CHATTANOOGA CARDIAC CARE LLC (NPI# 1487917209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487917209 |
| Entity Type | Organization |
| Organization Name | CHATTANOOGA CARDIAC CARE LLC |
| Practice Address |
1017 Executive Dr Suite 101 Hixson TN 37343-7910 |
| Practice Telephone | 4234959581 |
| Practice Fax Number | 4234959583 |
| Mailing Telephone | 4234959581 |
| Mailing Fax Number | 4234959583 |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2012-06-18 |
| Authorized Official Name | DR. STEVEN KENNETH AUSTIN (OWNER) |
| Authorized Official Telephone | 4234959581 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
MD0000022043 | TN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3076909 | 05 |
| Street Address |
1017 EXECUTIVE DR SUITE 101 |
| City | HIXSON |
| State | TN |
| Zip Code | 37343-7910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518073998 | Steven K Austin | Internal Medicine | 1017 Executive Dr, Suite 101, Hixson, TN 37343-7910 | 2006-08-21 |
| 1346503174 | Cardiovascular Imaging | Clinic/Center | 1017 Executive Dr, Suite 101, Hixson, TN 37343-7910 | 2012-06-18 |
| 1073837258 | Jessica Stanley | Nurse Practitioner | 1017 Executive Dr, Suite 101, Hixson, TN 37343-7910 | 2010-03-17 |
| 1528218369 | North River Endodontics, Pllc | Dentist | 1017 Executive Dr, Suite #102, Hixson, TN 37343-7910 | 2008-09-29 |
| 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 | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740671668 | Chattanooga Spine and Body, Inc | Clinic/Center | 5617 Highway 153, Suite 103, Hixson, TN 37343-4675 | 2015-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174152011 | Better Life Medical PC | Clinic/Center | 2103 Forest Dr Ste 6, Gray, TN 37615-8422 | 2020-04-03 |
| 1194362889 | Christal Joy Gammage | Clinic/Center | 435 S Front St Apt 101, Memphis, TN 38103-6403 | 2019-12-02 |
| 1609388438 | East Tennessee Children's Hospital Association, Inc. | Clinic/Center | 1060 Peerless Xing Nw Ste 100, Cleveland, TN 37312-3785 | 2017-11-02 |
| 1376095596 | Dr. Andrea's Medical & Weight Loss Clinic, Pllc | Clinic/Center | 8317 Cordova Rd, Suite 201, Cordova, TN 38016-2088 | 2016-11-04 |
| 1316304629 | Deep River Wellness Center | Clinic/Center | 314 Knox Rd, Knoxville, TN 37918-2316 | 2016-01-19 |
| 1417342973 | Sleep Disorders of Tennessee | Clinic/Center | 254 Ren Mar Dr Ste 200, Pleasant View, TN 37146-3723 | 2015-04-01 |
| 1891069555 | Hrc Medical Centers Inc | Clinic/Center | 301 14th Ave N, Nashville, TN 37203-3416 | 2012-02-28 |
| 1801177449 | Mcminn Ortopaedic Clinic, PC | Clinic/Center | 719 Cook Dr Ste 110, Athens, TN 37303-3495 | 2011-09-08 |
| 1104105873 | Swan Urogynecology, PC | Clinic/Center | 329 21st Avenue North, Suite 1, Nashville, TN 37203-1857 | 2011-08-11 |
| 1023304938 | William J Deaton | Clinic/Center | 1462 Wolf Park Rd, Germantown, TN 38138-2354 | 2011-06-20 |
| Find all providers with the same taxonomy | ||||
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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.