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

East Tennessee Children's Hospital Primary Care Center, Inc

Organization Pediatrics Physician · NPI 1184829368

East Tennessee Children's Hospital Primary Care Center, Inc is a Pediatrics Physician in Alcoa, Tennessee. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
4
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

352 Fountain View Cir
Alcoa, TN 37701-1945
Phone: (865) 982-0032
Fax: (866) 307-8963
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X
Primary Care Clinic/Center Taxonomy 261QP2300X
Family Nurse Practitioner Taxonomy 363LF0000X
Pediatric Nurse Practitioner Taxonomy 363LP0200X

Record details

NPI number1184829368
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationEast Tennessee Children's Hospital Primary Care Center Inc
Authorized official Andrew Rosendahl — Chief Financial Officer · (865) 541-8154
Other names Maryville Pediatrics
NPI enumeratedJune 18, 2007
Last updated in NPPESJanuary 14, 2026
Certification dateJanuary 14, 2026
Mailing addressPo Box 15004, Knoxville, TN 37901-5004

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