DR. ANTHONY AVITABILE JR. (NPI# 1518942341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518942341 |
| Entity Type | Individual |
| Full Name | DR. ANTHONY AVITABILE JR. |
| Credential | DO |
| Practice Address |
6106 Shallowford Rd Ste 104 Chattanooga TN 37421-2280 |
| Mailing Address |
Po Box 307 Hixson TN 37343-0307 |
| Practice Telephone | 4238021919 |
| Practice Fax Number | 4232698747 |
| Mailing Telephone | 4238021919 |
| Mailing Fax Number | 4232696178 |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2020-08-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 1218 | TN | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 1218 | TN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6031 Shallowford Rd Ste 105, Chattanooga, TN 374211984 | 4238021919 | 4232696178 |
| 632 Morrison Springs Rd, Suite 201, Chattanooga, TN 374153416 | 4238774556 | 4238779218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083259329 | Anthony Vidaurri Avitabile | Speech-Language Pathologist | 13223 Black Mountain Rd # 1358, San Diego, CA 92129-2698 | 2019-11-11 |
| Street Address |
6106 SHALLOWFORD RD STE 104 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37421-2280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538799960 | Alyson Victoria Marter | Family Medicine | 6106 Shallowford Rd Ste 104, Chattanooga, TN 37421-2280 | 2020-01-24 |
| 1427554492 | Rivercity Family Medicine, Pllc | Family Medicine | 6106 Shallowford Rd Ste 104, Chattanooga, TN 37421-2280 | 2018-03-30 |
| 1629203310 | Heather Collins Montgomery | Nurse Practitioner | 6106 Shallowford Rd Ste 104, Chattanooga, TN 37421 | 2009-05-25 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871140475 | Family Medical Providers, Pllc | Family Medicine | 3496 Brainerd Rd, Chattanooga, TN 37411-3532 | 2019-08-20 |
| 1366940538 | Hamilton Family Medicine, Pllc | Family Medicine | 2290 Ogletree Ave, Chattanooga, TN 37421-8816 | 2018-01-23 |
| 1922461698 | Jordan L Kim | Family Medicine | 320 E Main St Ste 200, Chattanooga, TN 37408-1609 | 2016-03-31 |
| 1659752764 | Chen Wang | Family Medicine | 1848 Rossville Ave, Chattanooga, TN 37408-1932 | 2015-06-15 |
| 1376889618 | Robert Wright Montague Sr. | Family Medicine | 1121 Healing Springs Rd, Chattanooga, TN 37419-1043 | 2012-12-13 |
| 1205107935 | Azam H Sohi | Family Medicine | 2333mccallie Avenue, Chattanooga, TN 37404 | 2012-01-26 |
| 1477844553 | Philip Anthony Sutherland | Family Medicine | 1300 E 23rd St, Chattanooga, TN 37404-5701 | 2011-04-25 |
| 1851540694 | Christopher Timothy Moore | Family Medicine | 3914 Saint Elmo Ave, Chattanooga, TN 37409-1268 | 2008-09-17 |
| 1417106279 | Rapid Care Group Inc | Family Medicine | 711 Signal Mountain Rd Ste 169, Auite, Chattanooga, TN 37405-1823 | 2008-09-16 |
| 1366698755 | Lisa Fara | Family Medicine | 7030 Lee Hwy Ste 201, Chattanooga, TN 37421-6795 | 2008-08-18 |
| 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.