CHATTANOOGA CENTER FOR PRIMARY CARE AND HYPERTENSION LLC (NPI# 1407959612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407959612 |
| Entity Type | Organization |
| Organization Name | CHATTANOOGA CENTER FOR PRIMARY CARE AND HYPERTENSION LLC |
| Practice Address |
1017 Executive Drive Suite 101 Hixson TN 37343-7911 |
| Practice Telephone | 4238701999 |
| Practice Fax Number | 4238701977 |
| Mailing Telephone | 4238701999 |
| Mailing Fax Number | 4238701977 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2014-10-23 |
| Authorized Official Name | MS. VICKY LEIGH COOKE (CO-OWNER/NURSE PRACTITIONER) |
| Authorized Official Telephone | 4238701999 |
| Authorized Official Credential | A.N.P. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 207RH0000X |
Internal Medicine Specialization: Hematology |
Allopathic & Osteopathic Physicians | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3727973 | 05 |
| Street Address |
1017 EXECUTIVE DRIVE SUITE 101 |
| City | HIXSON |
| State | TN |
| Zip Code | 37343-7911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689208480 | The Fun In Function LLC | Occupational Therapy Assistant | 5251 Hwy 153 Ste C, Pmb 264, Hixson, TN 37343 | 2020-03-02 |
| 1356902878 | Artha Julia Black | Dentist | 5756 Tn-153, Suite 128, Hixson, TN 37343 | 2019-06-25 |
| 1548749625 | Ramyadevi Ramamoorthi | Physical Therapist | 5000 Alpha Lane, Hixson, TN 37343 | 2018-08-09 |
| 1053800458 | Hixson Pharmacy Inc | Pharmacy | 5508 Hixson Pharmacy, Suite 1, Hixson, TN 37343 | 2018-05-02 |
| 1225531304 | Carrie Marie Stanage | Occupational Therapist | 5251 C Hwy 153, Pmb# 264, Hixson, TN 37343 | 2018-03-14 |
| 1124540117 | Nicole Ashley Uchida | Physical Therapist | 5022 Old Godsey Ln Ste 0, Hixson, TN 37343 | 2017-07-11 |
| 1740700400 | Toni Maxwell | Nurse Practitioner | 5741 Highway 153 Ste 117, Hixson, TN 37343 | 2017-06-23 |
| 1417366717 | Debra C. Wiertel | Nutritionist | 1963 Northpoint Blvd 109, Hixson, TN 37343 | 2014-08-12 |
| 1922386606 | Donna April Frye | Pharmacist | 5411 Highway 153, Hixson, TN 37343 | 2011-07-28 |
| 1437448172 | Janna Aislinn Mcmahan | Nurse Practitioner | 5211 Hwy 153, Suite M, Hixson, TN 37343 | 2011-04-04 |
| Find all providers in zip 37343 | ||||
| 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 |
|---|---|---|---|---|
| 1952722613 | Thomas Hashway Jr. | Internal Medicine | 1609 Summerwood Trl, Hixson, TN 37343-2554 | 2013-12-26 |
| 1851502850 | Hbd Medical Inc. | Internal Medicine | 2051 Hamill Rd # B, Ste 203, Hixson, TN 37343-4026 | 2007-05-24 |
| 1902975212 | Prabha A Kunda | Internal Medicine | 6402 Sail Pointe Ln, Hixson, TN 37343-3195 | 2006-11-08 |
| 1144205253 | John C Wood | Internal Medicine | 2051-b Hamill Road, Suite 103, Hixson, TN 37343-4653 | 2005-12-12 |
| 1891798153 | Richard J Settles | Internal Medicine | 5211 Highway 153, Suite D, Hixson, TN 37343-4956 | 2005-05-31 |
| 1750776639 | Amanda Lea Robinson | Internal Medicine | 2051 Hamill Rd, Hixson, TN 37343-6614 | 2015-03-30 |
| 1295016533 | Young Seong Chang | Internal Medicine | 2051 Hamill Rd, Hixson, TN 37343-6614 | 2011-08-31 |
| 1790009793 | Compassionate Health Care LLC | Internal Medicine | 5870 Highway 153, Suite 104, Hixson, TN 37343-5826 | 2010-03-19 |
| 1932393154 | Amanda Kristine Winters | Internal Medicine | 5798 Hixson Home Pl, Hixson, TN 37343-4898 | 2007-08-30 |
| 1265652317 | Keith Andrew Weaver | Internal Medicine | 1013 Executive Dr, Suite 101, Hixson, TN 37343-7912 | 2007-04-30 |
| Find all providers in HIXSON | ||||
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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.