DR. SAMUEL OTTERSON JONES IV (NPI# 1578632550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578632550 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL OTTERSON JONES IV |
| Credential | MD |
| Practice Address |
2501 Citico Ave Chattanooga TN 37404-1127 |
| Practice Telephone | (423) 697-2000 |
| Practice Fax Number | 4236972118 |
| Mailing Telephone | (423) 697-2000 |
| Mailing Fax Number | 4236972118 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2017-06-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
55695 | TN | Allopathic & Osteopathic Physicians |
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
N0142 | TX | Allopathic & Osteopathic Physicians |
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
21364 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 202417603 | 05 | |
| TX | RAILROAD MEDICARE | P00898254 | 01 |
| TN | BOARD OF MEDICAL EXAMINERS | 55695 | 01 |
| TX | BCBS | 8CM507 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033537477 | Samuel Jones | Marriage & Family Therapist | 3788 Creek Side Way, Trussville, AL 35173-3864 | 2014-04-02 |
| 1114352713 | Samuel Jones IIi | Pharmacist | 2500 N. Main St., Gainesville, FL 32609 | 2013-09-13 |
| 1790079010 | Samuel Riddle Jones | Obstetrics & Gynecology | 594 Bill Moody Trail, Blountville, TN 37617 | 2011-06-03 |
| 1669008579 | Samuel Evan Jones | Student in an Organized Health Care Education/Training Program | 16 S Eutaw St Ste 500, Baltimore, MD 21201-1619 | 2020-03-23 |
| 1497231161 | Samuel Jones | Counselor | 233 Fulton St E Ste 104, Grand Rapids, MI 49503-3261 | 2018-07-16 |
| 1356839583 | Samuel Hayden Jones | Student in an Organized Health Care Education/Training Program | 420 Delaware St. Se, Mmc 96, Minneapolis, MN 55455 | 2018-04-24 |
| 1407398894 | Samuel Jones | Behavioral Analyst | 103 4th St, Jonesboro, LA 71251-3346 | 2016-11-16 |
| 1609241538 | Samuel W Jones | Registered Nurse | 10800 Midlothian Tpke, North Chesterfield, VA 23235-4724 | 2015-12-03 |
| 1225427925 | Samuel Jones | Student in an Organized Health Care Education/Training Program | 753 Horizon View Dr, Las Cruces, NM 88011-8651 | 2015-01-18 |
| 1316281041 | Samuel Jones | Social Worker | 2100 Comer Ave, Columbus, GA 31904-8725 | 2012-11-19 |
| Street Address |
2501 CITICO AVE |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37404-1127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629077011 | Gordon D Graham | Internal Medicine | 2501 Citico Ave, Chattanooga, TN 37404-1127 | 2005-07-18 |
| 1215575113 | Abigail N Burroughs | Nurse Practitioner | 2501 Citico Ave, Chattanooga, TN 37404-1127 | 2019-12-11 |
| 1730721465 | Cathy C Patty | Nurse Practitioner | 2501 Citico Ave, Chattanooga, TN 37404-1127 | 2019-10-15 |
| 1447725882 | Damon Pulliam | Nurse Practitioner | 2501 Citico Ave, Chattanooga, TN 37404-1127 | 2018-10-12 |
| 1962980169 | Gregory A Evans | Nurse Practitioner | 2501 Citico Ave, Chattanooga, TN 37404-1127 | 2018-07-31 |
| 1467965707 | Josue B Mendoza | Nurse Practitioner | 2501 Citico Ave, Chattanooga, TN 37404-1127 | 2017-11-08 |
| 1548781156 | Sally W Randall | Nurse Practitioner | 2501 Citico Ave, Chattanooga, TN 37404-1127 | 2017-07-05 |
| 1225582141 | Corinne Ann Hinson | Nurse Practitioner | 2501 Citico Ave, Chattanooga, TN 37404-1127 | 2016-08-09 |
| 1073988903 | Enesa Spreco | Nurse Practitioner | 2501 Citico Ave, Chattanooga, TN 37404-1127 | 2015-12-03 |
| 1396120408 | Joshua Paul Black | Nurse Practitioner | 2501 Citico Ave, Chattanooga, TN 37404-1127 | 2015-07-30 |
| Find all providers in the same location | ||||
| 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 | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518279686 | Chattanooga Hamilton County Hospital Authority | Internal Medicine | 979 E 3rd St, Suite C-520, Chattanooga, TN 37403-2136 | 2010-07-06 |
| 1356473441 | Arrhythmia and Cardiology Of | Internal Medicine | 979 E 3rd St, Suite A-350, Chattanooga, TN 37403-2136 | 2007-03-12 |
| 1437148152 | Diagnostic Cardiology Group | Internal Medicine | 2341 Mccallie Ave, Plaza 3, Ste. 200, Chattanooga, TN 37404-3239 | 2005-10-14 |
| 1619966330 | Timothy M Talbert | Internal Medicine | 2341 Mccallie Ave, Plaza 3 Suite 200, Chattanooga, TN 37404-3239 | 2005-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861015935 | Basu Ray Cardiology Associates PC | Internal Medicine | 1755 Groveway Dr, Germantown, TN 38139-5554 | 2020-05-25 |
| 1538391446 | Indranill Basu Ray | Internal Medicine | 6005 Park Ave Ste 500b, Memphis, TN 38119 | 2009-08-12 |
| 1548266786 | Tibor Sandor Szabo | Internal Medicine | 7460 Wolf River Blvd, Germantown, TN 38138-1760 | 2005-06-22 |
| 1275811713 | Knoxville Hma Cardiology Ppm, LLC | Internal Medicine | 1225 E Weisgarber Rd, Knoxville, TN 37909-2604 | 2011-08-02 |
| 1174842181 | Specialty Physician Group LLC | Internal Medicine | 7460 Wolf River Blvd, Germantown, TN 38138-1760 | 2010-06-01 |
| 1831332626 | Karine Guerrier | Internal Medicine | 848 Adams Ave, Ste. L400, Memphis, TN 38103 | 2009-04-09 |
| 1518122613 | Martin Antonio Espinosa | Internal Medicine | 222 22nd Ave N, Suite 400, Nashville, TN 37203-1852 | 2008-07-28 |
| 1093978751 | Rashmi Ujaneppa Hottigoudar | Internal Medicine | 7557b Dannaher Dr Ste 225, Powell, TN 37849-3568 | 2008-07-02 |
| 1265606255 | Przemyslaw Peter Borek | Internal Medicine | 2400 Patterson St Ste 502, Nashville, TN 37203-6511 | 2008-04-22 |
| 1124201298 | Sean Patrick Whalen | Internal Medicine | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2007-12-12 |
| 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.