen Ln, Knoxville, TN 37920-5707 | 2012-06-11 |
| 1144529777 | Robbie Hakeem | Specialist | 1765 Redgrave Rd, Knoxville, TN 37922-9449 | 2011-03-22 |
| 1902111784 | Manoj M Tendolkar | Specialist | 113 Gossamer Way, Knoxville, TN 37923-4133 | 2010-08-17 |
| 1083851315 | Blue Ridge Physical Therapy, LLC | Specialist | 1833 Point of Rocks Rd, Knoxville, MD 21758-9024 | 2009-01-08 |
| 1881840684 | Julia Sherman | Specialist | 6515 Clinton Hwy, Suite 213, Knoxville, TN 37912-1116 | 2008-08-12 |
| 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.