SOUTHEASTERN SPINE, PLLC (NPI# 1518215219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518215219 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN SPINE, PLLC |
| Practice Address |
281 North Lyerly Street Suite 300 Chattanooga TN 37404-2728 |
| Practice Telephone | 4236932175 |
| Practice Fax Number | 8889591015 |
| Mailing Telephone | 4236932175 |
| Mailing Fax Number | 8889591015 |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2020-07-24 |
| Authorized Official Name | KELLI BESH (CEO) |
| Authorized Official Telephone | 4235054059 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807607 | Southeastern Spine, Pllc | Neurological Surgery | 5953 Elementary Way Ste 101, Ooltewah, TN 37363-3108 | 2020-10-06 |
| 1841684438 | Southeastern Spine, Pllc | Orthopaedic Surgery | 9309 Apison Pike, Ooltewah, TN 37363-4340 | 2015-03-23 |
| Street Address |
281 NORTH LYERLY STREET SUITE 300 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37404-2728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457392433 | James E. Jolley II | Orthopaedic Surgery | 281 North Lyerly Street, Suite 300, Chattanooga, TN 37404 | 2006-06-09 |
| 1437589678 | Theresa Y Popas | Nurse Practitioner | 281 North Lyerly Street, Suite 200, Chattanooga, TN 37404 | 2013-11-26 |
| 1508171943 | Jessica Leighanne Scott | Physician Assistant | 281 North Lyerly Street, Suite 300, Chattanooga, TN 37404 | 2010-08-10 |
| 1508092818 | Rebecca Jean Payne | Nurse Practitioner | 281 North Lyerly Street, Suite 300, Chattanooga, TN 37404 | 2009-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306494216 | Cynthia Caffey | Technician | 1305 E. 28th St. Apt A, Chatta, TN 37404 | 2019-09-04 |
| 1851944482 | Stacey Stokes | Peer Specialist | 1413 Bailey Ave, Chattanooga, TN 37404 | 2019-07-23 |
| 1306354790 | Erlanger Behavioral Health, LLC | Psychiatric Hospital | 804 North Holtzclaw Avenue, Chattanooga, TN 37404 | 2018-01-19 |
| 1245746171 | Davis Supportive Living Home Inc. | Custodial Care Facility | 1106 Duncan Avenue, Chattanooga, TN 37404 | 2017-12-14 |
| 1124544762 | Rachael Anne Maciver | Nurse Practitioner | 1909 South Willow Street, Chattanooga, TN 37404 | 2017-08-15 |
| 1447796214 | Esli Castillo | Nurse Practitioner | 281 N.lyerly St., Suite 200, Chattanooga, TN 37404 | 2017-01-17 |
| 1922542158 | Natasha Elliott | Community Health Worker | 2804 Cannon Ave, Chattanooga, TN 37404 | 2016-12-07 |
| 1730630153 | Jonathan Easter | Taxi | 1611 Anderson Avenue, Apt A, Chattanooga, TN 37404 | 2016-10-20 |
| 1477946143 | Thomas Jereme Holcomb | Nurse Practitioner | 281 N. Lyerly St, Suite 200, Chattanooga, TN 37404 | 2015-03-05 |
| 1922426709 | Sarah Mccary Baker | Internal Medicine | 605 Glenwood Drive, Suite 300, Chattanooga Internal Medicine Group, Chattanooga, TN 37404 | 2014-03-31 |
| Find all providers in zip 37404 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881256048 | Comprehensive Spine Institute | Orthopaedic Surgery | 1206 Pointe Centre Dr Ste 110, Chattanooga, TN 37421-4143 | 2019-07-08 |
| 1518233501 | Eric L Emanski | Orthopaedic Surgery | 1736 Gunbarrel Road, Chattanooga, TN 37421-2268 | 2012-03-24 |
| 1619942091 | Richard G Pearce | Orthopaedic Surgery | 1736 Gunbarrel Rd, Chattanooga, TN 37421-3127 | 2006-02-21 |
| 1588070239 | Venkatanarayanan Ganapathy | Orthopaedic Surgery | 1010 E 3rd St Ste 202, Chattanooga, TN 37403-2174 | 2014-07-02 |
| 1629335658 | John Alexander Sielatycki | Orthopaedic Surgery | 2415 Mccallie Ave, Chattanooga, TN 37404 | 2012-04-16 |
| 1114160678 | Adam M Caputo | Orthopaedic Surgery | 1736 Gunbarrel Rd, Chattanooga, TN 37421 | 2009-04-14 |
| 1215087564 | Spine Surgery Associates, P.C. | Orthopaedic Surgery | 1736 Gunbarrel Rd, Chattanooga, TN 37421-3127 | 2007-01-11 |
| 1740255116 | Paul A Broadstone | Orthopaedic Surgery | 1736 Gunbarrel Rd, Chattanooga, TN 37421-3127 | 2006-02-21 |
| 1700882867 | Scott D Hodges | Orthopaedic Surgery | 2415 Mccallie Ave, Chattanooga, TN 37404-3322 | 2005-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770091654 | Coordinated Health Network of Tennessee, LLC | Orthopaedic Surgery | 315 Deaderick St Ste 1550a, Nashville, TN 37238-3000 | 2018-01-13 |
| 1497263370 | Optimal Health of Tn, LLC | Orthopaedic Surgery | 315 Deaderick St Ste 1550b, Nashville, TN 37238-3000 | 2018-01-13 |
| 1124536008 | Spine Cin of West Tennessee LLC | Orthopaedic Surgery | 5865 Ridgeway Center Pkwy Ste 300a, Memphis, TN 38120-4032 | 2018-01-13 |
| 1851809735 | Joint Replacement Cin of West Tennessee LLC | Orthopaedic Surgery | 5865 Ridgeway Center Pkwy Ste 300b, Memphis, TN 38120-4032 | 2018-01-13 |
| 1821046459 | James M Fish | Orthopaedic Surgery | 300 Stonecrest Blvd Ste 230, Smyrna, TN 37167-6800 | 2006-05-05 |
| 1366417396 | James M Osborn | Orthopaedic Surgery | 102 Dunhill Pl Nw, Suite A, Cleveland, TN 37311-3885 | 2006-02-22 |
| 1386631976 | Patrick M Curlee Sr. | Orthopaedic Surgery | 3087 Professional Plz, Germantown, TN 38138-7912 | 2005-09-29 |
| 1326671629 | Darkhorse Orthopedics Inc | Orthopaedic Surgery | 1010 4th Ave N, Nashville, TN 37219-1110 | 2020-02-15 |
| 1518420272 | Stn Care of Tn II, LLC | Orthopaedic Surgery | 315 Deaderick St Ste 1550b, Nashville, TN 37238-3000 | 2019-04-10 |
| 1881157543 | Stn Care of Tn, LLC | Orthopaedic Surgery | 315 Deaderick St Ste 1550b, Nashville, TN 37238-3000 | 2019-04-10 |
| Find all providers with the same taxonomy | ||||
| City | CHATTANOOGA |
| Zip Code | 37404 |
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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.