Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

East Tennessee Children's Hospital Association Inc

Organization Pediatrics Physician · NPI 1003494352

East Tennessee Children's Hospital Association Inc is a Pediatrics Physician in Knoxville, Tennessee. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
6
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2100 Clinch Ave Ste 510
Knoxville, TN 37916-2225
Phone: (865) 824-4939
Fax: (866) 630-2013
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X
Pediatrics Physician Taxonomy 208000000X
Plastic Surgery Physician Taxonomy 208200000X
Pediatric Surgery Physician Taxonomy 2086S0120X
Physician Assistant Taxonomy 363A00000X
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1003494352
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationEast Tennessee Children's Hospital Association, Inc
Authorized official Andrew Rosendahl — Chief Financial Officer · (865) 541-8154
Other names Etch Pediatric Plastic And Reconstructive Surgery; Etch Pediatric Plastic And Reconstructive Surgery
NPI enumeratedMarch 30, 2021
Last updated in NPPESDecember 30, 2025
Certification dateDecember 30, 2025
Mailing addressPo Box 15004, Knoxville, TN 37901-5004

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