DEBORAH R. DISTEFANO M.D.P.C. (NPI# 1588855225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588855225 |
Entity Type | Organization |
Organization Name | DEBORAH R. DISTEFANO M.D.P.C. |
Other Organization Name | DISTEFANO EYE CENTER |
Practice Address |
1815 Gunbarrel Rd Chattanooga TN 37421-3130 |
Practice Telephone | 4236483937 |
Practice Fax Number | 4236482043 |
Mailing Telephone | 4236483937 |
Mailing Fax Number | 4236482043 |
Enumeration Date | 2007-08-07 |
Last Update Date | 2012-10-03 |
Authorized Official Name | MRS. BARBARA JEAN MESERVE (OFFICE MANAGER) |
Authorized Official Telephone | 4236483937 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | MD14067 | TN | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
DiStefano Eye Center | Doing Business As Name - Organization |
Street Address |
1815 GUNBARREL RD |
City | CHATTANOOGA |
State | TN |
Zip Code | 37421-3130 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346228426 | Courtney Webb Ridner | Ophthalmology | 1815 Gunbarrel Rd, Chattanooga, TN 37421-3130 | 2006-01-09 |
1811339948 | D C Eye, LLC | Eyewear Supplier (Equipment, not the service) | 1815 Gunbarrel Rd, Chattanooga, TN 37421-3130 | 2013-07-17 |
1932172558 | Deborah R Distefano | Ophthalmology | 1815 Gunbarrel Rd, Chattanooga, TN 37421-3130 | 2006-02-13 |
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 | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689287997 | Asclepius Ai Inc | Clinic/Center | 800 Market St Ste 200, Chattanooga, TN 37402-2677 | 2020-08-26 |
1609117183 | Bridge To Health Healing Arts Center | Clinic/Center | 207 Woodland Ave, Chattanooga, TN 37405-3958 | 2013-03-08 |
1497904155 | Connecticut General Life Insurance Company (cglic) | Clinic/Center | 7555 Goodwin Rd, Chattanooga, TN 37421-3183 | 2008-09-17 |
1750571204 | Tennessee Medical Services P.C. | Clinic/Center | 1201 Carter St, Suite A, Chattanooga, TN 37402-5000 | 2007-07-31 |
1477766160 | Tlc The Laser Center (institute) Inc. | Clinic/Center | 6150 Shallowford Rd, Ste. 104, Chattanooga, TN 37421-7218 | 2007-05-08 |
1922632546 | One To One Health Pllc | Clinic/Center | 1067 Riverfront Pkwy, Chattanooga, TN 37402-2194 | 2020-02-24 |
1194160556 | Oz Health Inc | Clinic/Center | 7530 Goodwin Rd, Chattanooga, TN 37421-3182 | 2013-04-30 |
1730450727 | A Better Choice Chiropractic | Clinic/Center | 4922 Brainerd Rd, Chattanooga, TN 37411-3901 | 2012-01-23 |
1700024635 | Hamilton County Health Dept. | Clinic/Center | 921 E 3rd St, Chattanooga, TN 37403-2102 | 2009-01-30 |
1659540938 | Ross Chiropractic Clinic, Inc. | Clinic/Center | 7405 Shallowford Rd., Suite 320, Chattanooga, TN 37421-2662 | 2008-02-21 |
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.