EASTSIDE INTERNAL MEDICINE PC (NPI# 1427112259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427112259 |
| Entity Type | Organization |
| Organization Name | EASTSIDE INTERNAL MEDICINE PC |
| Practice Address |
1720 Gunbarrel Road Suite 206 Chattanooga TN 37421 |
| Mailing Address |
Po Box 21090 Chattanooga TN 37424-0090 |
| Practice Telephone | 4236488110 |
| Practice Fax Number | 4234434297 |
| Mailing Telephone | 4236488110 |
| Mailing Fax Number | 4234434297 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2011-10-12 |
| Authorized Official Name | ROGER ALAY (OFFICE MANAGER) |
| Authorized Official Telephone | 4236488110 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
31560 | TN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3888401 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831201821 | Eastside Internal Medicine PC | Internal Medicine | 28315 Harper Ave, Saint Clair Shores, MI 48081-1687 | 2006-08-31 |
| Street Address |
1720 GUNBARREL ROAD SUITE 206 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750709192 | Jacqueline Carol Gentry | Family Medicine | 1720 Gunbarrel Road, Suite 206, Chattanooga, TN 37421 | 2014-04-02 |
| 1033477666 | David Castrilli | Internal Medicine | 1720 Gunbarrel Road, Suite 206, Chattanooga, TN 37421 | 2012-05-02 |
| 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 | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538777024 | Tri-k Health LLC | Clinic/Center | 525 Cherokee Blvd Ste 5, Chattanooga, TN 37405-3865 | 2020-07-21 |
| 1649776691 | Serious Health Services | Clinic/Center | 715 Cherry St Ste 207, Chattanooga, TN 37402-1929 | 2018-03-30 |
| 1336280239 | Robert S. Furr, Md Pllc | Clinic/Center | 1726 Gunbarrel Rd, Suite 200, Chattanooga, TN 37421-3127 | 2007-02-12 |
| 1003238973 | Institute for Women's Advanced Healthcare | Clinic/Center | 1604 Gunbarrel Rd, Chattanooga, TN 37421-3125 | 2014-01-13 |
| 1093061269 | Southern Health Partners, Inc. | Clinic/Center | 2030 Hamilton Place Blvd, Suite 140, Chattanooga, TN 37421-6038 | 2012-07-25 |
| 1407009657 | Hamilton County Health Department | Clinic/Center | 921 E 3rd St, Chattanooga, TN 37403-2102 | 2008-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669081477 | Mint Edition Wellness Center | Clinic/Center | 1400 N Mount Juliet Rd Ste 104, Mount Juliet, TN 37122-1508 | 2020-07-28 |
| 1457976714 | Blue Light Therapies LLC | Clinic/Center | 421 E Royal Ln Suite 100, Irving, TN 75039 | 2020-06-12 |
| 1174147870 | Freedom Medical Services Pllc | Clinic/Center | 1203 Laurel Springs Way, Signal Mountain, TN 37377-1445 | 2020-05-29 |
| 1023630019 | Daya Medicals, Inc. | Clinic/Center | 460 S Highland St, Memphis, TN 38111-4302 | 2020-05-12 |
| 1518421148 | Paramount Solutions Clinic & Laboratory Testing | Clinic/Center | 2010 Church St Ste 624, Nashville, TN 37203-2075 | 2019-01-28 |
| 1982180113 | Abundant Healthcare Clinic LLC | Clinic/Center | 130 Serral Dr, Greeneville, TN 37745-3074 | 2018-07-11 |
| 1124523287 | Hands of Health and Rehab | Clinic/Center | 80 N. Tillman St. Ste. 104, Memphis, TN 38111 | 2018-03-29 |
| 1205377348 | Southeastern Swallowing Diagnostics | Clinic/Center | 8459 Lexie Ln, Ooltewah, TN 37363-5796 | 2017-03-08 |
| 1861949133 | Moore Healthcare | Clinic/Center | 1138 N Germantown Pkwy Ste 226, Cordova, TN 38016-5872 | 2016-09-05 |
| 1245643204 | Meredith Figueroa | Clinic/Center | 20 Copper Ridge Cv, Jackson, TN 38305-5725 | 2014-06-07 |
| Find all providers with the same taxonomy | ||||
| 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.