DR. CHARLES A PORTERA SR. (NPI# 1154311843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154311843 |
| Entity Type | Individual |
| Full Name | DR. CHARLES A PORTERA SR. |
| Credential | MD |
| Practice Address |
721 Glenwood Dr Suite 560w Chattanooga TN 37404-1106 |
| Practice Telephone | 4236225500 |
| Practice Fax Number | 4236297572 |
| Mailing Telephone | 4236225500 |
| Mailing Fax Number | 4236297572 |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
MD0000007255 | TN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467412734 | Charles A Portera Jr. | Surgery | 3851 Piper St Ste U230, Anchorage, AK 99508-6901 | 2006-03-23 |
| Street Address |
721 GLENWOOD DR SUITE 560W |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37404-1106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861486839 | John L Gwin Jr. | Specialist | 721 Glenwood Dr, Suite 553, Chattanooga, TN 37404-1106 | 2005-09-07 |
| 1962848713 | Kadrie Partners | Psychiatry & Neurology | 721 Glenwood Dr, Suite 467 West, Chattanooga, TN 37404-1106 | 2013-05-21 |
| 1487901278 | Cannon & Cannon Medical, Pllc | Internal Medicine | 721 Glenwood Dr, Suite W-462, Chattanooga, TN 37404-1149 | 2012-08-10 |
| 1396989786 | Nathan Brantley Wyatt | Psychiatry & Neurology | 721 Glenwood Dr, Suite 467, Chattanooga, TN 37404-1106 | 2009-04-29 |
| 1952574931 | Tareck A. Kadrie, M.d., Pllc | Psychiatry & Neurology | 721 Glenwood Dr, Suite 467 West, Chattanooga, TN 37404-1106 | 2008-04-10 |
| 1205012234 | Stacy Lynn Park | Nurse Practitioner | 721 Glenwood Dr, Suite 462a, Chattanooga, TN 37404-1106 | 2008-01-22 |
| 1104017607 | Gi Consultants, PC | Internal Medicine | 721 Glenwood Dr, Ste. W552, Chattanooga, TN 37404-1106 | 2007-08-08 |
| 1881885960 | Douglas L. Vanderbilt, M.d.,p.c. | Surgery | 721 Glenwood Dr, Memorial Medical Bldg., West Suite 470, Chattanooga, TN 37404-1106 | 2007-08-05 |
| 1528184744 | Chattanooga Surgical Oncology and Associates, Pllc | Surgery | 721 Glenwood Dr, Suite 471w, Chattanooga, TN 37404-1106 | 2007-03-21 |
| 1740339936 | Alan F. Shikoh, M.d., P.c | Internal Medicine | 721 Glenwood Dr, Suite W473, Chattanooga, TN 37404-1106 | 2007-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306494216 | Cynthia Caffey | Technician | 1305 E. 28th St. Apt A, Chatta, TN 37404 | 2019-09-04 |
| 1851944482 | Stacey Stokes | Peer Specialist | 1413 Bailey Ave, Chattanooga, TN 37404 | 2019-07-23 |
| 1306354790 | Erlanger Behavioral Health, LLC | Psychiatric Hospital | 804 North Holtzclaw Avenue, Chattanooga, TN 37404 | 2018-01-19 |
| 1245746171 | Davis Supportive Living Home Inc. | Custodial Care Facility | 1106 Duncan Avenue, Chattanooga, TN 37404 | 2017-12-14 |
| 1124544762 | Rachael Anne Maciver | Nurse Practitioner | 1909 South Willow Street, Chattanooga, TN 37404 | 2017-08-15 |
| 1447796214 | Esli Castillo | Nurse Practitioner | 281 N.lyerly St., Suite 200, Chattanooga, TN 37404 | 2017-01-17 |
| 1922542158 | Natasha Elliott | Community Health Worker | 2804 Cannon Ave, Chattanooga, TN 37404 | 2016-12-07 |
| 1730630153 | Jonathan Easter | Taxi | 1611 Anderson Avenue, Apt A, Chattanooga, TN 37404 | 2016-10-20 |
| 1477946143 | Thomas Jereme Holcomb | Nurse Practitioner | 281 N. Lyerly St, Suite 200, Chattanooga, TN 37404 | 2015-03-05 |
| 1922426709 | Sarah Mccary Baker | Internal Medicine | 605 Glenwood Drive, Suite 300, Chattanooga Internal Medicine Group, Chattanooga, TN 37404 | 2014-03-31 |
| Find all providers in zip 37404 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801848320 | Stephen Ernest Depasquale | Obstetrics & Gynecology | 102 Central Avenue, Chattanooga, TN 37403-1503 | 2006-05-16 |
| 1073801965 | Randi Shae Connor | Obstetrics & Gynecology | 102 Central Ave, Chattanooga, TN 37403 | 2011-07-13 |
| 1811072689 | Chattanoogas Program In Womens Oncology Inc | Obstetrics & Gynecology | 102 Central Ave, Chattanooga, TN 37403-1503 | 2006-10-27 |
| 1831146356 | Chattanooga Gyn-oncology, LLC | Obstetrics & Gynecology | 1000 E 3rd St, Suite 201, Chattanooga, TN 37403-2106 | 2006-05-29 |
| 1760432363 | Donald Heaston Chamberlain | Obstetrics & Gynecology | 1000 E 3rd St, Suite 201, Chattanooga, TN 37403-2106 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033622725 | Courtney Roth | Obstetrics & Gynecology | 1926 Alcoa Hwy Ste 370, Knoxville, TN 37920-1552 | 2017-11-16 |
| 1205060381 | Lauren Shore Prescott | Obstetrics & Gynecology | To 3601 The Vanderbilt Clinic, Nashville, TN 37232-4000 | 2009-05-05 |
| 1932381530 | Sanjeev Kumar | Obstetrics & Gynecology | 6584 Poplar Ave, Ste 400, Memphis, TN 38138-3687 | 2007-12-05 |
| 1710994637 | Thomas W Mcdonald | Obstetrics & Gynecology | 1630 Downtown West Blvd, Suite 119, Knoxville, TN 37919 | 2006-08-02 |
| 1245225424 | David Allen Martin | Obstetrics & Gynecology | 10810 Parkside Dr Ste 200, Knoxville, TN 37934-1983 | 2005-09-14 |
| 1396739868 | Don Jennings Hall | Obstetrics & Gynecology | 101 E Blount Ave, Knoxville, TN 37920-1632 | 2005-09-09 |
| 1609878586 | Bunyan Stephens Dudley | Obstetrics & Gynecology | 4220 Harding Pike, S&e Building Suite 200, Nashville, TN 37205-2005 | 2005-08-11 |
| 1497759773 | Kenneth F Cofer | Obstetrics & Gynecology | 1915 White Ave, Knoxville, TN 37916-2300 | 2005-06-02 |
| 1124588793 | Poplar Avenue Clinic Pllc | Obstetrics & Gynecology | 6584 Poplar Ave Ste 400, Memphis, TN 38138-3687 | 2019-03-20 |
| 1831532019 | Kathleen Gong Essel | Obstetrics & Gynecology | 1840 Medical Center Pkwy Ste 300, Murfreesboro, TN 37129-3237 | 2013-04-08 |
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| City | CHATTANOOGA |
| Zip Code | 37404 |
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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.