East Tennessee Children'S Hospital Association Inc.
NPI 1558080036 · Pediatrics Physician · Knoxville, TN
Provider details
- NPI number
- 1558080036
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- East Tennessee Children'S Hospital Association Inc.
- Organization subpart
- Yes
- Authorized official
- Andrew Rosendahl, Chief Financial Officer(865) 541-8154
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Hospitalist Physician208M00000X
Allopathic & Osteopathic Physicians
- Child Abuse Pediatrics Physician2080C0008X
Allopathic & Osteopathic Physicians
- Psychiatry Physician2084P0800X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- East Tennessee Children'S Medical Group
Additional practice locations (2)
- 2100 Clinch AvenueSuite 410Knoxville, TN 37916-2298Phone: (865) 343-6976Fax: (877) 554-2891
- 502 Winfield Dunn PkwySevierville, TN 37876-5509Phone: (865) 343-6976Fax: (877) 554-2891
Registry dates
- Enumerated
- 2022-08-26
- Last updated
- 2025-12-30
- Certified
- 2025-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.