OrganizationActive
East Tennessee Children'S Hospital Association Inc.
NPI 1912649518 · Neurology with Special Qualifications in Child Neurology Physician · Knoxville, TN
Provider details
- NPI number
- 1912649518
- Entity type
- Organization
- Primary specialty
- Neurology with Special Qualifications in Child Neurology 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 W Clinch Avenue
Knoxville, TN 37916-2301
Phone: (865) 523-5437
Fax: (865) 246-7566
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 Neurology
Additional practice locations (1)
- 2100 Clinch Ave Ste 210Knoxville, TN 37916-2297Phone: (865) 523-5437Fax: (865) 246-7566
Registry dates
- Enumerated
- 2022-04-13
- 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.