COVENANT ALLERGY AND ASTHMA CARE PLLC (NPI# 1396994802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396994802 |
| Entity Type | Organization |
| Organization Name | COVENANT ALLERGY AND ASTHMA CARE PLLC |
| Practice Address |
1350 Mackey Branch Dr Suite 114 Chattanooga TN 37421-3482 |
| Practice Telephone | 4234683267 |
| Practice Fax Number | 4234683270 |
| Mailing Telephone | 4234683267 |
| Mailing Fax Number | 4234683270 |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2015-05-19 |
| Authorized Official Name | SUSAN P RASCHAL (PRESIDENT) |
| Authorized Official Telephone | 4234683267 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | Allopathic & Osteopathic Physicians |
| Street Address |
1350 MACKEY BRANCH DR SUITE 114 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37421-3482 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457346835 | Joseph Marion Wisniewski | Allergy & Immunology | 1350 Mackey Branch Dr, Ste 114, Chattanooga, TN 37421-3483 | 2005-09-13 |
| 1891058079 | Leigh Anne Calhoun | Nurse Practitioner | 1350 Mackey Branch Dr, Suite 114, Chattanooga, TN 37421-3482 | 2012-06-21 |
| 1750561999 | Garret John Faugot | Physician Assistant | 1350 Mackey Branch Dr, Suite 114, Chattanooga, TN 37421-3482 | 2007-11-05 |
| 1659384980 | Winfred C Manda | Internal Medicine | 1350 Mackey Branch Dr, Ste # 101, Chattanooga, TN 37421-3482 | 2006-08-15 |
| 1063451813 | Susan P Raschal | Allergy & Immunology | 1350 Mackey Branch Dr, Suite 114, Chattanooga, TN 37421-3482 | 2006-06-06 |
| 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 | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356310932 | Hyman Moses Kaplan | Allergy & Immunology | 6734 Lee Hwy, Chattanooga, TN 37421-2423 | 2006-03-16 |
| 1457346835 | Joseph Marion Wisniewski | Allergy & Immunology | 1350 Mackey Branch Dr, Ste 114, Chattanooga, TN 37421-3483 | 2005-09-13 |
| 1336381698 | Jennifer King Patel | Allergy & Immunology | 6734 Lee Hwy, Chattanooga, TN 37421-2423 | 2009-04-01 |
| 1225252125 | Lee Michael Perry | Allergy & Immunology | 6734 Lee Hwy, Chattanooga, TN 37421-2423 | 2007-04-12 |
| 1770594129 | Chattanooga Allergy Clinic, Pllc | Allergy & Immunology | 6734 Lee Hwy, Chattanooga, TN 37421-2423 | 2006-08-11 |
| 1245279090 | Michael C Hollie | Allergy & Immunology | 1720 Gunbarrel Rd, Suite 400, Chattanooga, TN 37421-3192 | 2006-06-06 |
| 1063451813 | Susan P Raschal | Allergy & Immunology | 1350 Mackey Branch Dr, Suite 114, Chattanooga, TN 37421-3482 | 2006-06-06 |
| 1871532184 | Russell L Walker | Allergy & Immunology | 1720 Gunbarrel Rd, Suite 400, Chattanooga, TN 37421-3192 | 2006-06-05 |
| 1629017819 | Robert E Younger IIi | Allergy & Immunology | 1720 Gunbarrel Rd, Suite 400, Chattanooga, TN 37421-3192 | 2006-06-05 |
| 1235178377 | David Curt Chaffin | Allergy & Immunology | 1720 Gunbarrel Rd, Suite 400, Chattanooga, TN 37421-3192 | 2006-06-05 |
| Find all providers in CHATTANOOGA | ||||
| 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.