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NPI 1184247181 · live from the CMS NPI Registry

East Tennessee Children'S Hospital Association INC.

Obstetrics & Gynecology, Gynecology in Knoxville, TN. National Provider Identifier 1184247181, active.

NPI record

NPI1184247181 Type 2 · organization
StatusActive
Primary specialtyObstetrics & Gynecology, Gynecology 207VG0400X
Practice location2100 Clinch Ave Ste 310, Knoxville, TN 37916
Practice phone865-546-0221
Mailing addressPo Box 15004, Knoxville, TN 37901
EnumeratedMay 26, 2020
Last updatedJanuary 14, 2026
Authorized officialAndrew Rosendahl, Chief Financial Officer
Other namesEast Tennessee Children'S Hospital Pediatric And Adolescent Gynecology

Taxonomies and licenses

TaxonomyCodeLicense
Pediatrics208000000X—
Nurse Practitioner, Pediatrics363LP0200X—
Obstetrics & Gynecology, Gynecology primary207VG0400X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.