DR. JOHN L GWIN JR. (NPI# 1861486839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861486839 |
| Entity Type | Individual |
| Full Name | DR. JOHN L GWIN JR. |
| Credential | M.D. |
| Practice Address |
721 Glenwood Dr Suite 553 Chattanooga TN 37404-1106 |
| Practice Telephone | 4234952640 |
| Practice Fax Number | 4234952644 |
| Mailing Telephone | 4234952640 |
| Mailing Fax Number | 4234952644 |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2010-03-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | MD24584 | TN | Other Service Providers |
| Y | 208600000X | Surgery | 24584 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3076991 | 05 | |
| TN | BLUE CROSS BLUE SHIELD | 4088202 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568542173 | John R Gwin | Optometrist | 5180 E Main St, Suite F, Columbus, OH 43213-2436 | 2006-10-17 |
| 1417915489 | John Franklin Gwin | Emergency Medicine | 1501 Burnet Rd, Brownwood, TX 76801-8520 | 2006-05-01 |
| Street Address |
721 GLENWOOD DR SUITE 553 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37404-1106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962848713 | Kadrie Partners | Psychiatry & Neurology | 721 Glenwood Dr, Suite 467 West, Chattanooga, TN 37404-1106 | 2013-05-21 |
| 1487901278 | Cannon & Cannon Medical, Pllc | Internal Medicine | 721 Glenwood Dr, Suite W-462, Chattanooga, TN 37404-1149 | 2012-08-10 |
| 1396989786 | Nathan Brantley Wyatt | Psychiatry & Neurology | 721 Glenwood Dr, Suite 467, Chattanooga, TN 37404-1106 | 2009-04-29 |
| 1952574931 | Tareck A. Kadrie, M.d., Pllc | Psychiatry & Neurology | 721 Glenwood Dr, Suite 467 West, Chattanooga, TN 37404-1106 | 2008-04-10 |
| 1205012234 | Stacy Lynn Park | Nurse Practitioner | 721 Glenwood Dr, Suite 462a, Chattanooga, TN 37404-1106 | 2008-01-22 |
| 1104017607 | Gi Consultants, PC | Internal Medicine | 721 Glenwood Dr, Ste. W552, Chattanooga, TN 37404-1106 | 2007-08-08 |
| 1881885960 | Douglas L. Vanderbilt, M.d.,p.c. | Surgery | 721 Glenwood Dr, Memorial Medical Bldg., West Suite 470, Chattanooga, TN 37404-1106 | 2007-08-05 |
| 1528184744 | Chattanooga Surgical Oncology and Associates, Pllc | Surgery | 721 Glenwood Dr, Suite 471w, Chattanooga, TN 37404-1106 | 2007-03-21 |
| 1740339936 | Alan F. Shikoh, M.d., P.c | Internal Medicine | 721 Glenwood Dr, Suite W473, Chattanooga, TN 37404-1106 | 2007-01-09 |
| 1609946748 | Robert M. Barnett, IIi, Md | Surgery | 721 Glenwood Dr, Suite W460, Chattanooga, TN 37404-1106 | 2006-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306494216 | Cynthia Caffey | Technician | 1305 E. 28th St. Apt A, Chatta, TN 37404 | 2019-09-04 |
| 1851944482 | Stacey Stokes | Peer Specialist | 1413 Bailey Ave, Chattanooga, TN 37404 | 2019-07-23 |
| 1306354790 | Erlanger Behavioral Health, LLC | Psychiatric Hospital | 804 North Holtzclaw Avenue, Chattanooga, TN 37404 | 2018-01-19 |
| 1245746171 | Davis Supportive Living Home Inc. | Custodial Care Facility | 1106 Duncan Avenue, Chattanooga, TN 37404 | 2017-12-14 |
| 1124544762 | Rachael Anne Maciver | Nurse Practitioner | 1909 South Willow Street, Chattanooga, TN 37404 | 2017-08-15 |
| 1447796214 | Esli Castillo | Nurse Practitioner | 281 N.lyerly St., Suite 200, Chattanooga, TN 37404 | 2017-01-17 |
| 1922542158 | Natasha Elliott | Community Health Worker | 2804 Cannon Ave, Chattanooga, TN 37404 | 2016-12-07 |
| 1730630153 | Jonathan Easter | Taxi | 1611 Anderson Avenue, Apt A, Chattanooga, TN 37404 | 2016-10-20 |
| 1477946143 | Thomas Jereme Holcomb | Nurse Practitioner | 281 N. Lyerly St, Suite 200, Chattanooga, TN 37404 | 2015-03-05 |
| 1922426709 | Sarah Mccary Baker | Internal Medicine | 605 Glenwood Drive, Suite 300, Chattanooga Internal Medicine Group, Chattanooga, TN 37404 | 2014-03-31 |
| Find all providers in zip 37404 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962822981 | David C. Redd, Md, P.C. | Surgery | 2205 Mccallie Ave Ste 507, Chattanooga, TN 37404-3334 | 2014-04-17 |
| 1134462153 | Rishabh N Shah | Surgery | 1949 Gunbarrel Rd Ste 206, Chattanooga, TN 37421-7133 | 2013-03-27 |
| 1386919934 | Justin Paul Gusching | Surgery | 1405 Cowart St Ste 201, Chattanooga, TN 37408-1127 | 2012-03-15 |
| 1558655803 | John Cavan Huggins | Surgery | 979 E 3rd Street, Ste. 300, Chattanooga, TN 37403-2187 | 2011-06-03 |
| 1659520898 | Nicole Marie Walker | Surgery | 605 Glenwood Dr Ste 103, Chattanooga, TN 37404-1150 | 2008-09-11 |
| 1083815609 | Edgar Leonard Scott Jr. | Surgery | 1300 E 3rd St, Chattanooga, TN 37404 | 2007-05-30 |
| 1316153604 | Darren James Hunt | Surgery | 979 E 3rd St Ste 300, Chattanooga, TN 37403-2187 | 2007-05-15 |
| 1245299551 | Richard Hunter Jennings IIi | Surgery | 721 Glenwood Dr Ste 560, Memorial Medical Building West, Chattanooga, TN 37404-1129 | 2006-03-23 |
| 1134195308 | Edward L Humpert | Surgery | 312 N Crest Rd, Chattanooga, TN 37404-1004 | 2006-02-27 |
| 1962476358 | Vincent Wayne Gardner | Surgery | 1405 Cowart St, Suite 321, Chattanooga, TN 37408-1127 | 2006-02-14 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37404 |
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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.