DR. JACOB BRUCE CANTRELL


Address: 975 E. Third Street, Attn: Provider Enrollment, Chattanooga, TN 37403
Phone: 4232661490

DR. JACOB BRUCE CANTRELL (NPI# 1417284498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417284498
Entity Type Individual
Full Name DR. JACOB BRUCE CANTRELL
Credential MD
Practice Address 975 E. Third Street
Attn: Provider Enrollment
Chattanooga
TN 37403
Mailing Address 975 E. Third Street
Attn: Provider Enrollment
Chattanooga
TN 37043
Practice Telephone 4232661490
Practice Fax Number 4237782108
Mailing Telephone 4232661490
Mailing Fax Number 4237782108
Enumeration Date 2009-11-11
Last Update Date 2016-09-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 54013 TN Allopathic & Osteopathic Physicians
N 208M00000X Hospitalist 54013 TN Allopathic & Osteopathic Physicians

Office Location

Street Address 975 E. THIRD STREET
ATTN: PROVIDER ENROLLMENT
City CHATTANOOGA
State TN
Zip Code 37403

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972584563 Warren Gill Brewster Registered Nurse 975 E. Third Street, Chattanooga, TN 37403-2147 2005-11-10
1952721086 Robert Mitchell Internal Medicine 975 E. Third Street, Attn: University Hospitalists, Chattanooga, TN 37403 2014-04-16
1295078251 Robert Vincent Smith Internal Medicine 975 E. Third Street, Attn: University Hospitalists, Chattanooga, TN 37403-2147 2013-03-28
1366790487 Cynthia S Powell Registered Nurse 975 E. Third Street, Chattanooga, TN 37403-2147 2012-08-21
1831447390 Carrie A Stone Registered Nurse 975 E. Third Street, Chattanooga, TN 37403-2147 2012-08-15
1194073650 Lisa S Vanderwall Registered Nurse 975 E. Third Street, Chattanooga, TN 37403-2147 2012-08-15
1538417092 Michael D Williamson Registered Nurse 975 E. Third Street, Chattanooga, TN 37403-2147 2012-08-15
1578810073 Elisha M Catchings Registered Nurse 975 E. Third Street, Chattanooga, TN 37403-2147 2012-08-14
1083975734 Eric Nance Mccartt Internal Medicine 975 E. Third Street, Chattanooga, TN 37403-2147 2012-05-30
1770841066 Sathish Chandra Family Medicine 975 E. Third Street, Chattanooga, TN 37403 2012-04-25
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Providers in the same zip code

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 Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245743020 Integrated Internal Medicine, PC Internal Medicine 5811 Lee Hwy Ste 405, Chattanooga, TN 37421-6100 2017-11-15
1477062958 Vibrant Life Health & Wellness Internal Medicine 7633 E Brainerd Rd Ste 101, Chattanooga, TN 37421-3290 2017-09-27
1659725083 Laura E Riley Internal Medicine 725 Glenwood Dr Ste E788, Chattanooga, TN 37404-1177 2016-04-22
1851778427 Stephen Pearce Scorey Internal Medicine 1751 Gunbarrel Rd Ste 201, Chattanooga, TN 37421-7248 2015-05-02
1407242381 Maaz Sohail Internal Medicine 960 E 3rd St Ste 208, Chattanooga, TN 37403-2121 2015-04-08
1922426709 Sarah Mccary Baker Internal Medicine 605 Glenwood Drive, Suite 300, Chattanooga Internal Medicine Group, Chattanooga, TN 37404 2014-03-31
1023453271 Nathan Claydon Internal Medicine 960 East 3rd St, Suite 104, Chattanooga, TN 37403 2013-05-01
1538420229 Nathan Hartgrove Internal Medicine 961 Spring Creek Rd Ste 300, Chattanooga, TN 37412 2012-05-30
1194005439 Kim To Thien Nguyen Internal Medicine 605 Glenwood Dr Ste 404, Chattanooga, TN 37404 2011-08-18
1376787788 Tiundra Leshaun Love Internal Medicine 6098 Debra Road, Bldg 6200 Suite 5200, Vha, Chattanooga, TN 37411 2009-04-29
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City CHATTANOOGA
Zip Code 37403

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Dataset Information

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.

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