DR. GEORGE CHACKO (NPI# 1992708119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992708119 |
| Entity Type | Individual |
| Full Name | DR. GEORGE CHACKO |
| Credential | MD |
| Practice Address |
1924 Alcoa Hwy Knoxville TN 37920-1511 |
| Mailing Address |
5401 Kingston Pike Ste 540 Knoxville TN 37919-5054 |
| Practice Telephone | 8655449060 |
| Practice Fax Number | 8655448435 |
| Mailing Telephone | 8655847376 |
| Mailing Fax Number | 8655848938 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
MD26791 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3094741 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891837787 | George N Chacko | Nuclear Medicine | 5401 N Portland Ave, Suite 330, Oklahoma City, OK 73112-2082 | 2007-02-13 |
| 1538165212 | George Chacko | Anesthesiology | 2301 E Allegheny Ave, Philadelphia, PA 19134-4427 | 2005-06-27 |
| Street Address |
1924 ALCOA HWY |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37920-1511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588667786 | Kathleen B Hudson | Radiology | 1924 Alcoa Hwy, Knoxville, TN 37920-1511 | 2005-05-23 |
| 1356952675 | Kara B Caldwell | Registered Nurse | 1924 Alcoa Hwy, Knoxville, TN 37920-1511 | 2020-08-11 |
| 1366052672 | Anne Camille Reynolds | Physician Assistant | 1924 Alcoa Hwy, Knoxville, TN 37920-1511 | 2020-08-03 |
| 1194334748 | Rachel Taylor | Nurse Practitioner | 1924 Alcoa Hwy, Knoxville, TN 37920-1511 | 2020-07-29 |
| 1619585783 | Savannah Roberts Kidd | Physician Assistant | 1924 Alcoa Hwy, Knoxville, TN 37920-1511 | 2020-07-15 |
| 1508482811 | Anna Love | Pharmacist | 1924 Alcoa Hwy, Knoxville, TN 37920-1511 | 2020-06-23 |
| 1578183067 | Mackenzie Travis | Registered Nurse | 1924 Alcoa Hwy, Knoxville, TN 37920-1511 | 2020-04-24 |
| 1942820493 | Cody Miller | Radiologic Technologist | 1924 Alcoa Hwy, Knoxville, TN 37920-1511 | 2020-04-24 |
| 1396374666 | Anna Elisabeth Brewton | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Hwy, Knoxville, TN 37920-1511 | 2020-04-07 |
| 1821627423 | Hannah Marie Bernstein | Registered Nurse | 1924 Alcoa Hwy, Knoxville, TN 37920-1511 | 2020-04-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033747639 | Paul Connor Shanahan | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, U-109, Knoxville, TN 37920 | 2020-03-30 |
| 1952938904 | Eric Becker | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, U-60, Knoxville, TN 37920 | 2020-03-26 |
| 1174028336 | Taylor Boulware Tapscott | Nurse Practitioner | 3118 Alcoa Highway, Knoxville, TN 37920 | 2018-03-28 |
| 1255860672 | Eric Christopher Riedinger | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Hwy., Box U-11, Knoxville, TN 37920 | 2017-06-08 |
| 1740639277 | Claudia Nieuwoudt | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, Box U-27, Knoxville, Tn 37920, Knoxville, TN 37920 | 2016-06-06 |
| 1841657699 | Frances D Thompson | Physical Therapy Assistant | 717 Lower Pond Way, Knoxville, TN 37920 | 2016-01-25 |
| 1720457989 | Independent Physical Therapy, LLC | Occupational Therapist | 7558 Mountain Grove Dr, Knoxville, TN 37920 | 2015-09-17 |
| 1982071189 | Ryan Dulling | Physical Therapist | 4011 Chapman Hwy Ste J, Knoxville, TN 37920 | 2015-08-24 |
| 1154705614 | Kailyn Sorensen | Physical Therapist | 1926 Alcoa Hwy Ste 200, Knoxville, TN 37920 | 2015-07-15 |
| 1093196420 | James Michael Hart II | Family Medicine | 1925 Alcoa Hwy # 56, Knoxville, TN 37920 | 2015-06-11 |
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| Taxonomy Code | 2085N0904X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Nuclear Radiology |
| A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891735247 | Association of University Radiologists, PC | Radiology | 11440 Parkside Dr Ste 204, Knoxville, TN 37934-2658 | 2006-06-07 |
| 1619088697 | Association of University Radiologists, PC | Radiology | 1924 Alcoa Hwy, Knoxville, TN 37920-1511 | 2006-08-31 |
| 1114998366 | Yong C Bradley | Radiology | 1924 Alcoa Hwy, Knoxville, TN 37920-1511 | 2006-01-27 |
| 1093795601 | Hejung Kim | Radiology | 2001 Laurel Ave, Suite N304, Knoxville, TN 37916-1810 | 2006-01-19 |
| 1235135856 | Bobbie Gwen Uri | Radiology | 1112 E Weisgarber Rd, Ste 201, Knoxville, TN 37909-2647 | 2005-06-28 |
| 1497752059 | Jon Ruric Simons | Radiology | 1112 E Weisgarber Rd, Ste 201, Knoxville, TN 37909-2647 | 2005-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780877035 | Caney Fork Radiology, Pllc | Radiology | 200 Signature Pl, Lebanon, TN 37087-3281 | 2007-08-21 |
| 1023008943 | Jerry M Brown | Radiology | 507 Rocky Top Dr, Columbia, TN 38401-2563 | 2005-10-21 |
| 1457350514 | Memphis Radiological, PC | Radiology | 1388 Madison Ave, Memphis, TN 38104-2327 | 2005-07-20 |
| 1134122310 | Gary T Smith | Radiology | 3601 The Vanderbilt Clinic, Nashville, TN 37232-2637 | 2005-05-23 |
| 1679614440 | Association of University Radiologists, PC | Radiology | 851 Locust St, Rogersville, TN 37857-2407 | 2007-02-12 |
| 1679620561 | Chirayu Shah | Radiology | 3601 The Vanderbilt Clinic, Nashville, TN 37232-2637 | 2007-01-04 |
| 1851478747 | Beata Panzegrau | Radiology | 210 25th Ave N, Suite 602, Nashville, TN 37203-1606 | 2006-11-01 |
| 1134234529 | Mohammed Moinuddin | Radiology | 6019 Walnut Grove, Memphis, TN 38120 | 2006-08-19 |
| 1659338861 | James W Langston | Radiology | 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 | 2006-05-01 |
| 1154391852 | Stephanie E Spottswood | Radiology | 2200 Childrens Way, Ste 1418, Nashville, TN 37232-9700 | 2006-01-25 |
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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.