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 Surgery Physician · NPI 1639254972

East Tennessee Children's Hospital Association Inc is a Surgery Physician in Knoxville, Tennessee. Works from 4 locations. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
3
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) 546-2131
Fax: (877) 821-0891
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1025 Childrens Way, Knoxville, TN 37922-7713 — (865) 546-2131
  • 207 E Emory Rd, Powell, TN 37849-4047 — (865) 546-2131
  • 502 Winfield Dunn Pkwy, Sevierville, TN 37876-5509 — (865) 546-2131

Specialties & licences

Pediatric Surgery Physician (primary) Taxonomy 2086S0120X
Surgery Physician Taxonomy 208600000X
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1639254972
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 East Tennessee Children'S Hospital Pediatric Surgery
NPI enumeratedOctober 26, 2006
Last updated in NPPESDecember 30, 2025
Certification dateDecember 30, 2025
Mailing addressPo Box 15004, Knoxville, TN 37901-5004

Other providers in Knoxville