MINU PHILIPOSE (NPI# 1710309240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710309240 |
| Entity Type | Individual |
| Full Name | MINU PHILIPOSE |
| Practice Address |
4411 Oakwood Dr Chattanooga TN 37416-2367 |
| Practice Telephone | 4238924289 |
| Practice Fax Number | 4238928301 |
| Mailing Telephone | 4238924289 |
| Mailing Fax Number | 4238928301 |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2016-03-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
18276 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BCBS OF TENNESSEE | 6009693 | 01 |
| TN | Q006700 | 05 | |
| TN | MEDICARE PTAN | 103G709374 | 01 |
| Street Address |
4411 OAKWOOD DR |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37416-2367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811974926 | David Bryan Johnson | Family Medicine | 4411 Oakwood Dr, Chattanooga, TN 37416-2367 | 2005-12-29 |
| 1467814178 | Marissa Warden | Nurse Practitioner | 4411 Oakwood Dr, Chattanooga, TN 37416-2367 | 2016-03-22 |
| 1184061590 | Jennifer Anne Montgomery | Nurse Practitioner | 4411 Oakwood Dr, Chattanooga, TN 37416-2367 | 2013-05-24 |
| 1417114414 | Tanya M. Horne | Family Medicine | 4411 Oakwood Dr, Chattanooga, TN 37416-2367 | 2008-05-19 |
| 1184845505 | Angela Denise Kitchens Kelley | Nurse Practitioner | 4411 Oakwood Dr, Chattanooga, TN 37416-2367 | 2007-05-02 |
| 1881779510 | Valencia Clay | Internal Medicine | 4411 Oakwood Dr, Chattanooga, TN 37416-2367 | 2006-10-25 |
| 1336109412 | Gregory L. Phelps | Family Medicine | 4411 Oakwood Dr, Chattanooga, TN 37416-2367 | 2006-03-24 |
| 1437123726 | Luther Frank Chandler | Internal Medicine | 4411 Oakwood Dr, Chattanooga, TN 37416 | 2006-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073170718 | A Pharmacy LLC | Pharmacy | 4767 Hwy 58, Suite 101, Chattanooga, TN 37416 | 2019-05-28 |
| 1639653835 | Paige Mayer | Pharmacist | 4542 Tn- 58, Chattanooga, TN 37416 | 2018-09-24 |
| 1528501517 | Tabitha Richelle Bell | Home Health | 6379 Plantation Dr, Chatt, TN 37416 | 2016-11-23 |
| 1588785109 | Mark Stephen Cowart | Dentist | 4355 Hwy 58, #103a, Chattanooga, TN 37416 | 2007-04-02 |
| 1558485334 | Robert Joseph Gallien | Dentist | 4620 Hwy 58, Chattanooga, TN 37416 | 2007-03-19 |
| 1154464782 | Carol Guess | Nurse Practitioner | 7380 Volkswagen Drive, Suite #110, Chattanooga, TN 37416 | 2007-02-14 |
| 1073615464 | Kristen Beeler Conner | Dentist | 4972 Highway 58 Ste 114, Chattanooga, TN 37416 | 2006-09-05 |
| 1003865536 | Stephen C Miller | Family Medicine | 7380 Volkswagon Drive, Suite 110, Chattanooga, TN 37416 | 2006-05-10 |
| 1740773241 | Nicholas Adam Jenkins | Physical Therapist | 7380 Volkswagen Dr Ste 190a, Chattanooga, TN 37416 | 2018-06-08 |
| 1639695034 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4434 Highway 58, Chattanooga, TN 37416 | 2017-08-17 |
| Find all providers in zip 37416 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043828692 | Michelle Colby | Nurse Practitioner | 1050 Givens Rd, Chattanooga, TN 37421-4370 | 2020-07-20 |
| 1750999553 | Julia Clare Cervantes Aguilar | Nurse Practitioner | 3756 Knollwood Dr, Chattanooga, TN 37415-4203 | 2020-07-17 |
| 1447876743 | Cathleen Marie Cornett | Nurse Practitioner | 979 E 3rd St Ste C-300, Chattanooga, TN 37403-2136 | 2020-06-23 |
| 1487279139 | Roxy Gazaway | Nurse Practitioner | 721 Glenwood Dr Ste W560, Chattanooga, TN 37404-1129 | 2020-06-09 |
| 1801410253 | Stacey Buckner | Nurse Practitioner | 207 Booth Rd, Chattanooga, TN 37411-2702 | 2020-06-02 |
| 1073158630 | Jerry Lynn Reed Jr. | Nurse Practitioner | 7480 Ziegler Rd Ste 150, Chattanooga, TN 37421-4947 | 2019-11-07 |
| 1508411729 | Jerin C Alexander | Nurse Practitioner | 6918 Shallowford Rd Ste 226, Chattanooga, TN 37421-1552 | 2019-08-05 |
| 1295388841 | Ann Mercy Binoy | Nurse Practitioner | 425 Cumberland St # 110, Chattanooga, TN 37404-1909 | 2019-07-23 |
| 1528610466 | Kristina Wagner Daly | Nurse Practitioner | 504 E 17th St, Chattanooga, TN 37408-2107 | 2019-07-11 |
| 1023679909 | Megan Elizabeth Coffey | Nurse Practitioner | 3321 Montview Dr, Chattanooga, TN 37411-3524 | 2019-06-22 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37416 |
Please comment or provide details below to improve the information on MINU PHILIPOSE.
| 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.