Active NPI
East Tennessee Children's Hospital Association, Inc.
Doing business as Dolly Parton Children's Hospital Urology
- Pediatric Urology Physician
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Urology Physician
- Legal business name
- EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION, INC.
- Doing business as
- Dolly Parton Children's Hospital Urology
East Tennessee Children's Hospital Pediatric Urology - Practice address
- 2100 Clinch Ave Ste 310
Knoxville, TN 37916-2220 - Phone
- (865) 673-9315
- Fax
- (877) 850-9131
- NPI assigned
- Mar 29, 2007
- Organization subpart
- Yes
- Parent organization
- EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrew Rosendahl
- Title
- Cfo
- Phone
- (865) 541-8154
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | |||
| Pediatric Urology Physician | 2088P0231X | Primary | ||
| Pediatric Nurse Practitioner | 363LP0200X |
Addresses
Primary practice location
2100 Clinch Ave Ste 310
Knoxville, TN 37916-2220
Mailing address
PO Box 50068
Knoxville, TN 37950-0068
Phone (865) 541-8895
Other practice location 1
1025 Childrens Way
Knoxville, TN 37922-7713
Phone (865) 673-9315
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3735949 | Medicaid | TN |
Other names 2
- Dolly Parton Children's Hospital Urology
- East Tennessee Children's Hospital Pediatric Urology
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D1063671 | Tennessee Pediatric Urology PC | Certificate of waiver | Jan 12, 2028 |
National Provider Directory
National Provider Directory- Part of
- East Tennessee Children's
Locations
2018 Clinch Ave
Fl 2
Knoxville, TN 37916
Phone (865) 971-7400
2100 Clinch Ave
Ste 130
Knoxville, TN 37916
Phone (865) 546-3111
2018 Clinch Ave
#2
Knoxville, TN 37916
Phone (865) 522-0420
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788566400000",
"number": "1568581387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50068",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379500068",
"telephone_number": "865-541-8895",
"fax_number": "865-633-4808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 CLINCH AVE STE 310",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379162220",
"telephone_number": "865-673-9315",
"fax_number": "877-850-9131"
}
],
"practiceLocations": [
{
"address_1": "1025 Childrens Way",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "TN",
"postal_code": "379227713",
"country_code": "US",
"telephone_number": "865-673-9315",
"fax_number": "877-850-9131",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION, INC.",
"enumeration_date": "2007-03-29",
"last_updated": "2026-09-05",
"certification_date": "2026-09-05",
"status": "A",
"authorized_official_last_name": "ROSENDAHL",
"authorized_official_first_name": "ANDREW",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "865-541-8154"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "2088P0231X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Urology, Pediatric Urology",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Pediatrics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3735949",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Dolly Parton Children's Hospital Urology",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "East Tennessee Children's Hospital Pediatric Urology",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Knoxville, TN
- East Tennessee Children's Hospital Association, Inc. (Dolly Parton Children's Hospital Hematology - Oncology)
- East Tennessee Children's Hospital Association, Inc. (Dolly Parton Children's Hospital Genetics)
- East Tennessee Children's Hospital Association, Inc. (East Tennessee Children's Hospital Outpatient Pharmacy)
- East Tennessee Children's Hospital Association, Inc. (Dolly Parton Children's Hospital Psychology)
- East Tennessee Children's Hospital Association, Inc. (Dolly Parton Children's Hospital Medical Group)
- East Tennessee Children's Hospital Association, Inc. (Dolly Parton Children's Hospital Developmental Behavioral Pediatrics)
- East Tennessee Children's Hospital Association, Inc. (Dolly Parton Children's Hospital Rheumatology)
- East Tennessee Children's Hospital Association, Inc. (Dolly Parton Children's Hospital Physiatry)
- East Tennessee Children's Hospital Association, Inc. (Dolly Parton Children's Hospital Surgery)
- East Tennessee Children's Hospital Association, Inc. (East Tennessee Children's Hospital Specialty Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.