East Tennessee Children'S Hospital Primary Care Center, INC.
Pediatrics in Clinton, TN. Organization (NPI-2).
NPI number1457557134
StatusActive
Last updated in NPPESNov 9, 2026
Details
- NPI
- 1457557134
- Entity type
- Organization (NPI-2)
- Legal business name
- East Tennessee Children'S Hospital Primary Care Center, INC.
- Organization subpart
- Yes
- Enumeration date
- Jun 21, 2007
- Certification date
- Nov 9, 2026
- Last updated
- Nov 9, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | – | – | Yes |
| 261QP2300X | Clinic/Center, Primary Care | – | – | |
| 363LP0200X | Nurse Practitioner, Pediatrics | – | – |
Other names
- Dolly Parton Children'S Hospital Clinton Pediatrics (Doing Business As)
Practice location
2130 N Charles G Seivers Blvd Ste 4Clinton, TN 37716-6705
Phone 865-457-4044 · Fax 866-699-4833
Mailing address
Po Box 50068Knoxville, TN 37950-0068
Phone 865-541-8895 · Fax 865-633-4808
Authorized official
Andrew Rosendahl
Chief Financial Officer
8655418154
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Pediatrics Physician providers in Clinton, TN
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.