NPIMap

Organization Active NPI

Pediatric Choice LLC

  • Pediatrics Physician
  • Lenoir City, TN
National Provider Identifier
1811023989
Registry record updated Jan 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD27148 Issued in TN
Legal business name
PEDIATRIC CHOICE LLC
Practice address
5505 Creekwood Park Blvd
Lenoir City, TN 37772-1201
Phone
(865) 986-1400
Fax
(865) 986-9400
NPI assigned
Feb 26, 2007
Last updated
Jan 24, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2018

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

Authorized official

Name
Syed M Amer, MDNPI 1225036791
Title
Owner
Phone
(865) 986-1400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD27148 TN Primary

Addresses

Primary practice location

5505 Creekwood Park Blvd
Lenoir City, TN 37772-1201

Mailing address

5505 Creekwood Park Blvd
Lenoir City, TN 37772-1201
Phone (865) 986-1400

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D1077408Pediatric Choice LLC5505 Creekwood Park Blvd, Lenoir City, TN 37772Certificate of waiverDec 9, 2027

National Provider Directory

National Provider Directory

Locations

5505 Creekwood Park Blvd
Lenoir City, TN 37772
Phone (865) 986-1400

Practitioners & affiliated clinicians

Practitioners 16

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 16

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516752000000",
    "number": "1811023989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 CREEKWOOD PARK BLVD",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377721201",
            "telephone_number": "865-986-1400",
            "fax_number": "865-986-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 CREEKWOOD PARK BLVD",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377721201",
            "telephone_number": "865-986-1400",
            "fax_number": "865-986-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC CHOICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2018-01-24",
        "status": "A",
        "authorized_official_last_name": "AMER",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-986-1400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "MD27148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenoir City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.