SOUTHEAST TENNESSEE SPINE AND NERVE INSTITUTE PLLC


Address: 1334 Mackey Branch Dr, Suite 104, Chattanooga, TN 37421-3471
Phone: 4232962604

SOUTHEAST TENNESSEE SPINE AND NERVE INSTITUTE PLLC (NPI# 1902225972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902225972
Entity Type Organization
Organization Name SOUTHEAST TENNESSEE SPINE AND NERVE INSTITUTE PLLC
Practice Address 1334 Mackey Branch Dr
Suite 104
Chattanooga
TN 37421-3471
Practice Telephone 4232962604
Practice Fax Number 4232962607
Mailing Telephone 4232962604
Mailing Fax Number 4232962607
Enumeration Date 2014-04-07
Last Update Date 2014-06-23
Authorized Official Name JOHN WALL (CLINICDIRECTOR)
Authorized Official Telephone 4232962604
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208100000X Physical Medicine & Rehabilitation Allopathic & Osteopathic Physicians

Office Location

Street Address 1334 MACKEY BRANCH DR
SUITE 104
City CHATTANOOGA
State TN
Zip Code 37421-3471

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972694396 John Charles Blakely Wall Chiropractor 1334 Mackey Branch Dr, Suite 104, Chattanooga, TN 37421-3471 2006-09-28
1619352341 The Dalton Clinic of Chiropractic Inc. Chiropractor 1334 Mackey Branch Dr, Suite 103, Chattanooga, TN 37421-3471 2015-07-23
1417376930 Elizabeth Nichols Physician Assistant 1334 Mackey Branch Dr, Suite 103, Chattanooga, TN 37421-3471 2014-04-11
1669780961 Angela D. Smith Specialist 1334 Mackey Branch Dr, Suite 104, Chattanooga, TN 37421-3471 2010-09-21
1912136383 Chattanooga Chiropractic Centers, Inc. Chiropractor 1334 Mackey Branch Dr, Suite 104, Chattanooga, TN 37421-3471 2009-07-07

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 208100000X
Grouping Allopathic & Osteopathic Physicians
Classification Physical Medicine & Rehabilitation

Taxonomy Definition

Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
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 Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487743449 Occupational Alternative and Rehabilitative Services, PC Physical Medicine & Rehabilitation 1011 Spring Creek Rd, Chattanooga, TN 37412-3970 2006-10-11
1851304307 Paul E Hoffmann Physical Medicine & Rehabilitation 1010 East Third Street, Suite 202, Chattanooga, TN 37403 2006-08-15
1568494474 David Neil Bowers Physical Medicine & Rehabilitation 1 Siskin Plz Ste 101, Chattanooga, TN 37403-1306 2006-07-07
1982697876 Erwin M Manalo Physical Medicine & Rehabilitation 1 Siskin Plz, Ste 101, Chattanooga, TN 37403-1306 2005-08-25
1073029997 Toni Mariea Ballew Physical Medicine & Rehabilitation 2700 Parkwood Ave, Chattanooga, TN 37404-1730 2017-12-15
1760887624 Susan Severs Council Physical Medicine & Rehabilitation 1 Siskin Plz, Ste 101, Chattanooga, TN 37403-1306 2014-11-04
1205247293 Mary Elizabeth English Physical Medicine & Rehabilitation 2415 Mccallie Ave, Chattanooga, TN 37404-3322 2014-05-13
1871910570 Muhammad A. Munir Md PC Physical Medicine & Rehabilitation 2412 Mccallie Ave, Chattanooga, TN 37404-3398 2014-03-20
1558631689 Chattanooga Spine Center Pllc Physical Medicine & Rehabilitation 8705 E Brainerd Rd, Chattanooga, TN 37421-4416 2012-01-05
1205157591 Alexander Gregory Roberts Physical Medicine & Rehabilitation 1736 Gunbarrel Rd, Chattanooga, TN 37421-3127 2010-06-21
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City CHATTANOOGA
Zip Code 37421

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Dataset Information

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.

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