East Tennessee Pediatric Cardiology, P.C.

LBN: East Tennessee Pediatric Cardiology, P.C.
East Tennessee Pediatric Cardiology, P.C. is an health care organization with primary practice located at 2001 Laurel Ave Suite Ng4, Knoxville TN 37916-1810. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as the primary health care specialty. East Tennessee Pediatric Cardiology, P.C. can be contacted via phone (865) 971-6897, or through Bremer, Yvonne A. via phone (865) 971-6897.

Contact Information

Primary practice address
2001 Laurel Ave Suite Ng4 Knoxville TN 37916-1810
Fax: (865) 971-1597
Website:
Authorized official contact:
Name: Bremer, Yvonne A. Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X

Profile Details

NPI number 1265666747
LBN Legal business name East Tennessee Pediatric Cardiology, P.C.
DBA Doing business as
Authorized official Bremer, Yvonne A. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 12th, 2009
Last updated Jan 30th, 2015 - about 9 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 1265666747 NPPES
Kentucky MEDICAID 7100320610

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