OrganizationActive
East Tennessee Children'S Hospital Association, Inc.
NPI 1619602646 · Pediatric Rheumatology Physician · Knoxville, TN
Provider details
- NPI number
- 1619602646
- Entity type
- Organization
- Primary specialty
- Pediatric Rheumatology 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
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
Practice location
2018 Clinch Ave
Knoxville, TN 37916-2301
Phone: (865) 541-8830
Fax: (865) 541-8405
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 15004
Knoxville, TN 37901-5004
Other names (DBA / former)
- Doing business as
- East Tennessee Children'S Hospital Pediatric Rheumatology
Registry dates
- Enumerated
- 2022-07-22
- 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.