MOSE AND GARRISON SISKIN MEMORIAL FOUNDATION, INC. (NPI# 1902132509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902132509 |
| Entity Type | Organization |
| Organization Name | MOSE AND GARRISON SISKIN MEMORIAL FOUNDATION, INC. |
| Other Organization Name | SISKIN CENTER FOR DEVELOPMENTAL PEDIATRICS |
| Practice Address |
1101 Carter St Chattanooga TN 37402-5017 |
| Practice Telephone | 4234907710 |
| Practice Fax Number | 4234907750 |
| Mailing Telephone | 4234907710 |
| Mailing Fax Number | 4234907750 |
| Enumeration Date | 2009-11-02 |
| Last Update Date | 2019-10-25 |
| Authorized Official Name | STEPHANIE COOPER-WILKES (DIRECTOR HEALTHCARE ADMINISTRATION) |
| Authorized Official Telephone | 4234907727 |
| Is Organization Subpart | Y |
| Parent Organization Name | MOSE AND GARRISON SISKIN MEMORIAL FOUNDATION, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003136978A | 05 | |
| TN | 1527698 | 05 |
| Other Name | Type Code |
|---|---|
| Mose and Garrison Siskin Memorial Foundation, Inc. | Other Name - Individual/Organization |
| Siskin Center for Developmental Pediatrics | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2201 Murphy Ave Ste 306, Nashville, TN 372031958 | 4234907710 | 4234907750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619451739 | Mose and Garrison Siskin Memorial Foundation, Inc. | Physical Therapist | 1101 Carter St, Chattanooga, TN 37402-5017 | 2018-09-25 |
| Street Address |
1101 CARTER ST |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37402-5017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770816100 | Brandon Ellis Rodgers | Marriage & Family Therapist | 1101 Carter St, Chattanooga, TN 37402-5017 | 2009-09-17 |
| 1235746116 | Conor Obrien | Behavioral Analyst | 1101 Carter St, Chattanooga, TN 37402-5017 | 2020-09-25 |
| 1457901456 | Julie Kristin Bentley | Behavioral Analyst | 1101 Carter St, Chattanooga, TN 37402-5017 | 2019-09-12 |
| 1134786072 | Marie Dance | Behavior Technician | 1101 Carter St, Chattanooga, TN 37402-5017 | 2019-05-28 |
| 1831756782 | Miriah Roberts | Behavior Technician | 1101 Carter St, Chattanooga, TN 37402-5017 | 2019-05-28 |
| 1710544671 | Stephanie Schefano | Behavior Technician | 1101 Carter St, Chattanooga, TN 37402-5017 | 2019-05-24 |
| 1710544721 | Savana Weaver | Behavioral Analyst | 1101 Carter St, Chattanooga, TN 37402-5017 | 2019-05-24 |
| 1629541297 | Rachel Adele Garber | Occupational Therapist | 1101 Carter St, Chattanooga, TN 37402-5017 | 2019-01-07 |
| 1619451739 | Mose and Garrison Siskin Memorial Foundation, Inc. | Physical Therapist | 1101 Carter St, Chattanooga, TN 37402-5017 | 2018-09-25 |
| 1114405180 | Amanda Elizabeth Cutting | Occupational Therapist | 1101 Carter St, Chattanooga, TN 37402 | 2018-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609480227 | Kathryn Ann Russell | Dietitian, Registered | 1067 Riverfront Pkwy., Suite 201, Chattanooga, TN 37402 | 2020-09-01 |
| 1962066167 | Carina Grace Pearson | Counselor | 1024 East M L King, Chattanooga, TN 37402 | 2019-04-24 |
| 1619461605 | Operative Monitoring of Southeast Tennessee | Psychiatry & Neurology | 200 W. Mlk Blvd, Suite 1000 (10th Floor), Chattanooga, TN 37402 | 2018-06-21 |
| 1427552280 | Riverdale Health Group LLC | Home Health | 200 W M L King Blvd, 1035 B, Chattanooga, TN 37402 | 2018-03-19 |
| 1336508431 | Ultraflex Systems, Inc. | Prosthetic/Orthotic Supplier | 200 W. Martin Luther King Blvd., Suite 1000, Chattanooga, TN 37402 | 2016-02-17 |
| 1982008868 | Freeman C. Doster Dds | Dentist | 1001 Carter Street, Suite B, Chattanooga, TN 37402 | 2014-10-21 |
| 1508021577 | Tommie Chadrena Thompson | Registered Nurse | 504 Mccallie Ave, Suite 450, Chattanooga, TN 37402 | 2008-07-18 |
| 1720174360 | Jenny Lynn Phillips | Physician Assistant | 1401 Carter Street Suite 102, Chattanooga, TN 37402 | 2006-10-04 |
| 1902843766 | Barbara Ann Beeler | Internal Medicine | 1 Cameron Hill Circle, Bcbst, Chattanooga, TN 37402 | 2006-06-01 |
| 1699764084 | Michelle S Kimball | Nurse Practitioner | 1101 Carter Street, Chattanooga, TN 37402 | 2005-10-18 |
| Find all providers in zip 37402 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104311943 | I Am Tiara Mitchell | Specialist | 3913 Brainerd Rd, Chattanooga, TN 37411-3733 | 2018-06-25 |
| 1285048900 | Embryo Services LLC | Specialist | 7407 Ziegler Rd, Suite B, Chattanooga, TN 37421-3157 | 2014-06-20 |
| 1336560812 | James Edward Mckinney | Specialist | 13 Fairhills Dr, Chattanooga, TN 37405-4324 | 2013-12-30 |
| 1790064087 | Eunice Storey Group Home | Specialist | 2016 Milne Street, Chattanooga, TN 37406 | 2011-08-04 |
| 1467779652 | Eva J Goldyn | Specialist | 931 Spring Creek Rd, Suite 101, Chattanooga, TN 37412-3959 | 2010-04-27 |
| 1649503681 | Johnny D. Patmon | Specialist | 3002 Wheeler Ave, Chattanooga, TN 37406-3945 | 2009-09-09 |
| 1225282445 | Catherine Ann Thomas | Specialist | 6201 Lee Hwy Ste A, Chattanooga, TN 37421-0306 | 2008-11-14 |
| 1790979177 | Plaza Orthopaedics | Specialist | 2339 Mccallie Ave Ste 201, Chattanooga, TN 37404-3208 | 2007-08-29 |
| 1467651455 | Jitendra G. Gandhi | Specialist | 7425 Ziegler Rd Ste 109, Chattanooga, TN 37421-4178 | 2007-07-11 |
| 1215134275 | Allied Eye Associates, P.l.l.c. | Specialist | 7405 Shallowford Rd., Suite 420, Chattanooga, TN 37421 | 2007-07-02 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37402 |
Please comment or provide details below to improve the information on MOSE AND GARRISON SISKIN MEMORIAL FOUNDATION, INC..
| 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.