DR. ANGELINA A SUPAN (NPI# 1588750640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588750640 |
| Entity Type | Individual |
| Full Name | DR. ANGELINA A SUPAN |
| Credential | M.D. |
| Practice Address |
1028 E 3rd St Chattanooga TN 37403-2107 |
| Practice Telephone | 4232666751 |
| Practice Fax Number | 4237634662 |
| Mailing Telephone | 4232666751 |
| Mailing Fax Number | 4237634662 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2008-01-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD9173 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3399761 | 05 | |
| TN | BCBST | 0088871 | 01 |
| Street Address |
1028 E 3RD ST |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37403-2107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861790131 | Mental Health Centers & Clinics of Tennessee | Community/Behavioral Health | 1028 E 3rd St, Chattanooga, TN 37403-2107 | 2011-03-10 |
| 1770737306 | Misty D. Ratchford | Registered Nurse | 1028 E 3rd St, Chattanooga, TN 37403-2107 | 2008-11-10 |
| 1033381272 | Elizabeth Irene Covington | Counselor | 1028 E 3rd St, Chattanooga, TN 37403-2107 | 2008-03-27 |
| 1912190794 | Daniel L. Doresk | Counselor | 1028 E 3rd St, Chattanooga, TN 37403-2107 | 2007-08-24 |
| 1790975084 | Kristen L. Adams | Case Manager/Care Coordinator | 1028 E 3rd St, Chattanooga, TN 37403-2107 | 2007-08-01 |
| 1770773285 | Kristen L. Loggins | Case Manager/Care Coordinator | 1028 E 3rd St, Chattanooga, TN 37403-2107 | 2007-07-31 |
| 1992995401 | Michael A. Fernandez | Case Manager/Care Coordinator | 1028 E 3rd St, Chattanooga, TN 37403-2107 | 2007-07-31 |
| 1326247719 | Rachel W. Parrish | Case Manager/Care Coordinator | 1028 E 3rd St, Chattanooga, TN 37403-2107 | 2007-07-16 |
| 1497954499 | Dianna S. Andrews | Case Manager/Care Coordinator | 1028 E 3rd St, Chattanooga, TN 37403-2107 | 2007-07-11 |
| 1891990933 | Anna W. Fairweather | Case Manager/Care Coordinator | 1028 E 3rd St, Chattanooga, TN 37403-2107 | 2007-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033771332 | Jaimie Mills | Specialist/Technologist | 103 Metropolitan Building, Chattanooga, TN 37403 | 2019-07-08 |
| 1972092849 | Joshua Dale Gebhardt | Marriage & Family Therapist | 1024 East M L King Blvd, Chattanooga, TN 37403 | 2018-05-07 |
| 1528580750 | Klifford Hawkins | Physical Therapist | 1100 E 3rd St Ste G103, Chattanooga, TN 37403 | 2017-07-10 |
| 1861921470 | Jonathan Everett Burden | Student in an Organized Health Care Education/Training Program | 960 E 3rd St Ste 104, Chattanooga, TN 37403 | 2017-06-07 |
| 1992167092 | Majel Victoria Purvis Miles | Student in an Organized Health Care Education/Training Program | 979 E 3rd St Ste 401, Chattanooga, TN 37403 | 2016-03-28 |
| 1972942902 | Danielle Nessly | Nurse Practitioner | 730 East 11th Street, Chattanooga, TN 37403 | 2013-06-24 |
| 1023453271 | Nathan Claydon | Internal Medicine | 960 East 3rd St, Suite 104, Chattanooga, TN 37403 | 2013-05-01 |
| 1336482603 | Veronica Patterson Zachry | Student in an Organized Health Care Education/Training Program | 975 E. 3rd Street, Chattanooga, TN 37403 | 2013-04-04 |
| 1639420417 | Ctr. for Individual & Family Effectiveness | Community/Behavioral Health | 310 E. 8th St., Ste. C, Chattanooga, TN 37403 | 2012-09-20 |
| 1063773521 | Shelley L Murphy | Emergency Medicine | 1018 Blackford Street, Chattanooga, TN 37403 | 2012-05-31 |
| Find all providers in zip 37403 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942411103 | Aimee Rox Coleman | Psychiatry & Neurology | 6098 Debra Rd Ste 100, Chattanooga, TN 37411-5702 | 2007-05-26 |
| 1316002652 | Timothy Ray Jennings | Psychiatry & Neurology | 6148 Lee Hwy Ste 200, Chattanooga, TN 37421-3045 | 2006-12-27 |
| 1801998455 | Willis Henry Marshall | Psychiatry & Neurology | 420 Bell Ave, Chattanooga, TN 37405-3404 | 2006-09-03 |
| 1588772545 | Oliver Lee Gregory | Psychiatry & Neurology | 7345 Courage Way, Ste 101, Chattanooga, TN 37421-1555 | 2006-08-29 |
| 1851319065 | Mari Lynn Lilly | Psychiatry & Neurology | 901 Mountain Creek Rd, Suite 200, Chattanooga, TN 37405-4501 | 2006-07-17 |
| 1821028788 | Jane F Gumnick | Psychiatry & Neurology | 119 S Moore Rd, Chattanooga, TN 37411-4806 | 2006-07-04 |
| 1194755124 | Sarath Gangavarapu | Psychiatry & Neurology | 1510 Gunbarrel Rd, Suite 120, Chattanooga, TN 37421-7174 | 2006-07-04 |
| 1598713166 | Mark Oliver Jennings | Psychiatry & Neurology | 7446 Shallowford Road, Suite 104, Chattanooga, TN 37341 | 2006-05-05 |
| 1689654493 | Ferdinand Armas | Psychiatry & Neurology | 5811 Lee Hwy, Suite 410, Chattanooga, TN 37421-6100 | 2006-01-18 |
| 1255324810 | Randall Jackson Brewer | Psychiatry & Neurology | 1937 Aviara Dr, Chattanooga, TN 37421 | 2005-08-29 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37403 |
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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.