DR. AKINWANDE OLUMIDE ERINLE (NPI# 1427080621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427080621 |
| Entity Type | Individual |
| Full Name | DR. AKINWANDE OLUMIDE ERINLE |
| Credential | M.D. |
| Practice Address |
103 Jordan Dr Suite 3 Chattanooga TN 37421-6715 |
| Mailing Address |
Po Box 25185 Chattanooga TN 37422-5185 |
| Practice Telephone | 4234996400 |
| Practice Fax Number | 4238993438 |
| Mailing Telephone | 4234996400 |
| Mailing Fax Number | 4238993438 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD025188 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 525731 | 05 | |
| TN | 3082302 | 05 |
| Street Address |
103 JORDAN DR SUITE 3 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37421-6715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629510284 | Heather Lauren Richardson | Nurse Practitioner | 103 Jordan Dr, Suite 3, Chattanooga, TN 37421-6715 | 2016-11-14 |
| 1801276316 | Landmark Medical | General Practice | 103 Jordan Dr, Chattanooga, TN 37421-6715 | 2015-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558991588 | Janera Pentiah | Physician Assistant | 1360 Mackey Branch Dr, Chattanooga, TN 37421 | 2020-01-17 |
| 1750921367 | Stephan Ian Belasco | Counselor | 1360 Mackey Branch Dr., Chattanooga, TN 37421 | 2020-01-11 |
| 1932745817 | Sound Living Inc | Community/Behavioral Health | 6727 Heritage Business Court, Suite 720, Chattanooga, TN 37421 | 2019-11-26 |
| 1245875046 | Chattanooga Compounding Pharmacy Inc. | Pharmacy | 7032 East Brainerd Rd, Suite A-b, Chattanooga, TN 37421 | 2019-11-15 |
| 1083105803 | Trauma and Addiction Recovery Center | Counselor | 6727 Heritage Business Ct Ste 718, Chattanooga, TN 37421 | 2018-05-29 |
| 1497257448 | Claude James Bowden | Counselor | 7372 Applegate Lane, Chattanooga, TN 37421 | 2018-03-06 |
| 1093213332 | Preferred Primary Care | Clinic/Center | 6031 Shallowford Rd Ste 105, Chattanooga, TN 37421 | 2018-01-31 |
| 1124526777 | Elizabeth Marie Wright | Nurse Practitioner | 6130 Shallowford Rd Ste 101, Chattanooga, TN 37421 | 2018-01-30 |
| 1477065712 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 7326 Mccutcheon Rd, Chattanooga, TN 37421 | 2017-10-26 |
| 1144746645 | Mobility At Home LLC | Contractor | 6307 E Brainerd Rd, Chattanooga, TN 37421 | 2017-08-16 |
| Find all providers in zip 37421 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508412347 | Amber Michelle Steeley | Pediatrics | 2713 Stone Trace Dr, Chattanooga, TN 37421-1194 | 2019-08-16 |
| 1417391756 | Catherine Keegan Wilson | Pediatrics | 3354 Charger Dr, Chattanooga, TN 37409-1265 | 2013-04-17 |
| 1285976019 | Bryn Taylor Meredith | Pediatrics | 281 N Lyerly St Ste 100, Chattanooga, TN 37404-2728 | 2013-03-19 |
| 1730343682 | Pediatric Health Care, PC | Pediatrics | 103 Jordan Dr Ste 3, Chattanooga, TN 37421-6715 | 2008-07-10 |
| 1588822431 | Kenneth G Pittman | Pediatrics | 7446 Shallowford Rd Ste 116, Chattanooga, TN 37421 | 2008-05-28 |
| 1558588111 | Michele Albury Pickett | Pediatrics | 2507 Mccallie Ave, Chattanooga, TN 37404-3304 | 2007-04-18 |
| 1982637625 | Jerome Arnold Sherard | Pediatrics | 340 N Holtzclaw Ave, Chattanooga, TN 37404-2305 | 2006-07-08 |
| 1023052032 | Ricardo Federico Causo | Pediatrics | 6025 Lee Hwy, Ste. 447, Chattanooga, TN 37421-3099 | 2006-06-16 |
| 1588605752 | Zara Sultan Memon | Pediatrics | 403 Spring Creek Rd, Chattanooga, TN 37411-4922 | 2006-06-09 |
| 1467437285 | Oliver W Jenkins | Pediatrics | 3408 Dayton Blvd, Chattanooga, TN 37415-4627 | 2005-12-14 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37421 |
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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.