East Tennessee Children's Primary Care Center, Inc.
NPI 1235640467ActiveOrganization· Pediatrics· Knoxville, TN
Pediatrics in Knoxville, Tennessee, registered in NPPES in October 2017, part of East Tennessee Children's Hospital Primary Care Center, Inc. The authorized official on file is Andrew Rosendahl, Chief Financial Officer.
Overview
| NPI | 1235640467 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | East Tennessee Children's Hospital Primary Care Center, Inc. |
| NPI issued | Oct 16, 2017 |
| 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, Primary Care | 261QP2300X | — | — |
| 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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