Etch Pediatric Plastic And Reconstructive Surgery

LBN: East Tennessee Children'S Hospital Association Inc.
Etch Pediatric Plastic And Reconstructive Surgery is an health care organization with primary practice located at 2100 Clinch Avenue Suite 510 , Knoxville TN 37916-2225. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Pediatric Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is the primary health care specialty. East Tennessee Children'S Hospital Association Inc. can be contacted via phone (865) 824-4939, or through Hawthorne, Caryn via phone (865) 541-8181.

Contact Information

Primary practice address
2100 Clinch Avenue Suite 510 Knoxville TN 37916-2225
Phone: (865) 824-4939
Fax: (866) 630-2013
Website:
Map and Directions
Authorized official contact:
Name: Hawthorne, Caryn
Phone: (865) 541-8181

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X

Profile Details

NPI number 1003494352
LBN Legal business name East Tennessee Children'S Hospital Association Inc.
DBA Doing business as Etch Pediatric Plastic And Reconstructive Surgery
Authorized official Hawthorne, Caryn
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 30th, 2021
Last updated Jun 21st, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003494352 NPPES
Tennessee MEDICAID Q064872

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