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

East Tennessee Children's Hospital Primary Care Center, Inc

Organization Pediatrics Physician · NPI 1457557134

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

In the registry since
2007
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

2130 N Charles G Seivers Blvd Ste 4
Clinton, TN 37716-6705
Phone: (865) 457-4044
Fax: (866) 699-4833
Show map & directions

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 number1457557134
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 Clinton Pediatrics
NPI enumeratedJune 21, 2007
Last updated in NPPESJanuary 14, 2026
Certification dateJanuary 14, 2026
Mailing addressPo Box 15004, Knoxville, TN 37901-5004

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