SOUTHEASTERN SPINE, PLLC (NPI# 1841684438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841684438 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN SPINE, PLLC |
| Practice Address |
9309 Apison Pike Ooltewah TN 37363-4340 |
| Mailing Address |
2707 Citico Ave Chattanooga TN 37406-3402 |
| Practice Telephone | 4236932175 |
| Practice Fax Number | 8889591015 |
| Mailing Telephone | 4236932175 |
| Mailing Fax Number | 8889591015 |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2015-03-23 |
| Authorized Official Name | STACEY LYNN ALBERGOTTI (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 4236932175 |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTHEASTERN SPINE, PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807607 | Southeastern Spine, Pllc | Neurological Surgery | 5953 Elementary Way Ste 101, Ooltewah, TN 37363-3108 | 2020-10-06 |
| 1518215219 | Southeastern Spine, Pllc | Neurological Surgery | 281 North Lyerly Street, Suite 300, Chattanooga, TN 37404-2728 | 2012-08-28 |
| Street Address |
9309 APISON PIKE |
| City | OOLTEWAH |
| State | TN |
| Zip Code | 37363-4340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891798047 | Cynthia Fernandez Shaffer | Family Medicine | 9309 Apison Pike, Ooltewah, TN 37363-4340 | 2005-05-23 |
| 1558989301 | Reema Bhupen Patel | Physician Assistant | 9309 Apison Pike, Ooltewah, TN 37363-4340 | 2020-07-08 |
| 1467947515 | Heather Nicole Dunn | Nurse Practitioner | 9309 Apison Pike, Ooltewah, TN 37363 | 2018-06-29 |
| 1154871549 | Lindsey Gardner Walden | Nurse Practitioner | 9309 Apison Pike, Ooltewah, TN 37363-4340 | 2016-10-10 |
| 1811366263 | Catherine Norton | Nurse Practitioner | 9309 Apison Pike, Ooltewah, TN 37363-4340 | 2015-09-16 |
| 1487894523 | Chattanooga Hamilton County Hospital Authority | Internal Medicine | 9309 Apison Pike, Ooltewah, TN 37363 | 2009-03-03 |
| 1629139118 | Mountain View Family Medicine Pllc | Family Medicine | 9309 Apison Pike, Ooltewah, TN 37363-4340 | 2006-12-12 |
| 1275694747 | James Scott Sherrer | Family Medicine | 9309 Apison Pike, Ooltewah, TN 37363 | 2006-12-12 |
| 1972537512 | Susan J Gouge | Family Medicine | 9309 Apison Pike, Ooltewah, TN 37363-4340 | 2006-07-10 |
| 1740275031 | Shannon O Mccallie | Internal Medicine | 9309 Apison Pike, Ooltewah, TN 37363 | 2005-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487203196 | University Health Center | Clinic/Center | 4687 University Drive, Ooltewah, TN 37363 | 2019-09-05 |
| 1508426560 | Alexandra Scott | Dentist | 8985 Old Lee Hwy, Suite 103, Ooltewah, TN 37363 | 2019-06-20 |
| 1093286304 | Wright Pediatric Dentistry | Dentist | 8202 Apison Pike, Ooltewah, TN 37363 | 2018-12-13 |
| 1770052888 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 6085 Arbury Way, Ooltewah, TN 37363 | 2018-11-19 |
| 1679055008 | Rebecca Brown | Nurse Practitioner | 9801 Robinson Farm Rd, Ooltewah, TN 37363 | 2018-09-01 |
| 1750877833 | Amanda Kirkpatrick | Dietitian, Registered | 6103 Hunter Crest Drive, Ooltewah, TN 37363 | 2018-07-02 |
| 1447759493 | Abigale Daniels | Specialist/Technologist | 6154 Wardwell Drive, Ooltewah, TN 37363 | 2018-02-06 |
| 1538671748 | Ryan Volking | Physician Assistant | 7564 Passport Dr, Ooltewah, TN 37363 | 2017-10-27 |
| 1255882270 | Stella Tsui | Physical Therapy Assistant | 3818 Chanterwood Trl, Ooltewah, TN 37363 | 2016-10-14 |
| 1013392299 | Rhonda Wilson | Counselor | 5516 Barons Point, Ooltewah, TN 37363 | 2015-07-29 |
| Find all providers in zip 37363 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881256048 | Comprehensive Spine Institute | Orthopaedic Surgery | 1206 Pointe Centre Dr Ste 110, Chattanooga, TN 37421-4143 | 2019-07-08 |
| 1770091654 | Coordinated Health Network of Tennessee, LLC | Orthopaedic Surgery | 315 Deaderick St Ste 1550a, Nashville, TN 37238-3000 | 2018-01-13 |
| 1497263370 | Optimal Health of Tn, LLC | Orthopaedic Surgery | 315 Deaderick St Ste 1550b, Nashville, TN 37238-3000 | 2018-01-13 |
| 1124536008 | Spine Cin of West Tennessee LLC | Orthopaedic Surgery | 5865 Ridgeway Center Pkwy Ste 300a, Memphis, TN 38120-4032 | 2018-01-13 |
| 1851809735 | Joint Replacement Cin of West Tennessee LLC | Orthopaedic Surgery | 5865 Ridgeway Center Pkwy Ste 300b, Memphis, TN 38120-4032 | 2018-01-13 |
| 1518233501 | Eric L Emanski | Orthopaedic Surgery | 1736 Gunbarrel Road, Chattanooga, TN 37421-2268 | 2012-03-24 |
| 1821046459 | James M Fish | Orthopaedic Surgery | 300 Stonecrest Blvd Ste 230, Smyrna, TN 37167-6800 | 2006-05-05 |
| 1366417396 | James M Osborn | Orthopaedic Surgery | 102 Dunhill Pl Nw, Suite A, Cleveland, TN 37311-3885 | 2006-02-22 |
| 1619942091 | Richard G Pearce | Orthopaedic Surgery | 1736 Gunbarrel Rd, Chattanooga, TN 37421-3127 | 2006-02-21 |
| 1386631976 | Patrick M Curlee Sr. | Orthopaedic Surgery | 3087 Professional Plz, Germantown, TN 38138-7912 | 2005-09-29 |
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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.