Provider Demographics
NPI:1023112414
Name:PEDIATRIC ANALGESIA & SEDATION SPECIALISTS
Entity type:Organization
Organization Name:PEDIATRIC ANALGESIA & SEDATION SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:HENLEY
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-541-8648
Mailing Address - Street 1:2100 W CLINCH AVE STE 235
Mailing Address - Street 2:EAST TENNESSEE CHILDREN'S HOSPITAL
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37916-2228
Mailing Address - Country:US
Mailing Address - Phone:865-541-8000
Mailing Address - Fax:
Practice Address - Street 1:2018 CLINCH AVENUE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37916-2228
Practice Address - Country:US
Practice Address - Phone:865-541-8000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-07
Last Update Date:2013-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0204XAllopathic & Osteopathic PhysiciansPediatricsPediatric Emergency MedicineGroup - Single Specialty