East Tennessee Children's Hospital Primary Care Center, Inc.
Pediatrics
East Tennessee Children's Hospital Primary Care Center, Inc. is a Maryville, Tennessee based Pediatric center with medical specialization in
General Pediatrics. East Tennessee Children's Hospital Primary Care Center, Inc. is doing business as
Maryville Pediatrics.
It is located at
414 Greenbelt Dr, Maryville, Tennessee - 37804-5702. They can be contacted on phone at
865-982-0032 and fax number 866-307-8963.
NPI number (Unique professional ID) for East Tennessee Children's Hospital Primary Care Center, Inc. is
1184829368 which was assigned by NPPES on 18 Jun, 2007 and it was last updated on 07 Apr, 2022.
East Tennessee Children's Hospital Primary Care Center, Inc. is a pediatrician who 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.
Complete Profile:
East Tennessee Children's Hospital Primary Care Center, Inc. basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | East Tennessee Children's Hospital Primary Care Center, Inc. |
|---|
| Other Name : | Maryville Pediatrics |
|---|
Business Address:
East Tennessee Children's Hospital Primary Care Center, Inc. address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 414 Greenbelt Dr
Maryville, TN, 37804-5702
United States |
|---|
| Phone Number : | 865-982-0032 |
|---|
| Fax Number : | 866-307-8963 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1184829368 |
|---|
| NPI Entity Type : | Organization |
|---|
| First Enrolment Date : | 18 Jun, 2007 |
|---|
| Last Updated On : | 07 Apr, 2022 |
|---|
Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Caryn Hawthorne |
|---|
| Official Title or Position : | VICE PRESIDENT FINANCE |
|---|
| Phone Number : | 865-541-8181 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for East Tennessee Children's Hospital Primary Care Center, Inc. are as mentioned. Primary taxonomy code for East Tennessee Children's Hospital Primary Care Center, Inc. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 261QP2300X | Clinic/Center Primary Care | No | | |
| 363LF0000X | Nurse Practitioner Family | No | | |
| 363LP0200X | Nurse Practitioner Pediatrics | No | | |
| 208000000X | Pediatrics | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of East Tennessee Children's Hospital Primary Care Center, Inc. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 5441765 | MEDICAID | TN | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 15004
Knoxville, TN, 37901-5004
United States |
|---|
| Phone Number : | 865-541-8895 |
|---|
| Fax Number : | 865-633-4808 |
|---|
Business Location:
Patients can refer following map for directions to
East Tennessee Children's Hospital Primary Care Center, Inc. practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.