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East Tennessee Children'S Hospital Association Inc.

Plastic and Reconstructive Surgery Physician in Knoxville, TN · enumerated 2021 · authorized official Andrew Rosendahl, Chief Financial Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1003494352

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Registry record

Entity type Organization (Type 2)
Legal business name East Tennessee Children'S Hospital Association Inc.
Other name <Unavail>
Parent organization East Tennessee Children'S Hospital Association, Inc.
Practice address 2100 Clinch Avenue Suite 510, Knoxville, TN, 37916
Fax (866) 630-2013
Enumeration date Mar 30, 2021
Last updated in NPPES Dec 30, 2025

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Secondary
208200000X Plastic Surgery Physician Allopathic & Osteopathic Physicians Secondary
2086S0120X Pediatric Surgery Physician Allopathic & Osteopathic Physicians Secondary
2086S0122X Plastic and Reconstructive Surgery Physician Allopathic & Osteopathic Physicians Primary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary
363AS0400X Surgical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Andrew Rosendahl
Title Chief Financial Officer

Other identifiers

Identifier Type State Issuer
Q064872 Medicaid TN -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is East Tennessee Children'S Hospital Association Inc.?
East Tennessee Children'S Hospital Association Inc. is registered in NPPES as a Plastic and Reconstructive Surgery Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-12-30.