Organization · Type 2 NPI

East Tennessee Children's Hospital Association, Inc.

Pediatric Nephrology Physician · Knoxville, TN

NPI number 1770722688 Active

Practice location

2100 Clinch Ave Ste 310
Knoxville, TN 37916-2220

Call (865) 546-3111 Map

Fax (877) 761-6691

Mailing address

PO Box 50068
Knoxville, TN 37950-0068

Specialties and licenses

Taxonomy	Code	License
Pediatrics Physician	208000000X	None listed
Pediatric Nephrology Physician Primary	2080P0210X	None listed
Medical Specialty Clinic/Center	261QM2500X	None listed

Pediatric Nephrology Physician: A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.

7 other providers at this address

NPI record

NPI: 1770722688
Entity type: Organization (Type 2)
Issued: Feb 17, 2009
Last updated: Sep 5, 2026
Status: Active
Subpart: Yes of East Tennessee Children's Hospital Association, Inc.

Other names

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Dolly Parton Children's Hospital Nephrology and Hypertension · doing business as
East Tennessee Children's Hospital Pediatric Nephrology · doing business as

Authorized official

Andrew Rosendahl
Chief Financial Officer
(865) 541-8154

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1770722688

East Tennessee Children's Hospital Association, Inc.'s National Provider Identifier is 1770722688, issued on Feb 17, 2009. The primary taxonomy on file is Pediatric Nephrology Physician (2080P0210X), and the practice location is in Knoxville, TN. The record was last updated on Sep 5, 2026.