PARKRIDGE MEDICAL CENTER, INC. (NPI# 1104874684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104874684 |
| Entity Type | Organization |
| Organization Name | PARKRIDGE MEDICAL CENTER, INC. |
| Other Organization Name | PARKRIDGE MEDICAL CENTER |
| Practice Address |
2333 Mccallie Ave Chattanooga TN 37404-3258 |
| Practice Telephone | 4236986061 |
| Practice Fax Number | 4234931208 |
| Mailing Telephone | 4236986061 |
| Mailing Fax Number | 4234931208 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2015-09-22 |
| Authorized Official Name | JAY ST. PIERRE (CFO) |
| Authorized Official Telephone | 4234931293 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00312969A | 05 | |
| TN | UNITED HEALTH CARE | 5000069 | 01 |
| NJ | 0054755 | 05 | |
| TN | HEALTHSPRING | 0411152 | 01 |
| WV | 9803981000 | 05 | |
| TN | BLUE CROSS | 1000075 | 01 |
| LA | 1707988 | 05 | |
| FL | 906999200 | 05 | |
| NC | 4400156 | 05 | |
| MA | 7096461 | 05 | |
| TN | CIGNA | 0140003376 | 01 |
| TN | 0440156 | 05 | |
| AL | HOS0156N | 05 | |
| AR | 158685105 | 05 | |
| OH | 2377842 | 05 |
| Other Name | Type Code |
|---|---|
| PARKRIDGE MEDICAL CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558319863 | Parkridge Medical Center, Inc. | Psychiatric Unit | 2200 Morris Hill Rd, Chattanooga, TN 37421-2818 | 2006-05-05 |
| 1871731505 | Parkridge Medical Center, Inc. | Skilled Nursing Facility | 2333 Mccallie Ave, Chattanooga, TN 37404-3258 | 2009-02-03 |
| 1194991232 | Parkridge Medical Center, Inc. | Psychiatric Unit | 941 Spring Creek Rd, Chattanooga, TN 37412-3909 | 2008-05-07 |
| 1083755987 | Parkridge Medical Center, Inc. | Psychiatric Unit | 2200 Morris Hill Rd, Chattanooga, TN 37421-2818 | 2007-02-12 |
| 1689614521 | Parkridge Medical Center, Inc. | Rehabilitation Unit | 2333 Mccallie Ave, Chattanooga, TN 37404-3258 | 2006-06-08 |
| 1831139773 | Parkridge Medical Center, Inc. | Psychiatric Unit | 2333 Mccallie Ave, Chattanooga, TN 37404-3258 | 2006-06-08 |
| 1659321198 | Parkridge Medical Center, Inc. | General Acute Care Hospital | 941 Spring Creek Rd, Chattanooga, TN 37412-3909 | 2006-05-12 |
| 1679523385 | Parkridge Medical Center, Inc. | General Acute Care Hospital | 941 Spring Creek Rd, Chattanooga, TN 37412-3909 | 2006-05-11 |
| Street Address |
2333 MCCALLIE AVE |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37404-3258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922095751 | Theodore A Feintuch | Pathology | 2333 Mccallie Ave, Chattanooga, TN 37404-3258 | 2005-10-06 |
| 1275162117 | Brittany Ambers | Registered Nurse | 2333 Mccallie Ave, Chattanooga, TN 37404-3258 | 2020-04-03 |
| 1841795804 | Katie Campos | Registered Nurse | 2333 Mccallie Ave, Chattanooga, TN 37404-3258 | 2018-03-29 |
| 1285132100 | Matt Crane | Anesthesiology | 2333 Mccallie Ave, Chattanooga, TN 37404-3258 | 2018-01-25 |
| 1740706811 | Ashley Nind Wright | Nurse Practitioner | 2333 Mccallie Ave, Chattanooga, TN 37404-3258 | 2017-08-20 |
| 1306370085 | Kelly Neufeld | Nurse Practitioner | 2333 Mccallie Ave, Chattanooga, TN 37404-3258 | 2017-04-19 |
| 1982140117 | Paul Habegger | Nurse Anesthetist, Certified Registered | 2333 Mccallie Ave, Chattanooga, TN 37404-3258 | 2017-01-11 |
| 1154777563 | Lindsay Crowe | Registered Nurse | 2333 Mccallie Ave, Chattanooga, TN 37404-3258 | 2016-05-05 |
| 1255794053 | Jamie Scott | Emergency Medicine | 2333 Mccallie Ave, Chattanooga, TN 37404-3258 | 2016-03-30 |
| 1588078034 | Shirley Lizcano Sharp | Emergency Medicine | 2333 Mccallie Ave, Chattanooga, TN 37404-3258 | 2014-06-12 |
| Find all providers in the same location | ||||
| 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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326482167 | Ut College of Medicine Chattanooga | General Acute Care Hospital | 2830 Haywood Ave, Chattanooga, TN 37415-5939 | 2013-04-23 |
| 1639224249 | Chattanooga Hamilton County Hospital Authority | General Acute Care Hospital | 632 Morrison Spring Road, Chattanooga, TN 37415 | 2007-01-24 |
| 1710330485 | Erlanger Health System | General Acute Care Hospital | 975 E 3rd St, Chattanooga, TN 37403-2147 | 2016-07-19 |
| 1285026054 | Jen Naylor | General Acute Care Hospital | 975 E 3rd St, Chattanooga, TN 37403-2147 | 2015-03-03 |
| 1225183833 | Chattanooga Hamilton County Hospital Authority | General Acute Care Hospital | 975 E Third Street, Chattanooga, TN 37403 | 2007-01-24 |
| 1740335355 | Chattanooga Hamilton County Hospital Authority | General Acute Care Hospital | 1755 Gunbarrel Rd, Chattanooga, TN 37421-7137 | 2007-01-24 |
| 1548315153 | Chattanooga Hamilton County Hospital Authority | General Acute Care Hospital | 910 Blackford Street, Chattanooga, TN 37403 | 2007-01-24 |
| 1255428736 | Memorial Health Care System Inc. | General Acute Care Hospital | 2525 Desales Ave, Chattanooga, TN 37404-1161 | 2006-10-06 |
| 1639264575 | Chattanooga Hamilton County Hospital Authority | General Acute Care Hospital | 975 E Third Street, Chattanooga, TN 37403 | 2006-10-04 |
| 1659321198 | Parkridge Medical Center, Inc. | General Acute Care Hospital | 941 Spring Creek Rd, Chattanooga, TN 37412-3909 | 2006-05-12 |
| 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.