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 1235640467

East Tennessee Children's Hospital Primary Care Center, Inc is a Pediatrics Physician in Knoxville, Tennessee. Registered with an NPI since 2017.

In the registry since
2017
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

10857 Hardin Valley Rd
Knoxville, TN 37932-1410
Phone: (865) 690-2682
Fax: (866) 529-5509
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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
Pediatric Nurse Practitioner Taxonomy 363LP0200X

Record details

NPI number1235640467
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 Hardin Valley Pediatrics
NPI enumeratedOctober 16, 2017
Last updated in NPPESJanuary 14, 2026
Certification dateJanuary 14, 2026
Mailing addressPo Box 15004, Knoxville, TN 37901-5004

Other providers in Knoxville