Jay M Philippose (NPI# 1992709364, PAC ID# 6204730575) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1992709364 |
| PAC ID by PECOS | 6204730575 |
| Professional Enrollment ID | I20031120000128 |
| Full Name | Jay M Philippose |
| Organization Legal Name | LIVER AND GASTROENTEROLOGY CENTER |
| Address |
725 Glenwood Dr Chattanooga TN 37404-1163 |
| Phone Number | 4236970621 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1974 |
| Primary Specialty | GASTROENTEROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 0244277739 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440156 | PARKRIDGE MEDICAL CENTER |
| 440091 | MEMORIAL HEALTHCARE SYSTEM, INC |
| Address | Phone | Organization |
|---|---|---|
| 725 Glenwood Dr, Chattanooga, TN 37404-1163 | 4236970621 | LIVER AND GASTROENTEROLOGY CENTER |
| Organization Legal Name | LIVER AND GASTROENTEROLOGY CENTER |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carrie S Durante | Physician Assistant | Liver and Gastroenterology Center | 725 Glenwood Dr, Chattanooga, TN 37404-1163 |
| Street Address |
725 GLENWOOD DR |
| City | CHATTANOOGA |
| State | TN |
| Zip | 37404-1163 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Fred M Gregg | Ophthalmology | 725 Glenwood Dr, Suite 892, Chattanooga, TN 37404-1146 | |
| Carrie S Durante | Physician Assistant | Liver and Gastroenterology Center | 725 Glenwood Dr, Chattanooga, TN 37404-1163 |
| Sumit M Patel | Internal Medicine | Memorial Health Partners Foundation, Inc | 725 Glenwood Dr, Suite 500, Chattanooga, TN 37404-1163 |
| Liezelle Jurgens | Internal Medicine | Memorial Health Partners Foundation, Inc | 725 Glenwood Dr, Chattanooga, TN 37404-1177 |
| Elizabeth W Goodwin | Nurse Practitioner | David N. Collins, Md PC | 725 Glenwood Dr, E690, Chattanooga, TN 37404-1192 |
| Renee R Harless | Family Medicine | Memorial Health Partners Foundation, Inc | 725 Glenwood Dr, E490, Chattanooga, TN 37404-1189 |
| Bethany Elaine Condra | Nurse Practitioner | Memorial Health Partners Foundation, Inc | 725 Glenwood Dr, Suite 500, Chattanooga, TN 37404-1163 |
| David N Collins | Gastroenterology | David N. Collins, Md PC | 725 Glenwood Dr, E690, Chattanooga, TN 37404-1192 |
| Charles L Sanders Jr. | Optometry | Eyecare Associates PC | 725 Glenwood Dr, Suite E892, Chattanooga, TN 37404-1146 |
| Natalie S Braggs | Rheumatology | Memorial Health Partners Foundation, Inc | 725 Glenwood Dr, E884, Chattanooga, TN 37404-1182 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cindi L Cross | Nurse Practitioner | Memorial Health Care System Inc. | 2525 De Sales Ave, Suite F1009, Chattanooga, TN 37404 |
| Michael L Reeves | Endocrinology | 725 Glenwood Ave, Suite E 688, Chattanooga, TN 37404 | |
| Robert L Huang | Interventional Cardiology | Memorial Health Care System Inc. | 2525 De Sales Ave, Suite F1009, Chattanooga, TN 37404 |
| Gregg S Shander | Cardiac Electrophysiology | Memorial Health Care System Inc. | 2525 De Sales Ave, Suite F1009, Chattanooga, TN 37404 |
| Alan Arthur Simeone | Cardiac Surgery | Memorial Health Care System Inc. | 2525 De Sales Ave, Suite F1009, Chattanooga, TN 37404 |
| William F Oellerich | Cardiovascular Disease (cardiology) | Memorial Health Care System Inc. | 2525 De Sales Ave, Suite F1009, Chattanooga, TN 37404 |
| Kelly Richardson | Cardiac Electrophysiology | Memorial Health Care System Inc. | 2525 De Sales Ave, Suite F1009, Chattanooga, TN 37404 |
| Gregory A Evans | Nurse Practitioner | Memorial Health Care System Inc. | 2525 De Sales Ave, Suite F1009, Chattanooga, TN 37404 |
| Ingrid M Fortuna | Nurse Practitioner | Memorial Health Care System Inc. | 2525 De Sales Ave, Suite F1009, Chattanooga, TN 37404 |
| Leonard J Hays Iii | Cardiovascular Disease (cardiology) | 2515 Desales Ave, Suite 204, Chattanooga, TN 37404-1100 | |
| Find all physicians in zip 37404 | |||
| City | CHATTANOOGA |
| Zip Code | 37404 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | CHATTANOOGA + GASTROENTEROLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.