Organization Active NPI

Pediatric Consultants of East Tennessee

  • Pediatrics Physician
  • Knoxville, TN
National Provider Identifier
1912076506
Registry record updated Jun 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PEDIATRIC CONSULTANTS OF EAST TENNESSEE
Practice address
1930 Alcoa Hwy
Suite 145
Knoxville, TN 37920-1500
Phone
(865) 582-3100
Fax
(865) 544-6572
NPI assigned
Nov 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2017

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

Authorized official

Name
Camilla Jocher, M.D.
Title
President
Phone
(865) 582-3100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

1930 Alcoa Hwy
Suite 145
Knoxville, TN 37920-1500

Mailing address

1930 Alcoa Hwy
Suite 145
Knoxville, TN 37920-1500
Phone (865) 582-3100

National Provider Directory

National Provider Directory
Tax ID family
Pediatric Consultants Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498780800000",
    "number": "1912076506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 ALCOA HWY",
            "address_2": "SUITE 145",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201500",
            "telephone_number": "865-582-3100",
            "fax_number": "865-544-6572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 ALCOA HWY",
            "address_2": "SUITE 145",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201500",
            "telephone_number": "865-582-3100",
            "fax_number": "865-544-6572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC CONSULTANTS OF EAST TENNESSEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2017-06-30",
        "status": "A",
        "authorized_official_last_name": "JOCHER",
        "authorized_official_first_name": "CAMILLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-582-3100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 30, 2017; 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.