BENIAMIN CHITU (NPI# 1336617778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336617778 |
| Entity Type | Individual |
| Full Name | BENIAMIN CHITU |
| Other Name | BEN CHITU |
| Credential | PA-C |
| Practice Address |
2372 Lifestyle Way Ste 152 Chattanooga TN 37421-4940 |
| Mailing Address |
8378 Lexie Ln Ooltewah TN 37363-5793 |
| Practice Telephone | 8657654443 |
| Mailing Telephone | 8657654443 |
| Enumeration Date | 2018-11-04 |
| Last Update Date | 2020-01-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
3858 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 123 Constitution Dr., Fitchburg, MA 014206754 | 8657654443 |
| Street Address |
2372 LIFESTYLE WAY STE 152 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37421-4940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568442689 | Jonathan M Kerley | Emergency Medicine | 2372 Lifestyle Way Ste 152, Chattanooga, TN 37421-4940 | 2006-01-17 |
| 1740838580 | Tiffany La Com | Nurse Practitioner | 2372 Lifestyle Way Ste 152, Chattanooga, TN 37421-4940 | 2019-08-26 |
| 1457522773 | Patricia Geraghty | Physician Assistant | 2372 Lifestyle Way Ste 152, Chattanooga, TN 37421-4940 | 2008-03-14 |
| 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 | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831356658 | Tiffany Hayes | Physician Assistant | 7405 Shallowford Rd Ste 320, Chattanooga, TN 37421-2662 | 2008-05-20 |
| 1588861421 | Stacy Lynn Mckinney | Physician Assistant | 1100 E. Third Street, Suite G-102, Chattanooga, TN 37403-2147 | 2007-07-02 |
| 1720174360 | Jenny Lynn Phillips | Physician Assistant | 1401 Carter Street Suite 102, Chattanooga, TN 37402 | 2006-10-04 |
| 1114986593 | Awilda Marrero Labonne | Physician Assistant | 400 N Market St Ste 114, Chattanooga, TN 37405-4449 | 2006-03-22 |
| 1366417776 | Maria C Wood | Physician Assistant | 2200 E 3rd St, Suite 100, Chattanooga, TN 37404-2744 | 2006-02-20 |
| 1093287955 | Leona Ruth Gulley | Physician Assistant | 975 E 3rd St, Chattanooga, TN 37403-2147 | 2018-12-17 |
| 1871064113 | Meredith Mcdaniel | Physician Assistant | 975 E 3rd St, Chattanooga, TN 37403-2147 | 2018-12-16 |
| 1891261277 | Jamie Dillon | Physician Assistant | 103 Jordan Dr Ste 3, Chattanooga, TN 37421-6715 | 2018-10-23 |
| 1134604226 | Kaylee Christensen | Physician Assistant | 975 E 3rd St, Chattanooga, TN 37403 | 2018-09-25 |
| 1427565266 | Tiffany Richardson | Physician Assistant | 605 Glenwood Dr Ste 200, Chattanooga, TN 37404-1130 | 2018-01-02 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37421 |
Please comment or provide details below to improve the information on BENIAMIN CHITU.
| 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.