STACEY JACK MCCLARTY (NPI# 1396861134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396861134 |
| Entity Type | Individual |
| Full Name | STACEY JACK MCCLARTY |
| Credential | MD |
| Practice Address |
975 E Third St Chattanooga TN 37403-2147 |
| Mailing Address |
Po Box 11225 Chattanooga TN 37401-2225 |
| Practice Telephone | 4237787608 |
| Practice Fax Number | 4237782360 |
| Mailing Telephone | 4238925602 |
| Mailing Fax Number | 4238925838 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2010-01-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | MD41787 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 009912228 | 05 | |
| TN | BLUE CROSS BLUE SHIELD OF TN | 4160316 | 01 |
| GA | WELLCARE (GA MEDICAID) | N394859 | 01 |
| GA | 762425491A | 05 | |
| NC | 5912136 | 05 | |
| TN | 3000170 | 05 | |
| TN | MEDICARE RAILROAD | P00473706 | 01 |
| Street Address |
975 E THIRD ST |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37403-2147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700839214 | Shelli A Dietrich | Registered Nurse | 975 E Third St, Chattanooga, TN 37403-2147 | 2006-05-18 |
| 1396937389 | Wendy J Sanders | Registered Nurse | 975 E Third St, Chattanooga, TN 37403-2147 | 2007-08-14 |
| 1952440463 | Jason Clifford Pooler | Anesthesiology | 975 E Third St, Chattanooga, TN 37403-2147 | 2007-02-05 |
| 1093851172 | Kelly Kovach Good | Registered Nurse | 975 E Third St, Chattanooga, TN 37403-2147 | 2007-01-29 |
| 1104962216 | Gary S Branum | Registered Nurse | 975 E Third St, Chattanooga, TN 37403-2147 | 2007-01-29 |
| 1780742759 | Debbie M Dvorchik | Registered Nurse | 975 E Third St, Chattanooga, TN 37403-2147 | 2006-12-04 |
| 1316005382 | Jonathan Fisher | Registered Nurse | 975 E Third St, Chattanooga, TN 37403-2147 | 2006-12-04 |
| 1043378011 | Elizabeth Fulton | Registered Nurse | 975 E Third St, Chattanooga, TN 37403-2147 | 2006-12-04 |
| 1861550832 | Randall A Gossett | Registered Nurse | 975 E Third St, Chattanooga, TN 37403-2147 | 2006-12-04 |
| 1245306034 | Laura Davis | Registered Nurse | 975 E Third St, Chattanooga, TN 37403-2147 | 2006-11-26 |
| 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 | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841363132 | Samuel M Smith | Anesthesiology | 975 E Third S, Chattanooga, TN 37403-2147 | 2006-11-16 |
| 1689271520 | Hannah Edmonds | Anesthesiology | 975 E 3rd St, Chattanooga, TN 37403-2147 | 2020-10-05 |
| 1285132100 | Matt Crane | Anesthesiology | 2333 Mccallie Ave, Chattanooga, TN 37404-3258 | 2018-01-25 |
| 1457747818 | Ezekiel Tarrant | Anesthesiology | 975 E 3rd St, Chattanooga, TN 37403-2147 | 2015-04-13 |
| 1013337070 | Brett Escarza | Anesthesiology | 975 E 3rd St, Chattanooga, TN 37403 | 2014-04-17 |
| 1922349240 | Neuropathy Center of Chattanooga, PC | Anesthesiology | 5620 Brainerd Rd, Chattanooga, TN 37411-5310 | 2013-03-12 |
| 1356628010 | Viviana Freire-florit | Anesthesiology | 2525 Desales Ave, Chattanooga, TN 37404-1161 | 2011-11-09 |
| 1538448972 | Chattanooga Anesthesia Services LLC | Anesthesiology | 1949 Gunbarrel Rd, Suite 200, Chattanooga, TN 37421-3188 | 2011-08-16 |
| 1841586922 | Amsurg Chattanooga Anesthesia LLC | Anesthesiology | 2341 Mccallie Ave, Ste 303, Chattanooga, TN 37404-3239 | 2011-06-27 |
| 1902198989 | Nicholas Harley Cutchens | Anesthesiology | 2341 Mccallie Ave, Suite 402, Chattanooga, TN 37404-3239 | 2011-05-09 |
| 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.