BENJAMIN TRACY WALDORF (NPI# 1285945253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285945253 |
| Entity Type | Individual |
| Full Name | BENJAMIN TRACY WALDORF |
| Credential | MD |
| Practice Address |
979 E 3rd St Ste C-925 Chattanooga TN 37403-2136 |
| Practice Telephone | 4237785910 |
| Practice Fax Number | 4237785915 |
| Mailing Telephone | 4237785910 |
| Mailing Fax Number | 4237785915 |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2019-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 55292 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
979 E 3RD ST STE C-925 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37403-2136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225263254 | Henry Tobechi Okafor | Urology | 979 E 3rd St Ste C-925, Chattanooga, TN 37403-2136 | 2009-05-19 |
| 1356995831 | Lauren Collins Brakebill | Nurse Practitioner | 979 E 3rd St Ste C-925, Chattanooga, TN 37403-2136 | 2019-08-01 |
| 1629564661 | Amber Talley | Nurse Practitioner | 979 E 3rd St Ste C-925, Chattanooga, TN 37403-2136 | 2018-07-02 |
| 1104185396 | Jonathan Walker | Urology | 979 E 3rd St Ste C-925, Chattanooga, TN 37403 | 2012-05-09 |
| 1649537093 | Jessica Noelle Lange | Urology | 979 E 3rd St Ste C-925, Chattanooga, TN 37403 | 2012-04-23 |
| 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 | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104232750 | Ringland Smith Murray | Urology | 1625 Edgewood Lane, Chattanooga, TN 37405 | 2014-07-03 |
| 1225263254 | Henry Tobechi Okafor | Urology | 979 E 3rd St Ste C-925, Chattanooga, TN 37403-2136 | 2009-05-19 |
| 1770650145 | Amar Singh | Urology | Academic Urologists At Erlanger, 979 East Third Street, Suit A450, Chattanooga, TN 37403 | 2006-11-29 |
| 1538138805 | John C House | Urology | 1300 Cleveland Ave, Chattanooga, TN 37404-2005 | 2006-03-17 |
| 1780680348 | Chattanooga Urology Associates | Urology | 725 Glenwood Drive, Suite #780, Chattanooga, TN 37404 | 2005-06-28 |
| 1104185396 | Jonathan Walker | Urology | 979 E 3rd St Ste C-925, Chattanooga, TN 37403 | 2012-05-09 |
| 1649537093 | Jessica Noelle Lange | Urology | 979 E 3rd St Ste C-925, Chattanooga, TN 37403 | 2012-04-23 |
| 1508038944 | Jeffrey K Mullins | Urology | 725 Glenwood Drive, Suite E790, Chattanooga, TN 37404 | 2008-03-26 |
| 1679752034 | Patrick H. Foley, M.d. | Urology | 2337 Mccallie Ave, Suite 407, Chattanooga, TN 37404-3257 | 2007-11-01 |
| 1649478751 | Plaza Urology Group, P.C. | Urology | 1300 Cleveland Ave, Chattanooga, TN 37404-2005 | 2007-07-10 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37403 |
Please comment or provide details below to improve the information on BENJAMIN TRACY WALDORF.
| 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.