NPIMap

Organization Active NPI

East Tennessee Women's Care, PC

Doing business as Southest Gynecologic Oncology Associates

  • Specialist
  • Knoxville, TN
National Provider Identifier
1457574345
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD28234 Issued in TN
Legal business name
EAST TENNESSEE WOMEN'S CARE, PC
Doing business as
Southest Gynecologic Oncology Associates
Practice address
930 Emerald Avenue
Suite 615
Knoxville, TN 37917
Phone
(865) 673-9250
Fax
(865) 673-9255
NPI assigned
Apr 10, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Julie P. Gaddis
Title
Office Manager
Phone
(865) 673-9248

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD28234 TN Primary

Addresses

Primary practice location

930 Emerald Avenue
Suite 615
Knoxville, TN 37917

Mailing address

930 Emerald Avenue
Suite 615
Knoxville, TN 37917
Phone (865) 673-9250

Other names 1

  • Southest Gynecologic Oncology Associates Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 78

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 78

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457574345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 EMERALD AVENUE",
            "address_2": "SUITE 615",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37917",
            "telephone_number": "865-673-9250",
            "fax_number": "865-673-9255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 EMERALD AVENUE",
            "address_2": "SUITE 615",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37917",
            "telephone_number": "865-673-9250",
            "fax_number": "865-673-9255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TENNESSEE WOMEN'S CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GADDIS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "865-673-9248",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD28234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southest Gynecologic Oncology Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.