RETINA SPECIALISTS OF TENNESSEE PLLC (NPI# 1124383393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124383393 |
| Entity Type | Organization |
| Organization Name | RETINA SPECIALISTS OF TENNESSEE PLLC |
| Practice Address |
979 E 3rd St Suite 230 Chattanooga TN 37403-2136 |
| Practice Telephone | 4235212820 |
| Practice Fax Number | 4236025594 |
| Mailing Telephone | 4235212820 |
| Mailing Fax Number | 4236025594 |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2016-10-24 |
| Authorized Official Name | BRETT DENNIS GERWIN (OWNER) |
| Authorized Official Telephone | 4235212820 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 45994 | TN | Allopathic & Osteopathic Physicians |
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| Street Address |
979 E 3RD ST SUITE 230 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37403-2136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306849849 | Daniel B Herz | Urology | 979 E 3rd St, Suite C-925, Chattanooga, TN 37403-2136 | 2005-05-28 |
| 1255948618 | Laura Katherine Johnson | Nurse Anesthetist, Certified Registered | 979 E 3rd St, Chattanooga, TN 37403-2136 | 2020-09-29 |
| 1407462039 | Nitha Ketts | Nurse Anesthetist, Certified Registered | 979 E 3rd St, Chattanooga, TN 37403-2136 | 2020-09-18 |
| 1568078475 | Christina Brooke Robinson | Nurse Anesthetist, Certified Registered | 979 E 3rd St, Chattanooga, TN 37403-2136 | 2020-09-17 |
| 1922628601 | Yuliya Timoshchuk | Nurse Anesthetist, Certified Registered | 979 E 3rd St, Chattanooga, TN 37403-2136 | 2020-04-22 |
| 1972154953 | Roseann Marie Lobach | Nurse Practitioner | 979 E 3rd St, Chattanooga, TN 37403-2136 | 2019-09-22 |
| 1942867361 | Jessica Burns Tyner | Registered Nurse | 979 E 3rd St, Chattanooga, TN 37403-2136 | 2019-05-21 |
| 1447784103 | Jonathan Brent Moss | Student in an Organized Health Care Education/Training Program | 979 E 3rd St, Suite B-401, Chattanooga, TN 37403-2136 | 2017-04-19 |
| 1083148084 | Dresden Miranda Melton | Student in an Organized Health Care Education/Training Program | 979 E 3rd St, Suite B-401, Chattanooga, TN 37403-2136 | 2017-04-17 |
| 1982138426 | Margaret Elizabeth Gardner | Student in an Organized Health Care Education/Training Program | 979 E 3rd St, Suite C-720, Chattanooga, TN 37403-2136 | 2017-04-11 |
| 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 | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457748501 | Jon Caleb Hildebrand | Ophthalmology | 2158 Northgate Park Ln Ste 302, Chattanooga, TN 37415 | 2015-04-15 |
| 1952646176 | Harvey A Jacobs | Ophthalmology | 608 Swansons Ridge Rd, Chattanooga, TN 37421-4500 | 2012-11-28 |
| 1265798839 | Alliance Eye Care Pllc | Ophthalmology | 7405 Shallowford Rd Ste 420, Chattanooga, TN 37421-2662 | 2012-04-07 |
| 1942315866 | Pe Than Tin Md PC | Ophthalmology | 930 Oak St, Chattanooga, TN 37403-2410 | 2006-08-20 |
| 1538187224 | Caroline K. Elias | Ophthalmology | 3898 Hixson Pike, Chattanooga, TN 37415-3562 | 2006-07-18 |
| 1659319010 | Paula Christine Nicola | Ophthalmology | 979 E 3rd St Ste 240, Chattanooga, TN 37403-2136 | 2006-06-04 |
| 1912968371 | Dennis C. Matzkin | Ophthalmology | 7405 Shallowford Road, Suite 400, Chattanooga, TN 37421 | 2006-03-28 |
| 1346228426 | Courtney Webb Ridner | Ophthalmology | 1815 Gunbarrel Rd, Chattanooga, TN 37421-3130 | 2006-01-09 |
| 1841288131 | David L. Friedrich | Ophthalmology | 2120 Northgate Park Lane, Suite 102, Chattanooga, TN 37415-6937 | 2005-10-11 |
| 1992702021 | Elizabeth D Mabry | Ophthalmology | 1210 Premier Dr Ste 110, The Pointe, Chattanooga, TN 37421-3747 | 2005-07-05 |
| 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.