Organization · Type 2 NPI

East Tennessee Children's Hospital Association Inc.

Neurodevelopmental Disabilities Physician · Knoxville, TN

NPI number 1114847407 Active

Practice location

1025 Childrens Way
Knoxville, TN 37922-7713

Call (865) 690-7846 Map

Fax (865) 246-7576

Mailing address

PO Box 50068
Knoxville, TN 37950-0068

Specialties and licenses

Taxonomy	Code	License
Neurodevelopmental Disabilities Physician Primary	2084P0005X	None listed

Neurodevelopmental Disabilities Physician: A neurologist who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions.

13 other providers at this address

NPI record

NPI: 1114847407
Entity type: Organization (Type 2)
Issued: Jul 17, 2026
Last updated: Sep 3, 2026
Status: Active
Subpart: Yes of East Tennessee Children's Hospital Association, Inc

Other names

Dolly Parton Children's Hospital Neurodevelopmental and Autism Center · doing business as

Authorized official

Andrew Rosendahl
CFO
(865) 541-8154

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About NPI 1114847407

East Tennessee Children's Hospital Association Inc.'s National Provider Identifier is 1114847407, issued on Jul 17, 2026. The primary taxonomy on file is Neurodevelopmental Disabilities Physician (2084P0005X), and the practice location is in Knoxville, TN. The record was last updated on Sep 3, 2026.