DR. NOEL MELINDA BERGQUIST (NPI# 1023040409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023040409 |
| Entity Type | Individual |
| Full Name | DR. NOEL MELINDA BERGQUIST |
| Credential | M.D. |
| Practice Address |
975 E 3rd St # 376 Chattanooga TN 37403-2147 |
| Practice Telephone | 4237787234 |
| Practice Fax Number | 4237786811 |
| Mailing Telephone | 4237787234 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2018-10-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
47204 | TN | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
107356 | FL | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
053098 | GA | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
27626 | AL | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
2005-00699 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MEDICARE - IDTF COLUMBUS DIAGNOSTIC | 47BBBFQ | 01 |
| GA | MEDICARE GROUP NUMBER COLUMBUS DIAGNOSTIC | GRP2151 | 01 |
| TN | Q009031 | 05 |
| Street Address |
975 E 3RD ST # 376 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37403-2147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366928806 | Gregory Max Smith | Radiology Practitioner Assistant | 975 E 3rd St # 376, Chattanooga, TN 37403-2147 | 2018-07-18 |
| 1093187130 | Amanda Gayle Palmer | Radiology Practitioner Assistant | 975 E 3rd St # 376, Chattanooga, TN 37403-2147 | 2015-10-28 |
| 1710233838 | Amanda Kathleen Porter | Nurse Practitioner | 975 E 3rd St # 376, Chattanooga, TN 37403-2147 | 2012-07-26 |
| 1851654263 | Jason Gregory Smith | Radiology | 975 E 3rd St # 376, Chattanooga, TN 37403 | 2012-06-20 |
| 1861788861 | Jennifer Keyes Sparks | Nurse Practitioner | 975 E 3rd St # 376, Chattanooga, TN 37403-2147 | 2011-06-28 |
| 1376839118 | Andrew J. Hill Iv | Radiology | 975 E 3rd St # 376, Chattanooga, TN 37403-2147 | 2011-06-20 |
| 1952614729 | Michael Nichols | Radiology | 975 E 3rd St # 376, Chattanooga, TN 37403-2147 | 2010-07-21 |
| 1710205398 | Mohammed Imran Quraishi | Radiology | 975 E 3rd St # 376, Chattanooga, TN 37403-2147 | 2010-05-06 |
| 1851527394 | Ryan P. Buckner | Radiology | 975 E 3rd St # 376, Suite 317, Chattanooga, TN 37403-2147 | 2009-06-10 |
| 1093903544 | Roxsann Lee Roberts | Radiology | 975 E 3rd St # 376, Chattanooga, TN 37403-2147 | 2007-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033771332 | Jaimie Mills | Specialist/Technologist | 103 Metropolitan Building, Chattanooga, TN 37403 | 2019-07-08 |
| 1972092849 | Joshua Dale Gebhardt | Marriage & Family Therapist | 1024 East M L King Blvd, Chattanooga, TN 37403 | 2018-05-07 |
| 1528580750 | Klifford Hawkins | Physical Therapist | 1100 E 3rd St Ste G103, Chattanooga, TN 37403 | 2017-07-10 |
| 1861921470 | Jonathan Everett Burden | Student in an Organized Health Care Education/Training Program | 960 E 3rd St Ste 104, Chattanooga, TN 37403 | 2017-06-07 |
| 1992167092 | Majel Victoria Purvis Miles | Student in an Organized Health Care Education/Training Program | 979 E 3rd St Ste 401, Chattanooga, TN 37403 | 2016-03-28 |
| 1972942902 | Danielle Nessly | Nurse Practitioner | 730 East 11th Street, Chattanooga, TN 37403 | 2013-06-24 |
| 1023453271 | Nathan Claydon | Internal Medicine | 960 East 3rd St, Suite 104, Chattanooga, TN 37403 | 2013-05-01 |
| 1336482603 | Veronica Patterson Zachry | Student in an Organized Health Care Education/Training Program | 975 E. 3rd Street, Chattanooga, TN 37403 | 2013-04-04 |
| 1639420417 | Ctr. for Individual & Family Effectiveness | Community/Behavioral Health | 310 E. 8th St., Ste. C, Chattanooga, TN 37403 | 2012-09-20 |
| 1063773521 | Shelley L Murphy | Emergency Medicine | 1018 Blackford Street, Chattanooga, TN 37403 | 2012-05-31 |
| Find all providers in zip 37403 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598881039 | Desmond Lawrence Fischer | Radiology | 1313 Mccallie Ave, Chattanooga, TN 37404-2934 | 2007-03-22 |
| 1497770168 | Kimsey-knight Radiology, P.C. | Radiology | 1000 E 3rd Street, Suite 302, Chattanooga, TN 37403 | 2006-07-13 |
| 1225085566 | Cary G Hodnett | Radiology | 1345 Birmingham Hwy, Chattanooga, TN 37419-2409 | 2006-05-30 |
| 1902864200 | Bioimaging of Cool Springs Inc | Radiology | 440 N Holtzclaw Ave, Chattanooga, TN 37404-1916 | 2006-05-03 |
| 1609836584 | Plaza Radiology,llc | Radiology | 1710 Gunbarrel Rd, Chattanooga, TN 37421-3127 | 2006-03-24 |
| 1134195134 | Andrew E Kreek Jr. | Radiology | 1604 Gunbarrel Rd, Chattanooga, TN 37421-3125 | 2006-02-28 |
| 1952381600 | Thomas Okulski | Radiology | 4300 N Access Rd, Suite D, Chattanooga, TN 37415-3812 | 2006-01-19 |
| 1306849765 | Pradeep K Jacob | Radiology | 975 E 3rd St, Chattanooga, TN 37403-2103 | 2005-05-31 |
| 1750624144 | David Brasfield Sarver | Radiology | 1710 Gunbarrel Rd, Chattanooga, TN 37421-3127 | 2013-04-03 |
| 1851654263 | Jason Gregory Smith | Radiology | 975 E 3rd St # 376, Chattanooga, TN 37403 | 2012-06-20 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37403 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.