NPIMap

Organization Active NPI

East Tennessee Children's Hospital Association Inc.

Doing business as Dolly Parton Children's Hospital Main Campus Pediatrics

  • Pediatrics Physician
  • Knoxville, TN
National Provider Identifier
1871420091
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC.
Doing business as
Dolly Parton Children's Hospital Main Campus Pediatrics
Practice address
611 22ND St
Knoxville, TN 37916-2211
Phone
(865) 637-1346
Fax
(888) 894-3929
NPI assigned
May 4, 2026
Last updated
Sep 3, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

611 22ND St
Knoxville, TN 37916-2211

Mailing address

PO Box 50068
Knoxville, TN 37950-0068
Phone (865) 541-8895

Other practice location 1

2018 Clinch Ave
Knoxville, TN 37916-2301
Phone (865) 637-1346

Other identifiers 1

IdentifierTypeStateIssuer
Q113566MedicaidTN

Other names 1

  • Dolly Parton Children's Hospital Main Campus Pediatrics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Main Campus Pediatrics30 organizations share this tax ID, including this one
Part of
Main Campus Pediatrics

Other organizations with this tax ID 29

Organizations that report the same tax identification number in the National Provider Directory.

View all 29

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1777852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788393600000",
    "number": "1871420091",
    "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": "611 22ND ST",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379162211",
            "telephone_number": "865-637-1346",
            "fax_number": "888-894-3929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2018 Clinch Ave",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379162301",
            "country_code": "US",
            "telephone_number": "865-637-1346",
            "fax_number": "888-894-3929",
            "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": "2026-05-04",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "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": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q113566",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dolly Parton Children's Hospital Main Campus Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.