Roane County Pediatrics

LBN: East Tennessee Children'S Hospital Primary Care Center Inc.
Roane County Pediatrics is an health care organization with primary practice located at 1705 Roane State Hwy , Harriman TN 37748-8306. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. East Tennessee Children'S Hospital Primary Care Center Inc. can be contacted via phone (865) 316-5001, or through Hawthorne, Caryn via phone (865) 541-8181.

Contact Information

Primary practice address
1705 Roane State Hwy Harriman TN 37748-8306
Phone: (865) 316-5001
Fax: (865) 376-3713
Website:
Map and Directions
Authorized official contact:
Name: Hawthorne, Caryn
Phone: (865) 541-8181

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X

Profile Details

NPI number 1669104196
LBN Legal business name East Tennessee Children'S Hospital Primary Care Center Inc.
DBA Doing business as Roane County Pediatrics
Authorized official Hawthorne, Caryn
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 24th, 2022
Last updated Jun 8th, 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 1669104196 NPPES
Tennessee MEDICAID Q074655

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