DR. AMANDA MAY TEDSTROM (NPI# 1275796575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275796575 |
| Entity Type | Individual |
| Full Name | DR. AMANDA MAY TEDSTROM |
| Other Name | DR. AMANDA MAY TEDSTROM |
| Credential | MD |
| Practice Address |
979 E. Third Street Suite #c-620 Chattanooga TN 37403 |
| Mailing Address |
975 E. Third Street Attn: Provider Enrollment Chattanooga TN 37403 |
| Practice Telephone | 4237788224 |
| Practice Fax Number | 4237788180 |
| Mailing Telephone | 4237788224 |
| Mailing Fax Number | 4237788180 |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2016-05-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 44771 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
979 E. THIRD STREET SUITE #C-620 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912909763 | Edwin J Rao | Internal Medicine | 979 E. Third Street, Suite #c-735, Chattanooga, TN 37403 | 2005-08-11 |
| 1235523234 | Ernest Brandt | Nurse Practitioner | 979 E. Third Street, Suite C-520, Chattanooga, TN 37403-2147 | 2015-03-27 |
| 1598191025 | Donna Reed Duff | Nurse Practitioner | 979 E. Third Street, Suite # B-601, Chattanooga, TN 37403 | 2013-09-16 |
| 1215223722 | Niraj Niraula | Internal Medicine | 979 E. Third Street, Suite #c-735, Chattanooga, TN 37403-2141 | 2011-06-22 |
| 1417247453 | Megan E. Skorupa Stevens | Psychiatry & Neurology | 979 E. Third Street, Suite # C-830, Chattanooga, TN 37403 | 2011-04-11 |
| 1811212392 | Gena L Thompson | Physician Assistant | 979 E. Third Street, Suite #c-825, Chattanooga, TN 37403 | 2010-03-29 |
| 1780845032 | Harish Manyam | Internal Medicine | 979 E. Third Street, Suite # C-520, Chattanooga, TN 37403 | 2008-06-19 |
| 1629248505 | Shanee D. Owens | Registered Nurse | 979 E. Third Street, Suite# B.601, Chattanooga, TN 37403 | 2008-03-06 |
| 1427248756 | Dharmendrakumar A. Patel | Internal Medicine | 979 E. Third Street, Suite #c-520, Chattanooga, TN 37403 | 2007-08-01 |
| 1851513931 | Jesse F Doty | Orthopaedic Surgery | 979 E. Third Street, Suite C-225, Chattanooga, TN 37403 | 2007-05-02 |
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245743020 | Integrated Internal Medicine, PC | Internal Medicine | 5811 Lee Hwy Ste 405, Chattanooga, TN 37421-6100 | 2017-11-15 |
| 1477062958 | Vibrant Life Health & Wellness | Internal Medicine | 7633 E Brainerd Rd Ste 101, Chattanooga, TN 37421-3290 | 2017-09-27 |
| 1659725083 | Laura E Riley | Internal Medicine | 725 Glenwood Dr Ste E788, Chattanooga, TN 37404-1177 | 2016-04-22 |
| 1851778427 | Stephen Pearce Scorey | Internal Medicine | 1751 Gunbarrel Rd Ste 201, Chattanooga, TN 37421-7248 | 2015-05-02 |
| 1407242381 | Maaz Sohail | Internal Medicine | 960 E 3rd St Ste 208, Chattanooga, TN 37403-2121 | 2015-04-08 |
| 1922426709 | Sarah Mccary Baker | Internal Medicine | 605 Glenwood Drive, Suite 300, Chattanooga Internal Medicine Group, Chattanooga, TN 37404 | 2014-03-31 |
| 1023453271 | Nathan Claydon | Internal Medicine | 960 East 3rd St, Suite 104, Chattanooga, TN 37403 | 2013-05-01 |
| 1538420229 | Nathan Hartgrove | Internal Medicine | 961 Spring Creek Rd Ste 300, Chattanooga, TN 37412 | 2012-05-30 |
| 1194005439 | Kim To Thien Nguyen | Internal Medicine | 605 Glenwood Dr Ste 404, Chattanooga, TN 37404 | 2011-08-18 |
| 1376787788 | Tiundra Leshaun Love | Internal Medicine | 6098 Debra Road, Bldg 6200 Suite 5200, Vha, Chattanooga, TN 37411 | 2009-04-29 |
| 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.