Active NPI
Pediatric Ear, Nose & Throat Associates, P.C.
- Specialist
- Knoxville, TN
National Provider Identifier
1982987830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 23686
- Legal business name
- PEDIATRIC EAR, NOSE & THROAT ASSOCIATES, P.C.
- Practice address
- 2100 W Clinch Ave
Suite 330
Knoxville, TN 37916-2219 - Phone
- (865) 673-8229
- Fax
- (865) 673-8893
- NPI assigned
- Sep 27, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joe A. Graves, M.D.
- Title
- President
- Phone
- (865) 673-8229
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 23686 | TN | Primary |
Addresses
Primary practice location
2100 W Clinch Ave
Suite 330
Knoxville, TN 37916-2219
Mailing address
2100 W Clinch Ave
Suite 330
Knoxville, TN 37916-2219
Phone (865) 673-8229
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3068753 | Medicaid | TN |
National Provider Directory
National Provider Directory- Tax ID family
- Pediatric Ear Nose TH
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nurse Practitioner
- Knoxville, TN
- NPI 1154731917
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Nurse Practitioner
- Knoxville, TN
- NPI 1154731917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317081600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1317081600000",
"number": "1982987830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 W CLINCH AVE",
"address_2": "SUITE 330",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379162219",
"telephone_number": "865-673-8229",
"fax_number": "865-673-8893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 W CLINCH AVE",
"address_2": "SUITE 330",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379162219",
"telephone_number": "865-673-8229",
"fax_number": "865-673-8893"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRIC EAR, NOSE & THROAT ASSOCIATES, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-27",
"last_updated": "2011-09-27",
"status": "A",
"authorized_official_last_name": "GRAVES",
"authorized_official_first_name": "JOE",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "865-673-8229",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "TN",
"license": "23686",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3068753",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Knoxville, TN
- Pediatric Consultants West
- Pediatric Consultants, Inc
- Pediatric Dental Partners
- Pediatric Dentistry PC
- Pediatric Ear, Nose & Throat Associates, P.C.
- Pediatric Gastroenterology and Nutritional Support, P.C.
- Pediatric Otolaryngology Head and Neck Surgery,PLLC
- Pediatric Professionals Farragut
- Joseph Noble Peeden Jr., M.D.
- Jeffrey Bryce Peeke
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.