TRI-STATE GASTROENTEROLOGY ASSOCIATES, PLLC (NPI# 1063802734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063802734 |
| Entity Type | Organization |
| Organization Name | TRI-STATE GASTROENTEROLOGY ASSOCIATES, PLLC |
| Practice Address |
935 Spring Creek Rd Suite 203 Chattanooga TN 37412-3993 |
| Mailing Address |
2106 Ooltewah Ringgold Rd Ooltewah TN 37363-9345 |
| Practice Telephone | 4237604360 |
| Practice Fax Number | 4237604361 |
| Mailing Telephone | 9312849660 |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2015-11-04 |
| Authorized Official Name | DR. NIKHIL S SHAH (OWNER) |
| Authorized Official Telephone | 9312849660 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
36425 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
935 SPRING CREEK RD SUITE 203 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37412-3993 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699769059 | Barry Richard Vaughn | Orthopaedic Surgery | 935 Spring Creek Rd, Suite 200, Chattanooga, TN 37412-3993 | 2005-08-31 |
| 1629687314 | Heritage Ob Gyn Clinic of Chattanooga Pllc | Obstetrics & Gynecology | 935 Spring Creek Rd, Chattanooga, TN 37412-3993 | 2020-07-28 |
| 1275861791 | Terry M. Rogers | Registered Nurse | 935 Spring Creek Rd, Suite 205, Chattanooga, TN 37412-3993 | 2009-11-20 |
| 1497876049 | Robin Tidwell Jones | Nurse Practitioner | 935 Spring Creek Rd, Suite 205, Chattanooga, TN 37412-3993 | 2007-04-02 |
| 1396786745 | Columbia Medical Group-parkridge Inc. | Internal Medicine | 935 Spring Creek Rd, Suite 205, Chattanooga, TN 37412-3993 | 2006-06-09 |
| 1417946922 | Martin S Martin | Internal Medicine | 935 Spring Creek Rd, Ste. 100, Chattanooga, TN 37412-3993 | 2005-10-18 |
| 1104810027 | Nikhil S Shah | Internal Medicine | 935 Spring Creek Rd, Suite 203, Chattanooga, TN 37412-3909 | 2005-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316482458 | East Ridge Snf Operations, LLC | Skilled Nursing Facility | 1502 Mcdonald Rd., East Ridge, TN 37412 | 2016-12-28 |
| 1487080149 | Puckett Med Van LLC | Non-emergency Medical Transport (VAN) | 5603 Ringgold Road, East Ridge, TN 37412 | 2013-09-25 |
| 1538420229 | Nathan Hartgrove | Internal Medicine | 961 Spring Creek Rd Ste 300, Chattanooga, TN 37412 | 2012-05-30 |
| 1770869042 | Jonathan Bailey Barnett I | Pharmacist | 5301 Ringold Rd, East Ridge, TN 37412 | 2011-10-31 |
| 1932482791 | Ronald P Leonard | Pharmacist | 7354 East Brainerd Rd, Chattanooga, TN 37412 | 2011-09-27 |
| 1164758561 | Zoilus, Inc | Home Health | 912 Belvoir Hills Circle, Chattanooga, TN 37412 | 2009-10-20 |
| 1093935157 | Alan L Crisman | Dentist | 1421 Armour Street, Chattanooga, TN 37412 | 2007-04-30 |
| 1700949989 | Keith Brian Sparkman | Optometrist | 1013 Spring Creek Rd, Chattanooga, TN 37412 | 2006-12-18 |
| 1174617161 | Shahul H Majeed | Obstetrics & Gynecology | 1012 Spring Creek Road, Chattanooga, TN 37412 | 2006-10-03 |
| 1356434070 | Mckinley Snipes Lundy Sr. | Preventive Medicine | 931 Spring Creek Road, Suite 200, Chattanooga, TN 37412 | 2006-10-02 |
| Find all providers in zip 37412 | ||||
| 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 |
| 1013215078 | Charles Robert Bosshardt | Internal Medicine | 2515 Desales Ave Ste 206, Chattanooga, TN 37404-1100 | 2011-03-01 |
| 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 | 37412 |
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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.