East Tennessee Children's Primary Care Center, Inc.
NPI 1235350901ActiveOrganization· Pediatrics· Knoxville, TN
Pediatrics in Knoxville, Tennessee, registered in NPPES in May 2007, part of East Tennessee Children's Primary Care Center, Inc. The authorized official on file is Andrew Rosendahl, Cfo.
Overview
| NPI | 1235350901 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | East Tennessee Children's Primary Care Center, Inc. |
| NPI issued | May 1, 2007 |
| Last updated in NPPES | Sep 5, 2026 |
| Certified by provider | Sep 5, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | — | — |
| Clinic/Center, Medical Specialty | 261QM2500X | — | TN |
| Nurse Practitioner, Family | 363LF0000X | — | — |
| Nurse Practitioner, Pediatrics | 363LP0200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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