DR. SUSAN LESLIE VERGOT (NPI# 1669413415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669413415 |
| Entity Type | Individual |
| Full Name | DR. SUSAN LESLIE VERGOT |
| Credential | D.O. |
| Practice Address |
6740 Lee Hwy Chattanooga TN 37421-2423 |
| Mailing Address |
7820 Dunwoody Dr Chattanooga TN 37421-1877 |
| Practice Telephone | 4238254881 |
| Practice Fax Number | 7069372442 |
| Mailing Telephone | 4238254881 |
| Mailing Fax Number | 7069372442 |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2019-09-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 000854 | TN | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 0000000854 | TN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 32 Millennium Cir, Ringgold, GA 307362775 | 4238254881 | 7069372442 |
| Street Address |
6740 LEE HWY |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37421-2423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780144246 | Sarah Michelle Fiddler | Nurse Practitioner | 6740 Lee Hwy, Chattanooga, TN 37421-2423 | 2019-03-21 |
| 1770838039 | Susan Sentef | Nurse Practitioner | 6740 Lee Hwy, Chattanooga, TN 37421-2423 | 2012-07-23 |
| 1043418742 | Sentef Medical Center | Physician Assistant | 6740 Lee Hwy, Chattanooga, TN 37421-2423 | 2007-07-05 |
| 1720160294 | Joseph Sentef Jr. | Family Medicine | 6740 Lee Hwy, Chattanooga, TN 37421 | 2006-10-20 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871140475 | Family Medical Providers, Pllc | Family Medicine | 3496 Brainerd Rd, Chattanooga, TN 37411-3532 | 2019-08-20 |
| 1366940538 | Hamilton Family Medicine, Pllc | Family Medicine | 2290 Ogletree Ave, Chattanooga, TN 37421-8816 | 2018-01-23 |
| 1922461698 | Jordan L Kim | Family Medicine | 320 E Main St Ste 200, Chattanooga, TN 37408-1609 | 2016-03-31 |
| 1659752764 | Chen Wang | Family Medicine | 1848 Rossville Ave, Chattanooga, TN 37408-1932 | 2015-06-15 |
| 1376889618 | Robert Wright Montague Sr. | Family Medicine | 1121 Healing Springs Rd, Chattanooga, TN 37419-1043 | 2012-12-13 |
| 1205107935 | Azam H Sohi | Family Medicine | 2333mccallie Avenue, Chattanooga, TN 37404 | 2012-01-26 |
| 1477844553 | Philip Anthony Sutherland | Family Medicine | 1300 E 23rd St, Chattanooga, TN 37404-5701 | 2011-04-25 |
| 1851540694 | Christopher Timothy Moore | Family Medicine | 3914 Saint Elmo Ave, Chattanooga, TN 37409-1268 | 2008-09-17 |
| 1417106279 | Rapid Care Group Inc | Family Medicine | 711 Signal Mountain Rd Ste 169, Auite, Chattanooga, TN 37405-1823 | 2008-09-16 |
| 1366698755 | Lisa Fara | Family Medicine | 7030 Lee Hwy Ste 201, Chattanooga, TN 37421-6795 | 2008-08-18 |
| 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.