DR. CHARLES ROBERT BOSSHARDT (NPI# 1013215078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013215078 |
| Entity Type | Individual |
| Full Name | DR. CHARLES ROBERT BOSSHARDT |
| Credential | M.D. |
| Practice Address |
2515 Desales Ave Ste 206 Chattanooga TN 37404-1100 |
| Mailing Address |
4976 Alpha Ln Hixson TN 37343-5470 |
| Practice Telephone | 4236988101 |
| Practice Fax Number | 4236983450 |
| Mailing Telephone | 4233080280 |
| Mailing Fax Number | 4233080281 |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2018-12-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
77562 | GA | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
55647 | TN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4700 Battlefield Pkwy Ste 300, Ringgold, GA 307365169 | 7066484336 | 7068614597 |
| 1651 Gunbarrel Rd Ste 102, Chattanooga, TN 374213289 | 4233080390 | 4233080395 |
| 2515 Desales Ave Ste 206, Chattanooga, TN 374041100 | 4236988101 | 4236983450 |
| 1060 Peerless Xing Nw Ste 200, Cleveland, TN 373123785 | 4236480787 | 4236480789 |
| Street Address |
2515 DESALES AVE STE 206 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37404-1100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538141411 | James Scott Manton | Internal Medicine | 2515 Desales Ave Ste 206, Chattanooga, TN 37404-1100 | 2005-11-16 |
| 1609285683 | Jennifer Rebecca Whitlock | Nurse Practitioner | 2515 Desales Ave Ste 206, Chattanooga, TN 37404-1100 | 2014-08-04 |
| 1649558081 | Destin Griffin-trussell | Nurse Practitioner | 2515 Desales Ave Ste 206, Chattanooga, TN 37404-1100 | 2011-08-03 |
| 1558343434 | Vijaykumar P Patel | Internal Medicine | 2515 Desales Ave Ste 206, Chattanooga, TN 37404-1100 | 2005-11-16 |
| 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 | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376703405 | Susanna Rae Crouch | Internal Medicine | 2341 Mccallie Avenue. Plaza 3, Ste. 406., Gastroenterology Associates of Chattanooga, PC, Chattanooga, TN 37404-3229 | 2008-06-12 |
| 1790984300 | Laxmi Parsa | Internal Medicine | 979 E 3rd St Ste C825, Chattanooga, TN 37403 | 2007-07-13 |
| 1316013121 | Alan F Shikoh | Internal Medicine | 721 Glenwood Dr Ste W473, Chattanooga, TN 37404 | 2006-11-27 |
| 1558337451 | Sumeet Jagdish Bhushan | Internal Medicine | 2200 E 3rd St Ste 200, Chattanooga, TN 37404-2745 | 2006-02-28 |
| 1538141411 | James Scott Manton | Internal Medicine | 2515 Desales Ave Ste 206, Chattanooga, TN 37404-1100 | 2005-11-16 |
| 1932181245 | Donald Paul Hetzel | Internal Medicine | 2515 Desales Ave, Suite 206, Chattanooga, TN 37404-1100 | 2005-11-14 |
| 1124024534 | Chattanooga Gastroenterology, PC | Internal Medicine | 2341 Mccallie Avenue, Plaza Three, Suite 400, Chattanooga, TN 37404 | 2005-06-22 |
| 1063802734 | Tri-state Gastroenterology Associates, Pllc | Internal Medicine | 935 Spring Creek Rd, Suite 203, Chattanooga, TN 37412-3993 | 2015-02-02 |
| 1801025440 | Arslan A. Kahloon | Internal Medicine | 979 East Third Street, Suite C-825, Chattanooga, TN 37403-3304 | 2009-07-03 |
| 1568604494 | Chattanooga Hamilton County Hospital Authority | Internal Medicine | 979 E 3rd St, Suite C-825, Chattanooga, TN 37403-2136 | 2009-03-24 |
| 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.