WILSON MONROE CLEMENTS (NPI# 1154418150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154418150 |
| Entity Type | Individual |
| Full Name | WILSON MONROE CLEMENTS |
| Credential | M.D. |
| Practice Address |
2108 E 3rd St Suite 300 Chattanooga TN 37404-2600 |
| Mailing Address |
2501 Citico Ave Chattanooga TN 37404-1127 |
| Practice Telephone | 4236245200 |
| Practice Fax Number | 4236244440 |
| Mailing Telephone | 4236972000 |
| Mailing Fax Number | 4236972118 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2016-12-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 52593 | TN | Allopathic & Osteopathic Physicians |
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2010-01100 | NC | Allopathic & Osteopathic Physicians |
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 42073 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5915281 | 05 | |
| KY | 7100070870 | 05 | |
| NC | BCBSNC | 1589G | 01 |
| Street Address |
2108 E 3RD ST SUITE 300 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37404-2600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952395915 | William Todd Cockerham | Specialist | 2108 E 3rd St, Suite 200, Chattanooga, TN 37404-2600 | 2005-09-07 |
| 1417347527 | Richard C Morrison Md PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2108 E 3rd St, Ste 300, Chattanooga, TN 37404-2600 | 2015-01-27 |
| 1891127569 | Stephen Hixson Greer | Surgery | 2108 E 3rd St, Chattanooga, TN 37404-2600 | 2013-08-05 |
| 1891039574 | Traci L Kilmartin | Prosthetist | 2108 E 3rd St, Suite 100, Chattanooga, TN 37404-2600 | 2012-11-19 |
| 1093060436 | Shana T Hilson | Nurse Practitioner | 2108 E 3rd St, Suite 200, Chattanooga, TN 37404-2600 | 2012-07-23 |
| 1982988325 | Karen Elizabeth Hulley | Nurse Practitioner | 2108 E 3rd St, Suite 100, Chattanooga, TN 37404-2600 | 2011-10-04 |
| 1689970030 | James Ian Farrelly | Physician Assistant | 2108 E 3rd St, Chattanooga, TN 37404-2600 | 2011-02-02 |
| 1477876746 | University Surgical Associates, LLC | Prosthetist | 2108 E 3rd St, Suite 100, Chattanooga, TN 37404-2600 | 2010-03-01 |
| 1487864666 | Jeffrey S Horn | Surgery | 2108 E 3rd St, Suite 200, Chattanooga, TN 37404-2600 | 2007-05-23 |
| 1427147461 | Michael S. Loga | Nurse Practitioner | 2108 E 3rd St, Suite 300, Chattanooga, TN 37404-2600 | 2006-10-11 |
| 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 | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053578518 | Jeffrey Aaron Poynter | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 979 E 3rd St Ste C-520, Chattanooga, TN 37403 | 2008-05-21 |
| 1235127762 | Richard Clarke Morrison | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6013 Shallowford Rd Ste 117, Chattanooga, TN 37421-1612 | 2005-10-10 |
| 1104812817 | James Robert Headrick Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 605 Glenwood Drive, Suite 105, Chi Memorial Thoracic Oncology Associates, Chattanooga, TN 37404 | 2005-09-27 |
| 1598276057 | Taylore Marie Grimm | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 979 E 3rd St Ste C-520, Chattanooga, TN 37403-2136 | 2017-10-23 |
| 1417347527 | Richard C Morrison Md PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2108 E 3rd St, Ste 300, Chattanooga, TN 37404-2600 | 2015-01-27 |
| 1851457113 | Clifton C Reade | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2205 Mccallie Ave, Suite 400, Chattanooga, TN 37404-3230 | 2006-12-29 |
| 1285796573 | Mohammed Salik A Jahania | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 979 E 3rd St, Suite C-520, Chattanooga, TN 37403-2136 | 2006-12-14 |
| 1699762146 | Stephen Lee Martin | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2205 Mccallie Ave, Chattanooga, TN 37404-3230 | 2005-09-30 |
| 1184610867 | James Lawrence Zellner | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2108 E 3rd St, Suite 300, Chattanooga, TN 37404-2605 | 2005-09-27 |
| 1477549152 | Harold David Head | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2108 E 3rd St, Suite 300, Chattanooga, TN 37404-2605 | 2005-09-27 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37404 |
Please comment or provide details below to improve the information on WILSON MONROE CLEMENTS.
| 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.