THE NEUROSURGICAL GROUP OF CHATTANOOGA (NPI# 1396833372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396833372 |
| Entity Type | Organization |
| Organization Name | THE NEUROSURGICAL GROUP OF CHATTANOOGA |
| Practice Address |
1010 E 3rd St Suite 202 Chattanooga TN 37403-2109 |
| Practice Telephone | 4232652233 |
| Practice Fax Number | 4237568265 |
| Mailing Telephone | 4232652233 |
| Mailing Fax Number | 4237568265 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2013-03-29 |
| Authorized Official Name | PHOEBE A SMITH (BILLING OFFICE MANAGER) |
| Authorized Official Telephone | 4233211157 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | RAILROAD MEDICARE | CB0525 | 01 |
| Street Address |
1010 E 3RD ST SUITE 202 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37403-2109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548207913 | Eileen M Sheehan-lowery | Registered Nurse | 1010 E 3rd St, Ste. 201, Chattanooga, TN 37403-2109 | 2006-06-02 |
| 1033754700 | Kaitlin Sims | Physician Assistant | 1010 E 3rd St, Chattanooga, TN 37403-2109 | 2019-11-16 |
| 1336545664 | Eric Henderson | Physician Assistant | 1010 E 3rd St, Suite 202, Chattanooga, TN 37403-2109 | 2014-11-13 |
| 1083010615 | Joel C. Morrison | Physician Assistant | 1010 E 3rd St, Suite 202, Chattanooga, TN 37403-2109 | 2014-11-10 |
| 1992131932 | Sherry C Owens | Nurse Practitioner | 1010 E 3rd St, Suite 201, Chattanooga, TN 37403-2109 | 2013-09-23 |
| 1437440757 | Prayash Gaurang Patel | Neurological Surgery | 1010 E 3rd St, Suite 202, Chattanooga, TN 37403-2109 | 2011-04-20 |
| 1023244506 | Joseph Hardy Miller | Neurological Surgery | 1010 E 3rd St, Suite 202, Chattanooga, TN 37403-2109 | 2009-06-10 |
| 1518101450 | Sarah Elizabeth Johnson | Physician Assistant | 1010 E 3rd St, Suite 202, Chattanooga, TN 37403-2109 | 2009-04-22 |
| 1255592549 | Amy Thomas Roskos | Nurse Practitioner | 1010 E 3rd St, Suite 202, Chattanooga, TN 37403-2109 | 2008-06-19 |
| 1720261365 | Michael Albert Liedke | Nurse Practitioner | 1010 E 3rd St, Suite 202, Chattanooga, TN 37403-2109 | 2007-12-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033771332 | Jaimie Mills | Specialist/Technologist | 103 Metropolitan Building, Chattanooga, TN 37403 | 2019-07-08 |
| 1972092849 | Joshua Dale Gebhardt | Marriage & Family Therapist | 1024 East M L King Blvd, Chattanooga, TN 37403 | 2018-05-07 |
| 1528580750 | Klifford Hawkins | Physical Therapist | 1100 E 3rd St Ste G103, Chattanooga, TN 37403 | 2017-07-10 |
| 1861921470 | Jonathan Everett Burden | Student in an Organized Health Care Education/Training Program | 960 E 3rd St Ste 104, Chattanooga, TN 37403 | 2017-06-07 |
| 1992167092 | Majel Victoria Purvis Miles | Student in an Organized Health Care Education/Training Program | 979 E 3rd St Ste 401, Chattanooga, TN 37403 | 2016-03-28 |
| 1972942902 | Danielle Nessly | Nurse Practitioner | 730 East 11th Street, Chattanooga, TN 37403 | 2013-06-24 |
| 1023453271 | Nathan Claydon | Internal Medicine | 960 East 3rd St, Suite 104, Chattanooga, TN 37403 | 2013-05-01 |
| 1336482603 | Veronica Patterson Zachry | Student in an Organized Health Care Education/Training Program | 975 E. 3rd Street, Chattanooga, TN 37403 | 2013-04-04 |
| 1639420417 | Ctr. for Individual & Family Effectiveness | Community/Behavioral Health | 310 E. 8th St., Ste. C, Chattanooga, TN 37403 | 2012-09-20 |
| 1063773521 | Shelley L Murphy | Emergency Medicine | 1018 Blackford Street, Chattanooga, TN 37403 | 2012-05-31 |
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| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851338628 | David Alan Wiles | Neurological Surgery | 281 N Lyerly St Ste 300, Chattanooga, TN 37404-2728 | 2006-06-01 |
| 1518215219 | Southeastern Spine, Pllc | Neurological Surgery | 281 North Lyerly Street, Suite 300, Chattanooga, TN 37404-2728 | 2012-08-28 |
| 1437440757 | Prayash Gaurang Patel | Neurological Surgery | 1010 E 3rd St, Suite 202, Chattanooga, TN 37403-2109 | 2011-04-20 |
| 1023244506 | Joseph Hardy Miller | Neurological Surgery | 1010 E 3rd St, Suite 202, Chattanooga, TN 37403-2109 | 2009-06-10 |
| 1427261429 | Peter Eric Boehm Jr. | Neurological Surgery | 1010 E 3rd St Ste 202, Chattanooga, TN 37403-2174 | 2007-05-07 |
| 1962582163 | Donald Philip Megison | Neurological Surgery | 1010 E 3rd St, Suite 202, Chattanooga, TN 37403-2109 | 2006-10-16 |
| 1467542449 | Peter Eric Boehm Sr. | Neurological Surgery | 1010 E 3rd St Ste 202, Chattanooga, TN 37403-2174 | 2006-10-13 |
| 1427147214 | Michael Richard Gallagher | Neurological Surgery | 1010 E 3rd St, Suite 202, Chattanooga, TN 37403-2109 | 2006-10-12 |
| 1366530362 | Timothy Alexander Strait | Neurological Surgery | 1010 E 3rd St, Suite 202, Chattanooga, TN 37403-2109 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807607 | Southeastern Spine, Pllc | Neurological Surgery | 5953 Elementary Way Ste 101, Ooltewah, TN 37363-3108 | 2020-10-06 |
| 1669013124 | Neurosurgical Associates | Neurological Surgery | 3443 Dickerson Pike Ste 340, Nashville, TN 37207-2523 | 2019-10-04 |
| 1447757869 | Waldemar Charles August Sternbergh Jr. | Neurological Surgery | 108 Riverpoint Rd, Signal Mountain, TN 37377-2238 | 2018-04-11 |
| 1982122438 | Teresa Malone | Neurological Surgery | 1819 W Clinch Ave Ste 214, Knoxville, TN 37916-2435 | 2017-09-05 |
| 1184916355 | William A Tyler | Neurological Surgery | 525 Arrowhead Trl, Knoxville, TN 37919-7610 | 2011-05-06 |
| 1811289135 | Christopher Michael Storey | Neurological Surgery | 5653 Frist Blvd Ste 332, Hermitage, TN 37076-2064 | 2011-05-04 |
| 1346569589 | Ernest J Wright IIi | Neurological Surgery | 2011 Murphy Ave Ste 3011, Nashville, TN 37203 | 2010-05-27 |
| 1801114079 | Scott Lewis Parker | Neurological Surgery | 1161 21st Ave S T4224 Mcn, Nashville, TN 37232-0001 | 2010-05-12 |
| 1063744605 | Dee James Canale | Neurological Surgery | 4639 Peppertree Lane, Memphis, TN 38117-3920 | 2010-02-08 |
| 1437489325 | Neurosurgery and Spine Institute of East Tennessee, Pllc | Neurological Surgery | 10330 Hardin Valley Rd, Suite 100, Knoxville, TN 37932-3742 | 2009-12-28 |
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| City | CHATTANOOGA |
| Zip Code | 37403 |
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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.