VASCULAR INSTITUTE OF CHATTANOOGA, PLLC (NPI# 1205208352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205208352 |
| Entity Type | Organization |
| Organization Name | VASCULAR INSTITUTE OF CHATTANOOGA, PLLC |
| Practice Address |
2358 Lifestyle Way Suite 100 Chattanooga TN 37421-2291 |
| Practice Telephone | 4236022750 |
| Practice Fax Number | 4236022762 |
| Mailing Telephone | 4233626375 |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2020-04-30 |
| Authorized Official Name | DR. CHRISTOPHER J LESAR (ORGANIZER) |
| Authorized Official Telephone | 4236022750 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
MD37354 | TN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4625 N Lee Hwy, Cleveland, TN 373124042 | 4236022750 | 4236022762 |
| 101 Crye Leike Dr, Ft Oglethorpe, GA 307424056 | 4236022750 | 4236022762 |
| Street Address |
2358 LIFESTYLE WAY SUITE 100 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37421-2291 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619368727 | Brittney Viar | Physician Assistant | 2358 Lifestyle Way, Suite 212, Chattanooga, TN 37421-2291 | 2015-02-11 |
| 1134651128 | Austin Greenwood | Dermatology | 2358 Lifestyle Way, Suite 212, Chattanooga, TN 37421-2291 | 2017-03-30 |
| 1528509825 | Lana Beth Goodman | Dermatology | 2358 Lifestyle Way, Suite 212, Chattanooga, TN 37421-2291 | 2017-03-20 |
| 1740735992 | Kevin Andrew Tawzer | Physician Assistant | 2358 Lifestyle Way, Suite 212, Chattanooga, TN 37421-2291 | 2016-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558991588 | Janera Pentiah | Physician Assistant | 1360 Mackey Branch Dr, Chattanooga, TN 37421 | 2020-01-17 |
| 1750921367 | Stephan Ian Belasco | Counselor | 1360 Mackey Branch Dr., Chattanooga, TN 37421 | 2020-01-11 |
| 1932745817 | Sound Living Inc | Community/Behavioral Health | 6727 Heritage Business Court, Suite 720, Chattanooga, TN 37421 | 2019-11-26 |
| 1245875046 | Chattanooga Compounding Pharmacy Inc. | Pharmacy | 7032 East Brainerd Rd, Suite A-b, Chattanooga, TN 37421 | 2019-11-15 |
| 1083105803 | Trauma and Addiction Recovery Center | Counselor | 6727 Heritage Business Ct Ste 718, Chattanooga, TN 37421 | 2018-05-29 |
| 1497257448 | Claude James Bowden | Counselor | 7372 Applegate Lane, Chattanooga, TN 37421 | 2018-03-06 |
| 1093213332 | Preferred Primary Care | Clinic/Center | 6031 Shallowford Rd Ste 105, Chattanooga, TN 37421 | 2018-01-31 |
| 1124526777 | Elizabeth Marie Wright | Nurse Practitioner | 6130 Shallowford Rd Ste 101, Chattanooga, TN 37421 | 2018-01-30 |
| 1477065712 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 7326 Mccutcheon Rd, Chattanooga, TN 37421 | 2017-10-26 |
| 1144746645 | Mobility At Home LLC | Contractor | 6307 E Brainerd Rd, Chattanooga, TN 37421 | 2017-08-16 |
| Find all providers in zip 37421 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043632433 | Tennessee Interventional and Imaging Associates, Pllc | Radiology | 975 E 3rd St, Box 376, Chattanooga, TN 37403-2147 | 2014-01-20 |
| 1710280599 | Chattanooga Hamilton County Hospital Authority | Radiology | 975 E 3rd St, Chattanooga, TN 37403-2147 | 2010-12-16 |
| 1174631410 | Donovan Lyle Yamada | Radiology | 2333 Mccallie Ave, Chattanooga, TN 37404-3258 | 2006-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487277042 | Via Institutes Pllc | Radiology | 8886 Classic Dr, Memphis, TN 38125-8839 | 2020-05-18 |
| 1609334713 | Paul Wooten | Radiology | 1729 Curie St, Alcoa, TN 37701-1700 | 2019-03-07 |
| 1295112498 | David R Zielske | Radiology | 839 Treemont Ct, Nashville, TN 37220-1536 | 2015-04-27 |
| 1760820625 | John Dalton Braun | Radiology | 7600 Wolf River Blvd Ste 200, Germantown, TN 38138 | 2013-06-12 |
| 1942551270 | Sam J Williams IIi | Radiology | 1610 Shore View Ln, Hixson, TN 37343-4646 | 2012-09-26 |
| 1144485418 | Vijaykumar Agrawal | Radiology | 865 Jefferson Avenue Department of Radiology, F150 Chandler, Memphis, TN 38163-0001 | 2008-07-25 |
| 1780618942 | Tennessee Phlebology PC | Radiology | 9020 Overlook Blvd Ste 150, Brentwood, TN 37027-2727 | 2006-07-11 |
| 1104883966 | Jason Glen Funderburk | Radiology | 116 Concord Rd, Suite 500, Knoxville, TN 37934-2940 | 2006-04-27 |
| 1851865794 | Zeni Interventional Pllc | Radiology | 6126 Poplar Ave, Memphis, TN 38119-4710 | 2019-01-14 |
| 1841799707 | Southern Pain and Regenerative Medicine PC | Radiology | 176 Briarwood St Ste B, Camden, TN 38320-1456 | 2018-02-06 |
| Find all providers with the same taxonomy | ||||
| City | CHATTANOOGA |
| Zip Code | 37421 |
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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.