DR. DOUGLAS L VANDERBILT (NPI# 1528138534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528138534 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS L VANDERBILT |
| Credential | MD |
| Practice Address |
721 Glenwood Drive Memorial Bldg., West Suite 470 Chattanooga TN 37404-1126 |
| Mailing Address |
Po Box 23371 Chattanooga TN 37422-3371 |
| Practice Telephone | 4238929208 |
| Practice Fax Number | 4238929212 |
| Mailing Telephone | 4238929208 |
| Mailing Fax Number | 4238929212 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2009-02-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 7995 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3184016 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457340291 | Douglas L Vanderbilt II | Pediatrics | 4650 W Sunset Blvd, Ms#76, Los Angeles, CA 90027-6062 | 2005-10-14 |
| Street Address |
721 GLENWOOD DRIVE MEMORIAL BLDG., WEST SUITE 470 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37404-1126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588664106 | Daniel Lee Heithold | Surgery | 721 Glenwood Drive, Suite W-462, Chattanooga, TN 37421 | 2005-07-26 |
| 1194099911 | Monica E Chamberlain | Nurse Practitioner | 721 Glenwood Drive, Suite W-552, Chattanooga, TN 37404 | 2012-02-24 |
| 1235352592 | Zoe M Scott | Registered Nurse | 721 Glenwood Drive, Suite W-462, Chattanooga, TN 37404-1154 | 2007-04-11 |
| 1528085412 | Phillip G Tallent | Psychiatry & Neurology | 721 Glenwood Drive, Suite 467, Chattanooga, TN 37404 | 2006-07-16 |
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962822981 | David C. Redd, Md, P.C. | Surgery | 2205 Mccallie Ave Ste 507, Chattanooga, TN 37404-3334 | 2014-04-17 |
| 1134462153 | Rishabh N Shah | Surgery | 1949 Gunbarrel Rd Ste 206, Chattanooga, TN 37421-7133 | 2013-03-27 |
| 1386919934 | Justin Paul Gusching | Surgery | 1405 Cowart St Ste 201, Chattanooga, TN 37408-1127 | 2012-03-15 |
| 1558655803 | John Cavan Huggins | Surgery | 979 E 3rd Street, Ste. 300, Chattanooga, TN 37403-2187 | 2011-06-03 |
| 1659520898 | Nicole Marie Walker | Surgery | 605 Glenwood Dr Ste 103, Chattanooga, TN 37404-1150 | 2008-09-11 |
| 1083815609 | Edgar Leonard Scott Jr. | Surgery | 1300 E 3rd St, Chattanooga, TN 37404 | 2007-05-30 |
| 1316153604 | Darren James Hunt | Surgery | 979 E 3rd St Ste 300, Chattanooga, TN 37403-2187 | 2007-05-15 |
| 1245299551 | Richard Hunter Jennings IIi | Surgery | 721 Glenwood Dr Ste 560, Memorial Medical Building West, Chattanooga, TN 37404-1129 | 2006-03-23 |
| 1134195308 | Edward L Humpert | Surgery | 312 N Crest Rd, Chattanooga, TN 37404-1004 | 2006-02-27 |
| 1962476358 | Vincent Wayne Gardner | Surgery | 1405 Cowart St, Suite 321, Chattanooga, TN 37408-1127 | 2006-02-14 |
| Find all providers in CHATTANOOGA | ||||
| 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.