PETER JAMES NOWOTARSKI (NPI# 1619953783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619953783 |
| Entity Type | Individual |
| Full Name | PETER JAMES NOWOTARSKI |
| Credential | MD |
| Practice Address |
979 E 3rd St Ste C-220 Chattanooga TN 37403-3314 |
| Practice Telephone | 4232674585 |
| Practice Fax Number | 4232654098 |
| Mailing Telephone | 4232674585 |
| Mailing Fax Number | 4232654098 |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2008-01-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 30571 | TN | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | DEA | BN5875856 | 01 |
| TN | 00797244A | 05 |
| Street Address |
979 E 3RD ST STE C-220 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37403-3314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306849849 | Daniel B Herz | Urology | 979 E 3rd St, Suite C-925, Chattanooga, TN 37403-2136 | 2005-05-28 |
| 1255948618 | Laura Katherine Johnson | Nurse Anesthetist, Certified Registered | 979 E 3rd St, Chattanooga, TN 37403-2136 | 2020-09-29 |
| 1407462039 | Nitha Ketts | Nurse Anesthetist, Certified Registered | 979 E 3rd St, Chattanooga, TN 37403-2136 | 2020-09-18 |
| 1568078475 | Christina Brooke Robinson | Nurse Anesthetist, Certified Registered | 979 E 3rd St, Chattanooga, TN 37403-2136 | 2020-09-17 |
| 1922628601 | Yuliya Timoshchuk | Nurse Anesthetist, Certified Registered | 979 E 3rd St, Chattanooga, TN 37403-2136 | 2020-04-22 |
| 1972154953 | Roseann Marie Lobach | Nurse Practitioner | 979 E 3rd St, Chattanooga, TN 37403-2136 | 2019-09-22 |
| 1942867361 | Jessica Burns Tyner | Registered Nurse | 979 E 3rd St, Chattanooga, TN 37403-2136 | 2019-05-21 |
| 1447784103 | Jonathan Brent Moss | Student in an Organized Health Care Education/Training Program | 979 E 3rd St, Suite B-401, Chattanooga, TN 37403-2136 | 2017-04-19 |
| 1083148084 | Dresden Miranda Melton | Student in an Organized Health Care Education/Training Program | 979 E 3rd St, Suite B-401, Chattanooga, TN 37403-2136 | 2017-04-17 |
| 1982138426 | Margaret Elizabeth Gardner | Student in an Organized Health Care Education/Training Program | 979 E 3rd St, Suite C-720, Chattanooga, TN 37403-2136 | 2017-04-11 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104311943 | I Am Tiara Mitchell | Specialist | 3913 Brainerd Rd, Chattanooga, TN 37411-3733 | 2018-06-25 |
| 1285048900 | Embryo Services LLC | Specialist | 7407 Ziegler Rd, Suite B, Chattanooga, TN 37421-3157 | 2014-06-20 |
| 1336560812 | James Edward Mckinney | Specialist | 13 Fairhills Dr, Chattanooga, TN 37405-4324 | 2013-12-30 |
| 1790064087 | Eunice Storey Group Home | Specialist | 2016 Milne Street, Chattanooga, TN 37406 | 2011-08-04 |
| 1467779652 | Eva J Goldyn | Specialist | 931 Spring Creek Rd, Suite 101, Chattanooga, TN 37412-3959 | 2010-04-27 |
| 1649503681 | Johnny D. Patmon | Specialist | 3002 Wheeler Ave, Chattanooga, TN 37406-3945 | 2009-09-09 |
| 1225282445 | Catherine Ann Thomas | Specialist | 6201 Lee Hwy Ste A, Chattanooga, TN 37421-0306 | 2008-11-14 |
| 1790979177 | Plaza Orthopaedics | Specialist | 2339 Mccallie Ave Ste 201, Chattanooga, TN 37404-3208 | 2007-08-29 |
| 1467651455 | Jitendra G. Gandhi | Specialist | 7425 Ziegler Rd Ste 109, Chattanooga, TN 37421-4178 | 2007-07-11 |
| 1215134275 | Allied Eye Associates, P.l.l.c. | Specialist | 7405 Shallowford Rd., Suite 420, Chattanooga, TN 37421 | 2007-07-02 |
| 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.