SOUTHEASTERN SWALLOWING DIAGNOSTICS


Address: 8459 Lexie Ln, Ooltewah, TN 37363-5796
Phone: 3012754057

SOUTHEASTERN SWALLOWING DIAGNOSTICS (NPI# 1205377348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205377348
Entity Type Organization
Organization Name SOUTHEASTERN SWALLOWING DIAGNOSTICS
Practice Address 8459 Lexie Ln
Ooltewah
TN 37363-5796
Practice Telephone 3012754057
Mailing Telephone 3012754057
Enumeration Date 2017-03-08
Last Update Date 2018-10-03
Authorized Official Name KAYLA STOUT (CO-OWNER/THERAPIST)
Authorized Official Telephone 2293189594
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
Ambulatory Health Care Facilities

Office Location

Street Address 8459 LEXIE LN
City OOLTEWAH
State TN
Zip Code 37363-5796

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487203196 University Health Center Clinic/Center 4687 University Drive, Ooltewah, TN 37363 2019-09-05
1508426560 Alexandra Scott Dentist 8985 Old Lee Hwy, Suite 103, Ooltewah, TN 37363 2019-06-20
1093286304 Wright Pediatric Dentistry Dentist 8202 Apison Pike, Ooltewah, TN 37363 2018-12-13
1770052888 Bio-medical Applications of Tennessee, Inc. Clinic/Center 6085 Arbury Way, Ooltewah, TN 37363 2018-11-19
1679055008 Rebecca Brown Nurse Practitioner 9801 Robinson Farm Rd, Ooltewah, TN 37363 2018-09-01
1750877833 Amanda Kirkpatrick Dietitian, Registered 6103 Hunter Crest Drive, Ooltewah, TN 37363 2018-07-02
1447759493 Abigale Daniels Specialist/Technologist 6154 Wardwell Drive, Ooltewah, TN 37363 2018-02-06
1538671748 Ryan Volking Physician Assistant 7564 Passport Dr, Ooltewah, TN 37363 2017-10-27
1255882270 Stella Tsui Physical Therapy Assistant 3818 Chanterwood Trl, Ooltewah, TN 37363 2016-10-14
1013392299 Rhonda Wilson Counselor 5516 Barons Point, Ooltewah, TN 37363 2015-07-29
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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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NPI Name Taxonomy Address Enumeration
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1457976714 Blue Light Therapies LLC Clinic/Center 421 E Royal Ln Suite 100, Irving, TN 75039 2020-06-12
1174147870 Freedom Medical Services Pllc Clinic/Center 1203 Laurel Springs Way, Signal Mountain, TN 37377-1445 2020-05-29
1023630019 Daya Medicals, Inc. Clinic/Center 460 S Highland St, Memphis, TN 38111-4302 2020-05-12
1518421148 Paramount Solutions Clinic & Laboratory Testing Clinic/Center 2010 Church St Ste 624, Nashville, TN 37203-2075 2019-01-28
1982180113 Abundant Healthcare Clinic LLC Clinic/Center 130 Serral Dr, Greeneville, TN 37745-3074 2018-07-11
1649776691 Serious Health Services Clinic/Center 715 Cherry St Ste 207, Chattanooga, TN 37402-1929 2018-03-30
1124523287 Hands of Health and Rehab Clinic/Center 80 N. Tillman St. Ste. 104, Memphis, TN 38111 2018-03-29
1861949133 Moore Healthcare Clinic/Center 1138 N Germantown Pkwy Ste 226, Cordova, TN 38016-5872 2016-09-05
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Competitor

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City OOLTEWAH
Zip Code 37363

Improve Information

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Dataset Information

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.

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