OrganizationActive
East Tennessee Children'S Hospital Association Inc.
NPI 1770722688 · Pediatric Nephrology Physician · Knoxville, TN
Provider details
- NPI number
- 1770722688
- Entity type
- Organization
- Primary specialty
- Pediatric Nephrology 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
- Medical Specialty Clinic/Center261QM2500X
Ambulatory Health Care Facilities
Practice location
2100 Clinch Ave Ste 310
Knoxville, TN 37916-2220
Phone: (865) 546-3111
Fax: (877) 761-6691
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 Nephrology
Registry dates
- Enumerated
- 2009-02-17
- 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.