Organization
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC.
Active
Parent organization
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC.
Other names
East Tennessee Children's Hospital Pediatric Surgery
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC.
Authorized official
ANDREW ROSENDAHL (CHIEF FINANCIAL OFFICER)
(865) 541-8154
Entity
Organization
Contact information
Practice address
2100 CLINCH AVENUE SUITE 510, KNOXVILLE, TN 37916-2225
(865) 546-2131
(877) 821-0891
Mailing address
PO BOX 15004, KNOXVILLE, TN 37901-5004
(865) 541-8895
(865) 633-4808
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
2086S0120X
Pediatric Surgery Physician
Primary
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3722556
—
TN
Enumeration date
10/26/2006
Last updated
12/30/2025
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