CHATTANOOGA ORTHOPAEDIC GROUP, PC (NPI# 1629267158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629267158 |
| Entity Type | Organization |
| Organization Name | CHATTANOOGA ORTHOPAEDIC GROUP, PC |
| Other Organization Name | CENTER FOR SPORTS MEDICINE AND ORTHOPAEDICS |
| Practice Address |
7480 Ziegler Rd Suite 101 Chattanooga TN 37421-3156 |
| Mailing Address |
2415 Mccallie Ave Chattanooga TN 37404-3322 |
| Practice Telephone | 4236242696 |
| Mailing Telephone | 4236242696 |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2008-02-21 |
| Authorized Official Name | BECKY BURNETT (CEO) |
| Authorized Official Telephone | 4236242696 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Other Name | Type Code |
|---|---|
| Center for Sports Medicine and Orthopaedics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871095331 | Chattanooga Orthopaedic Group, PC | Orthopaedic Surgery | 4725 Battlefield Parkway, Ringgold, GA 30736 | 2018-03-01 |
| 1811427032 | Chattanooga Orthopaedic Group, PC | Physical Therapist | 6401 Lee Hwy Ste 109, Chattanooga, TN 37421-2406 | 2017-06-20 |
| 1396233656 | Chattanooga Orthopaedic Group, PC | Orthopaedic Surgery | 4725 Battlefield Parkway, Ringgold, GA 30736 | 2018-04-23 |
| 1770001752 | Chattanooga Orthopaedic Group, PC | Orthopaedic Surgery | 719 Cook Dr, Athens, TN 37303-3495 | 2017-08-30 |
| 1437510393 | Chattanooga Orthopaedic Group, PC | Orthopaedic Surgery | 2205 Mccallie Ave, Plaza 4 Suite 302, Chattanooga, TN 37404-3230 | 2016-03-18 |
| 1932572575 | Chattanooga Orthopaedic Group, PC | Orthopaedic Surgery | 24 Mountain View Dr, Suite A, Kimball, TN 37347-5477 | 2015-11-04 |
| 1063716553 | Chattanooga Orthopaedic Group, PC | Durable Medical Equipment & Medical Supplies | 2400 N Ocoee St, Cleveland, TN 37311-3854 | 2010-12-27 |
| 1629252416 | Chattanooga Orthopaedic Group, PC | Durable Medical Equipment & Medical Supplies | 2415 Mccallie Ave, Chattanooga, TN 37404-3322 | 2007-12-28 |
| 1619165834 | Chattanooga Orthopaedic Group, PC | Durable Medical Equipment & Medical Supplies | 2051b Hamill Rd, Hixson, TN 37343-4085 | 2007-10-12 |
| Street Address |
7480 ZIEGLER RD SUITE 101 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37421-3156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568530293 | Carolyn Blair Padalino | Physical Therapist | 7480 Ziegler Rd, Chattanooga, TN 37421-3156 | 2006-12-01 |
| 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 | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437646171 | Amputee Solutions LLC | Prosthetic/Orthotic Supplier | 7401 E Brainerd Rd Ste 140, Chattanooga, TN 37421-3194 | 2018-04-18 |
| 1417451048 | The Plastic Surgery Group,pc | Prosthetic/Orthotic Supplier | 1949 Gunbarrel Rd Ste 303, Chattanooga, TN 37421-3188 | 2018-03-20 |
| 1336508431 | Ultraflex Systems, Inc. | Prosthetic/Orthotic Supplier | 200 W. Martin Luther King Blvd., Suite 1000, Chattanooga, TN 37402 | 2016-02-17 |
| 1669655999 | Dynamic Prosthetic & Orthotic, LLC | Prosthetic/Orthotic Supplier | 2116 Mccallie Ave, Chattanooga, TN 37404-3118 | 2007-12-10 |
| 1538357660 | P.s. Nails and Etc | Prosthetic/Orthotic Supplier | 480 Greenway View Dr, Suite 119, Chattanooga, TN 37411-5693 | 2007-10-15 |
| 1689891186 | Tara L Hewlett-bryant | Prosthetic/Orthotic Supplier | 557 N Willow St, Chattanooga, TN 37404-2233 | 2007-04-19 |
| 1225162548 | Center for Orthotic and Prosthetic Care of Ky, LLC | Prosthetic/Orthotic Supplier | 815 Brookhollow Ln, Chattanooga, TN 37421-4585 | 2007-03-16 |
| 1417055732 | Stubbs Prosthetics & Orthotics, Inc | Prosthetic/Orthotic Supplier | 5715 Uptain Rd Ste 5800, Chattanooga, TN 37411-5655 | 2006-09-20 |
| 1275571606 | Fillauer Orthotics and Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 2710 Amnicola Hwy, Chattanooga, TN 37406-3603 | 2006-06-04 |
| 1053395780 | Stubbs Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 5715 Uptain Rd, Suite 5800, Chattanooga, TN 37411-5511 | 2005-12-06 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37421 |
Please comment or provide details below to improve the information on CHATTANOOGA ORTHOPAEDIC GROUP, PC.
| 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.