EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC.
NPI 1003494352
Surgery - Plastic and Reconstructive Surgery in Knoxville, TN

Q: What is East Tennessee Children's Hospital Association Inc.'s specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Active since March 30, 2021CLIA 44D0712520 · Accreditation

2100 CLINCH AVENUE SUITE 510, KNOXVILLE, TN 37916(865) 824-4939(866) 630-2013 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 30, 2025, Jun 21, 2023, Jun 7, 2023 and 3 more (6 updates tracked since 2021).

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About East Tennessee Children's Hospital Association Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC. (NPI 1003494352), doing business as Etch Pediatric Plastic And Reconstructive Surgery, is a healthcare organization registered as a plastic and reconstructive surgery in Knoxville, Tennessee and active in the NPI registry since March 2021. The organization holds an CLIA Accreditation certificate valid through July 26, 2027 and lists Andrew Rosendahl, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1003494352

Entity TypeOrganization

Primary Taxonomy2086S0122X

Legal Business NameEAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC.

Location Address2100 CLINCH AVENUE SUITE 510Knoxville, TN 37916-2225

Mailing AddressPo Box 15004Knoxville, TN 37901-5004 · (865) 541-8895 · Fax (865) 633-4808

Phone(865) 824-4939

Fax(866) 630-2013

Organization SubpartYesParent: East Tennessee Children's Hospital Association, Inc.

Authorized OfficialAndrew RosendahlChief Financial Officer · (865) 541-8154

Enumeration DateMarch 30, 2021

Last NPPES UpdateDecember 30, 20256 updates tracked since enumeration

NPPES CertifiedDecember 30, 2025

✔ NPI 1003494352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0122X

Definition

A surgeon who specializes in plastic and reconstructive surgery.

Also ListedPediatricsTaxonomy 208000000X

Also ListedPlastic SurgeryTaxonomy 208200000X

Also ListedSurgery · Pediatric SurgeryTaxonomy 2086S0120X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X

2100 CLINCH AVENUE SUITE 510, Knoxville, TN 37916

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Other Names 1

Doing Business AsEtch Pediatric Plastic And Reconstructive Surgery

Other Identifiers 1

MedicaidQ064872TN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 44D0712520

East Tennessee Children's Hospital Association Inc Dba Dolly Parton Children's Hospital · Knoxville, TN

Active · expires Jul 26, 2027

CLIA Number44D0712520

Laboratory TypeHospital

Certificate Effective DateJuly 27, 2025

Certificate Expiration DateJuly 26, 2027

Laboratory DirectorDr. Richard A. Sances

Laboratory Phone(865) 541-8151

Laboratory LocationEast Tennessee Children's Hospital Association Inc Dba Dolly Parton Children's Hospital2018 W Clinch Avenue, Knoxville, TN 37916

CLIA data matches this NPI record on: Name

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOLLY JOANN WARREN PA

Physician Assistant (Surgical)