EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. – NPI #1184247181
Obstetrics & Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. is a provider located in KNOXVILLE, TN. NPPES has assigned the NPI number 1184247181 to EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. on May 26, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207VG0400X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Gynecology

The NPI profile was last updated on Jan 14, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. below.

NPI Profile for
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC.

NPI Number
1184247181
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC.
Primary location
2100 CLINCH AVE STE 310
KNOXVILLE, TN 37916-2220
Phone: (865) 546-0221 Fax: (866) 323-3153
Mailing address
PO BOX 15004
KNOXVILLE, TN 37901-5004
Phone: (865) 546-0221 Fax: (866) 323-3153
Organization Subpart
Yes - EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. is subpart of another organization.
Authorized Official
ANDREW ROSENDAHL
CHIEF FINANCIAL OFFICER
Phone: (865) 541-8154
Updated
Certification Date
Jan 14, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidTNQ057240
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207VG0400X
- Obstetrics & Gynecology / Gynecology (Primary)
363LP0200X
- Nurse Practitioner / Pediatrics
208000000X
- Pediatrics

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.